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NCLEX-PNPractice QuestionsFourth EditionWilda Rinehart GardnerDiann SloanClara Hurd800 East 96th Street, Indianapolis, Indiana 46240 USA

NCLEX-PN Practice Questions Exam Cram, Fourth EditionCopyright 2015 by Pearson Education, Inc.PublisherPaul BogerAll rights reserved. No part of this book shall be reproduced, stored in a retrievalsystem, or transmitted by any means, electronic, mechanical, photocopying, recording,or otherwise, without written permission from the publisher. No patent liability isassumed with respect to the use of the information contained herein. Although everyprecaution has been taken in the preparation of this book, the publisher and authorassume no responsibility for errors or omissions. Nor is any liability assumed fordamages resulting from the use of the information contained herein.ISBN-13: 978-0-7897-5314-4ISBN-10: 0-7897-5314-6Library of Congress Control Number: 2014944396Associate PublisherDavid DusthimerPrinted in the United States of AmericaFirst Printing: August 2014Managing EditorSandra SchroederTrademarksAll terms mentioned in this book that are known to be trademarks or service markshave been appropriately capitalized. Pearson cannot attest to the accuracy of thisinformation. Use of a term in this book should not be regarded as affecting the validityof any trademark or service mark.NCLEX is a registered trademark of the National Council of State Boards of Nursing,Inc. (NCSBN), which does not sponsor or endorse this product.Warning and DisclaimerEvery effort has been made to make this book as complete and as accurate as possible, but no warranty or fitness is implied. The information provided is on an “as is”basis. The author and the publisher shall have neither liability nor responsibility toany person or entity with respect to any loss or damages arising from the informationcontained in this book or from the use of the CD or programs accompanying it.Special SalesFor information about buying this title in bulk quantities, or for special salesopportunities (which may include electronic versions; custom cover designs; andcontent particular to your business, training goals, marketing focus, or brandinginterests), please contact our corporate sales department at corpsales@pearsoned.comor (800) 382-3419.For government sales inquiries, please contact governmentsales@pearsoned.com.For questions about sales outside the U.S., please contactinternational@pearsoned.com.Acquisitions EditorBetsy BrownSenior DevelopmentEditorChristopherClevelandProject EditorMandie FrankProofreaderSarah KearnsTechnical EditorSteve PicrayPublishingCoordinatorVanessa EvansMultimediaDeveloperLisa MatthewsDesignerAlan ClementsCompositorStudio Galou, LLC

Contents at a GlanceIntroduction1CHAPTER 1Practice Exam 1 and Rationales5CHAPTER 2Practice Exam 2 and Rationales73CHAPTER 3Practice Exam 3 and Rationales145CHAPTER 4Practice Exam 4 and Rationales209CHAPTER 5Practice Exam 5 and Rationales275APPENDIX A Things You Forgot341APPENDIX B Need to Know More?349APPENDIX C Calculations357

Table of ContentsIntroduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Welcome to the NCLEX-PN Practice Questions Exam Cram . . . . . . . 1Taking the Computerized Adaptive Test . . . . . . . . . . . . . . . . . . . . . . . . . . . 2The Cost of the Exam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2How to Prepare for the Exam. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3What Will You Find in This Book? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Hints for Using This Book . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4Need Further Study? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4Contact the Authors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4Chapter 1: Practice Exam 1 and Rationales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5Quick Check Answer Key . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50Answers and Rationales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53Chapter 2: Practice Exam 2 and Rationales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73Quick Check Answer Key . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118Answers and Rationales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121Chapter 3: Practice Exam 3 and Rationales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145Quick Check Answer Key . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 187Answers and Rationales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 190Chapter 4: Practice Exam 4 and Rationales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 209Quick Check Answer Key . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 251Answers and Rationales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 254Chapter 5: Practice Exam 5 and Rationales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 275Quick Check Answer Key . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 318Answers and Rationales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 321

Appendix A: Things You Forgot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 341Therapeutic Drug Levels. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 341Vital Signs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 341Anticoagulant Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 342Intrapartal Normal Values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 342Standard Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 343Airborne Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 344Droplet Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 344Contact Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 344Revised Life Support Guidelines (American Heart Association) . . . . . 344Defense Mechanisms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 345Nutrition Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 345Immunization Schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 347Appendix B: Need to Know More? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 349Pharmacology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 349Care of the Client with Respiratory Disorders . . . . . . . . . . . . . . . . . . . 349Care of the Client with Genitourinary Disorders . . . . . . . . . . . . . . . . . 350Care of the Client with Hematological Disorders . . . . . . . . . . . . . . . . . 350Fluid and Electrolytes and Acid/Base Balance . . . . . . . . . . . . . . . . . . . . 351Care of the Client with Burns. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 351Care of the Client with Sensory Disorders. . . . . . . . . . . . . . . . . . . . . . . 351Care of the Client with Neoplastic Disorders . . . . . . . . . . . . . . . . . . . . 352Care of the Client with Gastrointestinal Disorders. . . . . . . . . . . . . . . . 352Care of the Client with Musculoskeletal and ConnectiveTissue Disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 353Care of the Client with Endocrine Disorders . . . . . . . . . . . . . . . . . . . . 353Care of the Client with Cardiac Disorders . . . . . . . . . . . . . . . . . . . . . . . 354Care of the Client with Neurological Disorders . . . . . . . . . . . . . . . . . . 354Care of the Client with Psychiatric Disorders . . . . . . . . . . . . . . . . . . . . 355Maternal-Newborn Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 355Care of the Pediatric Client . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 356Cultural Practices Influencing Nursing Care . . . . . . . . . . . . . . . . . . . . . 356Legal Issues in Nursing Practice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 356

Appendix C: Calculations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 357The Apothecary System of Measurement . . . . . . . . . . . . . . . . . . . . . . . . 357The Household System of Measurement . . . . . . . . . . . . . . . . . . . . . . . . 358Metric Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 358Test Your Math Skills . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 359Answers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 360

About the AuthorsWilda Rinehart Gardner received an Associate Degree in Nursing fromNortheast Mississippi Community College in Booneville, Mississippi. Afterworking as a staff nurse and charge nurse, she became a public health nurse andserved in that capacity for a number of years. In 1975, she received her nursepractitioner certification in the area of obstetrics-gynecology from theUniversity of Mississippi Medical Center in Jackson, Mississippi. In 1979, shecompleted her Bachelor of Science degree in Nursing from MississippiUniversity for Women. In 1980, she completed her Master of Science degree inNursing from the same university and accepted a faculty position at NortheastMississippi Community College, where she taught medical-surgical nursing andmaternal-newborn nursing. In 1982, she founded Rinehart and AssociatesNursing Consultants. For the past 26 years, she and her associates have workedwith nursing graduates and schools of nursing to assist graduates to pass theNational Council Licensure Exam for Nursing. She has also worked as a curriculum consultant with faculty to improve test construction. Ms. Rinehart hasserved as a convention speaker throughout the southeastern United States andas a reviewer of medical-surgical and obstetric texts. She has co-authored materials used in seminars presented by Rinehart and Associates Nursing Review. Asthe president of Rinehart and Associates, she serves as the coordinator of a company dedicated to improving the quality of health through nursing education.Dr. Diann Sloan received an Associate Degree in Nursing from NortheastMississippi Community College, a Bachelor of Science degree in Nursing fromthe University of Mississippi, and a Master of Science degree in Nursing fromMississippi University for Women. In addition to her nursing degrees, she holdsa Master of Science in Counseling Psychology from Georgia State Universityand a Doctor of Philosophy in Counselor Education, with minors in bothPsychology and Educational Psychology, from Mississippi State University. Shehas completed additional graduate studies in healthcare administration atWestern New England College and the University of Mississippi. Dr. Sloan hastaught pediatric nursing, psychiatric mental health nursing, and medical surgical nursing in both associate degree and baccalaureate nursing programs. As amember of Rinehart and Associates Nursing Review, Dr. Sloan has conductedtest construction workshops for faculty and nursing review seminars for bothregistered and practical nurse graduates. She has co-authored materials used inthe item-writing workshops for nursing faculty and Rinehart and AssociatesNursing Review. She is a member of Sigma Theta Tau nursing honor society.