NCLEX-PN Exam Cram

NCLEX-PN Exam Cram

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by Wilda Rinehart, Diann Sloan, Clara Hurd, Rinehart & Associates

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Succeed with topical reviews, practice exams, and preparation tools

“The book offers a quick ‘cram’ approach to the NCLEX that is user friendly and not time intensive. The overall approach is learner-centered and the content is well paced.”

—Catherine Dearman, RN, PhD

  • Covers exactly what

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Succeed with topical reviews, practice exams, and preparation tools

“The book offers a quick ‘cram’ approach to the NCLEX that is user friendly and not time intensive. The overall approach is learner-centered and the content is well paced.”

—Catherine Dearman, RN, PhD

  • Covers exactly what you need to know to score higher on your NCLEX-PN® exam.
  • Includes 400 sample test questions to help you determine whether you’re ready to take the actual exam.
  • Our popular Cram Sheet tearcard helps you remember key concepts.
  • Exam Alerts provide important information found on the exam.
  • Simplifies pharmacology for easy learning.

Written by Leading Nursing Experts!

Wilda Rinehart has R.N., B.S.N., M.S.N., F.N.C., and F.P.N.P. degrees. Her experience includes staff nurse in surgery, labor and delivery; public-health nurse; and family-planning nurse practitioner. She also was an instructor of surgical and obstetrical nursing.

Diann Sloan has R.N., B.S.N., M.S.N., F.N.C., as well as MS. Ed. and Ph.D. in Education degrees. She has worked as a staff nurse in surgical nursing, pediatrics, and neonatal intensive care and as a pediatric nurse clinician. She has also been an instructor of pediatric and psychiatric nursing.

Clara Hurd has M.S.N., R.N., and C.N.E. degrees. She has worked with Pearson as a consultant on item writing. She has 31 years of experience and has worked as a staff nurse in medical-surgical nursing and the surgical intensive care unit. Ms. Hurd has taught in associate and baccalaureate nursing programs.

Category: Test Preparation and Review
Covers: Nursing

NCLEX-PN® is a registered trademark of the National Council of State Boards of Nursing, Inc. (NCSBN), which does not sponsor or endorse this product.

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Product Details

Pearson Education
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Exam Cram
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Barnes & Noble
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Praise for NCLEX-PN Exam CramPraise for NCLEX-PN Exam Cram

"The book offers a quick 'cram' approach to the NCLEX that is user friendly and not time intensive. The overall approach is learner-centered and the content is well paced."

Catherine Dearman, RN, PhD

IntroductionWelcome to the NCLEX-PN® Exam Cram

This book will help you prepare to take and pass the Licensure Exam for Practical Nurses. This Introduction discusses the NCLEX® exam in general and how the Exam Cram can help you prepare for the test. It doesn't matter whether this is the first time you're going to take the exam or if you have taken it previously; this book gives you the necessary information and techniques to obtain licensure.

Exam Cram books help you understand and appreciate the subjects and materials you need to pass. The books are aimed at test preparation and review. They do not teach you everything you need to know about the subject of nursing. Instead they present materials you are likely to encounter on the exam.

Using a simple approach, we help you understand the need-to-know information. First, you learn content as it applies to medical-surgical nursing, psychiatric-mental health nursing, obstetric nursing, and pediatric nursing, with an emphasis on pharmacology, skills, and management of these disorders. In a well-organized format, you learn the pathophysiology of the most common problems affecting clients, the treatment of these disorders, and the nursing care required.

The NCLEX-PN® consists of questions from the cognitive levels of knowledge, comprehension,application, and analysis. The majority of questions are written at the application and analysis levels. Questions incorporate the five stages of the nursing process (assessment, diagnosis, planning, implementation, and evaluation) and the four categories of client needs. Client needs are divided into subcategories that define the content within each of the four major categories. These categories and subcategories are

  • A. Safe, effective care environment:

  • Coordinated care: 12%–18%

  • Safety and infection control: 8%–14%

  • B. Health promotion and maintenance: 7%–13%

  • C. Psychosocial integrity: 8%–14%

  • D. Physiological integrity:

  • Basic care and comfort: 11%–17%

  • Pharmacological and parenteral therapy: 9%–15%

  • Reduction of risk: 10%–16%

  • Physiological adaptation: 11%–17%

Taking the Computerized Adaptive Test

Computer Adaptive Testing offers the candidate several advantages. The graduate can schedule the exam at a time that is convenient for him. The Pearson VUE testing group is responsible for administering the exam. Because you might not be familiar with the Pearson VUE testing centers, we recommend that you arrive at least 30 minutes early to acclimate yourself to the surroundings and learn what you need to do while testing at the center. If you are late, you will not be allowed to test. Bring two forms of identification with you, one of which must be a picture ID. Be sure that your form of identification matches your application. You will be photographed and fingerprinted upon entering the testing site, so don't let this increase your stress. The allotted time is 5 hours. The candidate can receive results within approximately 7 days (in some states even sooner). Remember that the exam is written at approximately the 10th-grade reading level so keep a good dictionary handy during your studies.The Cost of the Exam

The candidate wanting to take the licensure exam must fill out two applications, one to the National Council and one to the state in which she wants to be licensed. A separate fee must accompany each application. The fee required by the National Council is $200. State licensing fees vary from state to state. The candidate should contact the state where she wishes to become licensed for a list of fees for that specific state. Licensure applications can be obtained on the National Council's website at Several states are members of the multistate licensure compact. This means that, if you are issued a multistate license, you pay only one fee. This information can also be obtained by visiting the National Council's website. A list of phone numbers and websites is included on this book's CD, in Appendix C, "Alphabetical Listing of Nursing Boards in the United States and Protectorates."How to Prepare for the Exam

Judicious use of this book, either alone or with a review seminar, such as that provided by Rinehart and Associates, will help you to achieve your goal of becoming a practical nurse. As you review for the NCLEX® Exam, we suggest that you find a location where you can concentrate on the material each day. A minimum of 2 hours per day for at least 2 weeks is suggested. We have provided you with exam alerts, tips, notes, and sample questions, both multiple-choice and alternative items. These questions will acquaint you with the type of questions you will see during the exam. We have also formulated a mock exam, with those difficult management and delegation questions, which you can score to determine your readiness to test. Pay particular attention to the Exam Alerts and the Cram Sheet. Using these will help you gain and retain knowledge and help reduce your stress as you prepare to test.How to Use This Book

Each topical Exam Cram chapter follows a regular structure and includes cues about important or useful information. Here's the structure of a typical chapter:

  • Opening hotlists—Each chapter begins with a list of terms and concepts you must learn and understand before you can know the subject matter. The hotlists are followed by an introductory section to set the stage for the rest of the chapter.

  • Topical coverage—After the opening hotlists, each chapter covers a series of topics related to the chapter's subject title.

Even though the book is structured to the exam, these flagged items are often particularly important:

  • Exam Alert—Exam alerts normally stress concepts, terms, or activities that are related to one or more test questions. Anything found in exam alert format is worthy of greater attention on your part. This is what an exam alert looks like:


    Caution - Exam alerts are provided as a heads up that the content mentioned here might appear on the NCLEX-PN® exam.

  • Notes—Throughout each chapter additional information is provided that, although not directly related to the exam itself, is still useful and will aid your preparation. A sample note is shown here:


    Note - This is how notes are formatted. Notes direct your attention to important pieces of information that relate to nursing and nursing certification.

  • Tips—A tip might tell you another way of accomplishing something in a more efficient or time-saving manner. An example of a tip is shown here:


    Tip - This is how tips are formatted. Keep your eyes open for these, and you'll learn some interesting nursing tips!

  • Exam Prep Questions—Although we talk about test questions and topics throughout the book, the section at the end of each chapter presents a series of mock test questions and explanations of both correct and incorrect answers.

  • Practice Exams—This book offers two exams written in the NCLEX® format. These have been provided to help you evaluate your readiness to test. Answers and rationale to these questions have also been provided. We suggest that you score the exam by subtracting the missed items from the total and dividing the total answered correctly by the total number of questions. This will give you the percentage of answers correctly. We suggest that you achieve a score of at least 77% before you schedule your exam.

  • Glossary—At the end of the book is a glossary that defines critical nursing terms we cover in this book.

  • The CD—The CD includes a testing engine with many practice questions that you should use repeatedly to practice your test-taking skills and measure your level of learning. You should be able to correctly answer more than 77% of the questions on the practice tests before trying the real exam. The CD also contains Appendix A, "Things You Forgot"; Appendix B, "Need to Know More?"; and Appendix C, "Alphabetical Listing of Nursing Boards in the United States and Protectorates."

  • Cram Sheet—At the beginning of the book is a tear card we call the Cram Sheet. This is a helpful tool that gives you distilled, compressed facts and is a great tool for last-minute study and review.

About the Book

The topics in this book have been structured using the systems approach to nursing. We believe that a simple approach to learning the disease process, treatments, and diagnostic studies is best. We review material related to diseases of each body system; the related nursing skills; and the diagnostic tests, nutrition, and pharmacology associated with each. We also consider cultural and religious aspects as they relate to the care of clients with specific illnesses.

Aside from being a test preparation book, this book is also useful if you are brushing up on your nursing knowledge. It is an excellent quick reference for the licensed nurse.Contact the Authors

The authors of this text are interested in you and want you to pass on the first attempt. If, after reviewing with this text, you would like to contact the authors, you can do so at Rinehart and Associates, PO Box 124, Booneville, MS 38829 or by visiting our website at You can also contact us by phone at 662-728-4622.

© Copyright Pearson Education. All rights reserved.

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