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NCLEX-RN Exam Prep, 2nd Edition

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NCLEX-RN Exam Prep, 2nd Edition


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  • Copyright 2011
  • Edition: 2nd
  • Book
  • ISBN-10: 0-7897-4529-1
  • ISBN-13: 978-0-7897-4529-3

COMPREHENSIVE Succeed with comprehensive learning and practice tests

  • Master the NCLEX-RN® exam materials in all tested subject areas
  • Prepare with four comprehensive practice tests
  • Analyze your test readiness and areas for further study with topic-focused chapter tests
  • CD-ROM—based practice exam includes an interactive Computer Adaptive Test (CAT) engine for a meaningful exam experience with approximately 400 questions
  • Learn important test-taking strategies to maximize your score and diminish your anxiety

Score Higher on the NCLEX®-RN Exam!

We provide you with the proven study tools and expert insight that will help you score higher on your exam.

  • Study Tips like the advice and instruction that a personal tutor might provide.
  • Notes, Tips, and Cautions provide you with hints and strategies that will help you reduce your mistakes on the exam.
  • Comprehensive discussion of all subject areas covered on RN Exam.
  • Practice Questions that include detailed explanations of correct and incorrect answers–so you can learn the material from your success and mistakes.

Rinehart and Associates is a leading provider of classroom training for students studying for the NCLEX® RN Exam.

CD Features Nearly 400 Questions!

The CD-ROM—based practice exam includes an interactive Computer Adaptive Test (CAT) engine for a meaningful exam
experience with approximately 400 questions.

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CATEGORY: Medicine/Nursing COVERS: Nursing USER LEVEL: Intermediate

NCLEX-RN® and NCLEX-PN® are registered trademarks of the National Council of State Boards of Nursing, Inc. (NCSBN), which does not sponsor or endorse this product.

Sample Content

Table of Contents

 Introduction  1

    Organization  2

    Instructional Features 2

    Extensive Practice Test Options 3

    Final Review 3

        Other Valuable Tools 3

    About the NCLEX Exam 4

        Advice for Preparing for the Exam 6

        Advice for Test Day

        Hints for Using This Book 7

    Contact the Author 7

Study and Exam Preparation Tips 9

    Study Tips 9

    Exam Prep Tips 10

        Read the Question Carefully 10

        Look for Keywords 11

        Watch for Specific Details 11

        Eliminate Options That Are Clearly Wrong or Incorrect 11

Look for Similar Options 11

        Look for Opposite Answers 12

Part I: Exam Preparation

Chapter 1: Pharmacology 15

    Three Areas of Pharmacology 15

    How Nurses Work with Pharmacology 16

Time-released Drugs 17   

Administering Medications 18

        The Seven Rights of Administering Medication 18

    Understanding and Identifying the Various Drugs 19

        Angiotensin-Converting Enzyme Inhibitors 19

        Beta Adrenergic Blockers 20

        Anti-Infectives (Aminoglycosides) 21

        Benzodiazepines (Anticonvulsants/Antianxiety) 23

        Phenothiazines (Antipsychotic/Antiemetic) 24

        Glucocorticoids 25

        Antivirals 27

        Cholesterol-Lowering Agents 28

        Angiotensin Receptor Blockers 29

        Histamine 2 Antagonists 30

        Proton Pump Inhibitors 31

        Anticoagulants 32

        More Drug Identification Helpers 33

    Herbals 34

    Drug Schedules 35

    Pregnancy Categories for Drugs 35

    Key Concepts 36

        Key Terms 36

    Apply Your Knowledge 37

        Answer Rationales 39

Chapter 2: Fluid and Electrolyte and Acid/Base Balance  41

    Total Body Water Calculation 41

    Management of the Client with Imbalances in Fluid and Electrolytes 43

        Types of Intravenous Fluids 43

        How the Body Regulates Electrolytes 44

        How the Body Regulates pH 52

    Key Concepts 60

        Key Terms 60

        Diagnostic Tests 60

        Pharmacological Agents Used in the Treatment of Clients with Alterations in Fluids and Electrolytes 60

    Apply Your Knowledge 61

        Exam Questions 62

        Answers to Exam Questions 64

    Suggested Reading and Resources 65

Chapter 3: Care of the Client with Cardiovascular Disorders 67

    Hypertension 68

        Diagnosing the Client with Hypertension 69

        Managing the Client with Hypertension 69

    Coronary Artery Disease 71

        Atherosclerosis and Arteriosclerosis 71

    Conduction System of the Heart 72

        Heart Block 73

    Cardiac Monitoring 74

        Reading an Electrocardiogram 75

    Cardiac Dysrhythmias 76

        Ventricular Tachycardia 77

        Ventricular Fibrillation 78

        Internal Pacemaker/Internal Cardiac Defibrillators 79

        Cardiopulmonary Resuscitation 80

    Angina Pectoris 80

    Myocardial Infarction 81

        Diagnosis of Myocardial Infarction 82

        Management of a Client with Myocardial Infarction 82

    Aneurysms 89

    Inflammatory Diseases of the Heart 90

        Infective Endocarditis 90

        Pericarditis 90

        Peripheral Vascular Disease 91

    Varicose Veins/Thrombophlebitis 92

    Raynaud’s Phenomenon 92

    Buerger’s Disease 92

    Key Concepts 94

    Key Terms 94

        Diagnostics 95

        Pharmacological Agents Used in the Treatment of Clients with Cardiovascular Disorders 96

    Apply Your Knowledge 101

        Exam Questions 101

        Answers to Exam Questions 103

    Suggested Reading and Resources 104

Chapter 4: Care of the Client with Endocrine Disorders 105

    Pituitary Gland 106

        Hypopituitarism 106

        Hyperpituitarism 106

        Disorders of the Posterior Pituitary Gland 107

    Thyroid Disorders 108

        Hypothyroidism 108

        Hyperthyroidism 110

    Parathyroid Disorders 112

        Hypoparathyroidism 112

        Hyperparathyroidism 113

    Diabetes Mellitus 114

        Hyperglycemia 116

        Hypoglycemia 117

        Managing Hyperglycemia and Hypoglycemia 117

    Adrenal Gland 118

        Adrenal Gland Disorders 119

    Key Concepts 123

        Key Terms 123

        Diagnostics 124

        Pharmacological Agents Used to Treat Clients with Endocrine Disorders 124

    Apply Your Knowledge 128

        Exam Questions 128

        Answers to Exam Questions 130

    Suggested Reading and Resources 131

Chapter 5: Care of the Client with Respiratory Disorders 133

    Noninfectious Disorders of the Lower Respiratory Tract 133

        Chronic Bronchitis 133

        Emphysema 134

        Asthma 135

        Pleurisy 137

        Pulmonary Hypertension 138

        Interstitial Pulmonary Disease 139

        Sarcoidosis 139

        Pulmonary Fibrosis 140

        Occupational Pulmonary Disease 140

    Infectious Disorders of the Lower Respiratory Tract 142

        Pneumonia 142

        Tuberculosis 145

        Influenza 147

    Life-Threatening Pulmonary Disorders 148

        Acute Respiratory Distress Syndrome 148

        Pulmonary Embolus 152

        Pneumothorax 154

        Hemothorax 155

    Emerging Infections 158

        SARS 158

        Legionnaires’ Disease 159

    Key Concepts 161

        Key Terms 161

        Diagnostic Tests 161

        Pharmacological Agents Used in the Care of the Client with Disorders of the Respiratory System 162

    Apply Your Knowledge 165

        Exam Questions 166

        Answers to Exam Questions 168

    Suggested Reading and Resources 169

Chapter 6: Care of the Client with Genitourinary Disorders 171

    Renal Disorders 172

        Acute Glomerulonephritis 172

        Chronic Glomerulonephritis 173

        Goodpasture’s Syndrome 174

        Nephrotic Syndrome 175

        Polycystic Kidney Disease 176

        Hydronephrosis/Hydroureteronephrosis 177

        Pyelonephritis 178

    Acute and Chronic Renal Failure 179

        Chronic Renal Failure 180

        Peritoneal Dialysis 181

        Hemodialysis 182

        Continuous Renal Replacement Therapy 183

        Renal Transplantation 184

    Urinary Disorders 185

        Cystitis 185

        Urinary Incontinence 187

        Urolithiasis 188

    Genitourinary Disorders 189

        Prostatitis 190

        Benign Prostatic Hypertrophy 190

        Erectile Dysfunction 191

        Epididymitis 193

    Priapism 193

    Key Concepts 195

        Key Terms 195

        Diagnostics 195

        Pharmacologic Agents for the Client with Genitourinary Disorders 196

    Apply Your Knowledge 200

        Exam Questions 200

        Answers to Exam Questions 202

Suggested Reading and Resources 203

Chapter 7: Care of the Client with Integumentary Disorders 205

    Common Infections of the Integumentary System 205

        Viral Infections 205

        Fungal Infections 207

        Bacterial Infections 208

    Psoriasis 208

    Pressure Ulcers 209

    Burns 212

        Burn Classifications 212

        Burn Measurement with TBSA 214

        Nursing Care for Burn Victims 215

    Key Concepts 223

        Key Terms 223

        Diagnostic Tests 223

        Pharmacological Agents Used in the Care of the Client with Integumentary Disorders 224                                                 

    Apply Your Knowledge 226

        Exam Questions 226

        Answers to Exam Questions 228

    Suggested Reading and Resources 229

Chapter 8: Care of the Client with Sensory Disorders 231

    Disorders of the Eyes 231

        Intraocular Disorders 232

        Uveitis 235

        Retinal Disorders 236

        Refractive Errors 239

        Traumatic Injuries 240

        Ocular Melanoma 240

    Disorders of the Ears 242

        Otitis Externa 243

        Otitis Media 243

        Mastoiditis 244

        Ménière’s Disease 244

        Acoustic Neuroma 245

        Otosclerosis 245

        Presbycusis 246

        Ear Trauma 246

        Assisting Clients with Hearing Loss 247

    Key Concepts 250

        Key Terms 250

        Diagnostic Tests 251

        Pharmacological Agents Used in the Care of the Client with Disorders of the Eyes and Ears 251                                                  

    Apply Your Knowledge 253

        Exam Questions 253

        Answers to Exam Questions 255

    Suggested Reading and Resources 256

Chapter 9: Care of the Client with Gastrointestinal Disorders 257

    Peptic Ulcer Disease 258

        Types of Ulcers 259

        Diagnosis of Ulcers 259

        Treatment of Ulcers 260

    Inflammatory Bowel Disorders 263

        Crohn’s Disease 263

        Ulcerative Colitis 263

        Management of the Client with Inflammatory Bowel Disease 264

    Diverticular Disease 265

        Management of the Client with Diverticulitis 265

    Hemorrhoids 266

    Appendicitis 266

    Peritonitis 268

    Intestinal Obstruction 269

    Esophageal Disorders 270

        GERD 270

        Hiatal Hernia 274

    Diseases Associated with the Liver 275

        Hepatitis 275

        Cirrhosis 281

    Acute Pancreatitis 285

        Diagnosis of Pancreatitis 286

        Treatment of Pancreatitis 286

    Cholecystitis/Cholelithiasis 287

        Symptoms of Cholecystitis and Cholelithiasis 288

        Diagnosis of Cholecystitis/Cholelithiasis 288

        Treatment of Cholecystitis 289

        Treatment of Cholethiasis 289

    Clostridium Difficile 290

    Food-Borne Illnesses 291

    Key Concepts 294

        Key Terms 294

        Diagnostic Tests 295

        Pharmacological Agents Used in the Care of the Client with Disorders of the Gastrointestinal System 295

    Apply Your Knowledge 297

        Exam Questions 298

        Answers to Exam Questions 300

    Suggested Reading and Resources 301

Chapter 10: Care of the Client with Hematological Disorders 303

    Anemia 303

        Pernicious Anemia 304

        Aplastic Anemia 304

        Sickle Cell Anemia 305

        Iron Deficiency Anemia 309

    Thalassemia 311

    Polycythemia Vera 312

    Hemophilia 313

    Transfusion Therapy 315

        Transfusion Reactions 317

    Key Concepts 319

        Key Terms 319

        Diagnostic Tests for Review 319

        Pharmacological Agents Used in Hematological Disorders 320

    Apply Your Knowledge 321

        Exam Questions 321

        Answers to Exam Questions 323

    Suggested Reading and Resources 324

Chapter 11: Care of the Client with Disorders of the Neurological System 325

    Neurological Assessment 326

        Cranial Nerve Assessment 326

        Glasgow Coma Scale 327

        Intracranial Pressure Monitors 328

    Brain Injuries 329

        Epidural Hematomas 332

        Subdural Hematoma 332

        Intracerebral Hematomas 332

        Treatment of Hematomas 332

        Increased Intracranial Pressure 332

    Brain Tumors 336

        Treatment of Brain Tumors 337

    Care of the Client with Intracranial Surgery (Craniotomy) 338

    Cerebrovascular Accident/Stroke 342

        Ischemic Stroke 342

        Hemorrhagic Stroke 344

    Seizures 347

        Types of Seizures 347

        Treatment of Seizure Clients 350

    Parkinson’s Disease 350

    Meningitis 352

    Autoimmune Neurological Disorders 354

        Multiple Sclerosis 354

        Myasthenia Gravis 355

        Guillain-Barré 357

    Degenerative Neurological Disorders 358

    Cranial Nerve Disorders 359

        Trigeminal Neuralgia 359

        Bell’s Palsy 359

    Spinal Cord Injuries 360

        Treatment of Spinal Cord Injuries 361

        Potential Complications with SCI Clients 362

    Intervertebral Disk Disease 363

    Diabetes Insipidus 365

    Key Concepts 367

        Key Terms 367

        Diagnostics 368



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