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Staff The clinical treatments described and recommended in this publica-
tion are based on research and consultation with nursing, medical,
and legal authorities. To the best of our knowledge, these procedures
Executive Publisher
reflect currently accepted practice. Nevertheless, they can't be con-
Judith A. Schilling McCann, RN, MSN sidered absolute and universal recommendations. For individual appli-
cations, all recommendations must be considered in light of the pa-
Editorial Director
tient's clinical condition and, before administration of new or infre-
David Moreau quently used drugs, in light of the latest package-insert information.
The authors and publisher disclaim any responsibility for any adverse
Clinical Director
effects resulting from the suggested procedures, from any undetected
Joan M. Robinson, RN, MSN errors, or from the reader's misunderstanding of the text.
Art Director © 2009 by Lippincott Williams & Wilkins. All rights reserved. This book
Mary Ludwicki is protected by copyright. No part of it may be reproduced, stored in a
retrieval system, or transmitted, in any form or by any means—
Electronic Project Manager electronic, mechanical, photocopy, recording, or otherwise—without
John Macalino prior written permission of the publisher, except for brief quotations
embodied in critical articles and reviews and testing and evaluation
Clinical Project Manager materials provided by publisher to instructors whose schools have
Kate Stout, RN, MSN, CCRN adopted its accompanying textbook. Printed in the United States of
America. For information, write Lippincott Williams & Wilkins,
Editors 323 Norristown Road, Suite 200, Ambler, PA 19002-2756.
Margaret Eckman, Diane Labus
PNREVIE3011008
Copy Editors
Kimberly Bilotta (supervisor), Jeannine Fielding,
Lisa Stockslager, Dorothy P. Terry, Pamela Wingrod
Designer
Lynn Foulk
Illustrator
Bot Roda
Digital Composition Services
Diane Paluba (manager), Joyce Rossi Biletz,
Donna Morris
Associate Manufacturing Manager
Beth J. Welsh
Editorial Assistants Library of Congress Cataloging-in-Publication Data
Karen J. Kirk, Jeri O'Shea, Linda K. Ruhf NCLEX-PN review made incredibly easy!. — 3rd ed.
p. ; cm.
Design Assistant Includes bibliographical references and index.
1. Practical nursing—Outlines, syllabi, etc. 2. National Council
Kate Zulak
Licensure Examination for Practical/Vocational Nurses—Study
guides.
Indexer [DNLM: 1. Nursing, Practical—United States—Examination
Barbara Hodgson Questions. WY 18.2 N3366 2009]
RT62.N3366 2009
610.73076—dc22
ISBN-13: 978-0-7817-9920-1 (alk. paper)
ISBN-10: 0-7817-9920-1 (alk. paper)
2008030115
9201FM.qxd 8/7/08 4:03 PM Page v
Contents
Contributors and consultants vii
Advisory board viii
Not another boring foreword ix
Joy’s NCLEX adventure xi
Part I Getting ready
1 Preparing for the examination 3
2 Strategies for success 13
Part II Care of the adult
3 Cardiovascular system 21
4 Respiratory system 69
5 Hematologic & immune systems 113
6 Neurosensory system 169
7 Musculoskeletal system 215
8 Gastrointestinal system 237
9 Endocrine system 277
10 Genitourinary system 303
11 Integumentary system 339
Part III Psychiatric care
12 Essentials of psychiatric nursing 363
13 Somatoform & sleep disorders 373
14 Anxiety & mood disorders 387
15 Cognitive disorders 399
16 Personality disorders 409
17 Schizophrenic & delusional disorders 417
18 Substance-related disorders 429
19 Dissociative disorders 437
20 Sexual disorders 445
21 Eating disorders 453
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Contents
vi
Part IVMaternal-neonatal care
22 Antepartum care 471
23 Intrapartum care 495
24 Postpartum care 519
25 Neonatal care 531
Part V Care of the child
26 Growth & development 559
27 Cardiovascular system 567
28 Respiratory system 577
29 Hematologic & immune systems 591
30 Neurosensory system 607
31 Musculoskeletal system 629
32 Gastrointestinal system 643
33 Endocrine system 661
34 Genitourinary system 671
35 Integumentary system 683
Part VI Coordinating care
36 Management concepts 707
37 Law and ethics 717
Appendices and index
Alternate-format questions review 747
Physiologic changes in aging 806
Positioning clients 811
State boards of nursing 813
NANDA nursing diagnoses 818
Selected references 822
Index 823
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Contributors and consultants
Carol A. Allred, RN-BC, MSN Nancy M. Glassgow, RN, BSN,BA Noel C. Piano, RN, MS
Director, Allied Health Instructor Instructor/Coordinator
Uintah Basin Applied Technology College Western Dakota Tech Lafayette School of Practical Nursing
Roosevelt, Utah Rapid City, S.Dak. Adjunct Faculty
Thomas Nelson Community College
Carol A. Buttz, RN, BS, CEN Carol Healey, APRN-BC, MS
Williamsburg, Va.
Nursing Instructor Associate Professor of Nursing
Dakota County Technical College Union County College Sahar Radi, RN, BSN, MSN, PhD
Rosemount, Minn. Plainfield, N.J. Nursing Instructor
South Seattle Community College
Patricia L. Clowers, MSN, APRN-BC Ruth Howell, BSN, MEd
Director of Practical Nursing Director of Practical Nursing Alice Raymond, RN, MSN,CRRN
East Mississippi Community College TriCounty Technology Center Division Chair, Allied Health Technology
Mayhew Bartlesville, Okla. J.F. Drake State Technical College
Huntsville, Ala.
Kathy Cochran, RN, MSN Lynn Jordan, RN, MSN
Director of Practical Nursing Full-time Faculty Kristi Robinia, RNC, MSN
Department Chair of Health Carolinas College of Health Sciences Program Coordinator, Practical Nursing
Coosa Valley Technical College Charlotte, N.C. Northern Michigan University
Rome, Ga. Marquette
Kimber Lea Landeck, RN
Kim Cooper, RN, MSN Adjunct Faculty Kendra S. Seiler, RN, MSN
Nursing Department Chair Cerro Coso Community College Nursing Instructor
Ivy Tech Community College Ridgecrest, Calif. Rio Hondo College
Terre Haute, Ind. Whittier, Calif.
C. Kay Lucas, RN, MSEd
Donna S. Davis, RN, BSN Director/Instructor Nursing Education Gina Sirach, RN, MSN
Nursing Instructor Giles County Technology Center Nursing Faculty
Giles County Technology Center Pearisburg, Va. Southeastern Illinois College
Pearisburg, Va. Harrisburg
Shirley MacNeill, RN, MSN
Cheryl DeGraw, RN, MSN, CRNP, CNE Nursing Faculty Paula M. Smith, RN, ASN
Nursing Instructor Lamar State College Staff Nurse
Florence-Darlington Technical College Port Arthur, Tex. Ridgecrest (Calif.) Regional Hospital
Florence, S.C.
Jane V. McCloskey, RN, MSN Tamara Thell, RN, BSN, PHN
Lula English, RN, MSN Faculty Nurse Educator
PN Instructor Carolinas College of Health Sciences Anoka (Minn.) Technical College
Reid State Technical College Charlotte, N.C. Laura Travis, RN, BSN
Atmore, Ala. Jennifer McWha, RN, MSN Health Careers Coordinator
Assistant Professor Tennessee Technology Center at Dickson
Shirley Lyon Garcia, RN, BSN
Del Mar College Dickson
Adjunct Nursing Faculty, PNE
Corpus Christi, Tex.
Mcdowell Technical Community College Frances M. Warrick, RN, MS
Marion, N.C. Program Coordinator, Vocational Nursing
El Centro College
Dallas
vii
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Advisory board
Susan Barnason, RN, PhD, CCRN, CEN, CS Kathy Henley Haugh, RN, PhD
Associate Professor Assistant Professor
University of Nebraska Medical Center University of Virginia
College of Nursing School of Nursing
Lincoln Charlottesville
Michael A. Carter, DNSC, FAAN, APRN-BC Janice J. Hoffman, RN, PhD
University Distinguished Professor Faculty/Course Coordinator
University of Tennessee Health Science Center Nursing in Adult Physical Health and Special Topics in Critical
College of Nursing Care Nursing
Memphis Johns Hopkins University
School of Nursing
Caroline Dorsen, MSN, APRN, BC, FNP
Baltimore
Clinical Instructor and Coordinator
Adult Nurse Practitioner Program Linda Honan Pellico, APRN, MSN, PhD
New York University Assistant Professor
College of Nursing Yale University
New York School of Nursing
New Haven, Conn.
Stephen Gilliam, PhD, FNP, APRN-BC
Assistant Professor Susan L. Woods, RN, PhD, FAAN, FAHA
Medical College of Georgia Professor and Associate Dean for Academic Programs
School of Nursing University of Washington
Athens Seattle
Margaret Mary Hansen, RN, MSN, EdD, NICertificate
Associate Professor
University of San Francisco
viii
Description:NCLEX-PN® Review Made Incredibly Easy! Third Edition is an easy-to-read, outline-format NCLEX® preparation book with online questions and answers. The book uses the well-known light-hearted Incredibly Easy! approach to make NCLEX® review more interesting, enjoyable, and concise and to encourage k