Saunders Comprehensive Review for the
NCLEX-RN® Examination
EIGHTH EDITION
Linda Anne Silvestri, PhD, RN
Instructor of Nursing, Salve Regina University, Newport, Rhode Island Part-Time
Instructor, University of Nevada, Las Vegas, Las Vegas, Nevada President, Nursing
Reviews, Inc. and Professional Nursing Seminars, Inc., Henderson, Nevada
Elsevier Consultant, HESI NCLEX-RN® and NCLEX-PN® Live Review Courses
Angela E. Silvestri, PhD, APRN, FNP-BC,
CNE
Assistant Professor & BSN Program Director, University of Nevada, Las Vegas, Las Vegas,
Nevada
Registered Nurse, Henderson Hospital Medical Center, Henderson, Nevada
Consultant, Nursing Reviews, Inc., Henderson, Nevada
Associate Editor
Katherine M. Silvestri, BSN, RN
Consultant, Nursing Reviews, Inc., Henderson, Nevada
2
Table of Contents
Instructions for online access
,Cover image
Title page
Copyright
Dedication
Letter from the Authors
About the Authors
Contributors
Reviewers
Contributors to Previous Edition
Preface
Welcome to Saunders Pyramid to Success!
Organization
Special Features of the Book
Special Features Found on Evolve
Practice Questions
Pharmacology and Medication Calculations Review
3
Next Generation NCLEX (NGN) Questions
How to Use This Book
Climbing the Pyramid to Success
,Acknowledgments
A Few Words From Linda
A Few Words From Angela
A Few Words From Both Linda and Angela
Unit I: NCLEX-RN® Exam Preparation
Chapter 1: The NCLEX-RN® Examination
The Pyramid to Success
Examination Process
Computer Adaptive Testing
Development of the Test Plan
Test Plan
Types of Questions on the Examination
Next Generation NCLEX (NGN) Item Types
Registering to Take the Examination
Authorization to Test Form and Scheduling an Appointment
Changing Your Appointment
Day of the Examination
Testing Accommodations
Testing Center
Testing Time
Length of the Examination
Pass-or-Fail Decisions
4
Completing the Examination
Processing Results
Candidate Performance Report
, Interstate Endorsement and Nurse Licensure Compact
The Foreign-Educated Nurse
Chapter 2: Pathways to Success
The Pyramid to Success
Pathways to Success (Box 2-1)
This Is Not a Test
Chapter 3: The NCLEX-RN® Examination: From a Graduate’s Perspective
Chapter 4: Test-Taking Strategies
Unit II: Professional Standards in Nursing
Introduction
Pyramid to Success
Client Needs: Learning Objectives
Chapter 5: Care of Special Populations
Practice Questions
Answers
Chapter 6: Ethical and Legal Issues
Practice Questions
Answers
Chapter 7: Prioritizing Client Care: Leadership, Delegation, and Emergency
5
Response Planning
Practice Questions
NCLEX-RN® Examination
EIGHTH EDITION
Linda Anne Silvestri, PhD, RN
Instructor of Nursing, Salve Regina University, Newport, Rhode Island Part-Time
Instructor, University of Nevada, Las Vegas, Las Vegas, Nevada President, Nursing
Reviews, Inc. and Professional Nursing Seminars, Inc., Henderson, Nevada
Elsevier Consultant, HESI NCLEX-RN® and NCLEX-PN® Live Review Courses
Angela E. Silvestri, PhD, APRN, FNP-BC,
CNE
Assistant Professor & BSN Program Director, University of Nevada, Las Vegas, Las Vegas,
Nevada
Registered Nurse, Henderson Hospital Medical Center, Henderson, Nevada
Consultant, Nursing Reviews, Inc., Henderson, Nevada
Associate Editor
Katherine M. Silvestri, BSN, RN
Consultant, Nursing Reviews, Inc., Henderson, Nevada
2
Table of Contents
Instructions for online access
,Cover image
Title page
Copyright
Dedication
Letter from the Authors
About the Authors
Contributors
Reviewers
Contributors to Previous Edition
Preface
Welcome to Saunders Pyramid to Success!
Organization
Special Features of the Book
Special Features Found on Evolve
Practice Questions
Pharmacology and Medication Calculations Review
3
Next Generation NCLEX (NGN) Questions
How to Use This Book
Climbing the Pyramid to Success
,Acknowledgments
A Few Words From Linda
A Few Words From Angela
A Few Words From Both Linda and Angela
Unit I: NCLEX-RN® Exam Preparation
Chapter 1: The NCLEX-RN® Examination
The Pyramid to Success
Examination Process
Computer Adaptive Testing
Development of the Test Plan
Test Plan
Types of Questions on the Examination
Next Generation NCLEX (NGN) Item Types
Registering to Take the Examination
Authorization to Test Form and Scheduling an Appointment
Changing Your Appointment
Day of the Examination
Testing Accommodations
Testing Center
Testing Time
Length of the Examination
Pass-or-Fail Decisions
4
Completing the Examination
Processing Results
Candidate Performance Report
, Interstate Endorsement and Nurse Licensure Compact
The Foreign-Educated Nurse
Chapter 2: Pathways to Success
The Pyramid to Success
Pathways to Success (Box 2-1)
This Is Not a Test
Chapter 3: The NCLEX-RN® Examination: From a Graduate’s Perspective
Chapter 4: Test-Taking Strategies
Unit II: Professional Standards in Nursing
Introduction
Pyramid to Success
Client Needs: Learning Objectives
Chapter 5: Care of Special Populations
Practice Questions
Answers
Chapter 6: Ethical and Legal Issues
Practice Questions
Answers
Chapter 7: Prioritizing Client Care: Leadership, Delegation, and Emergency
5
Response Planning
Practice Questions
