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NCLEX-RN Practice Questions Exam Cram 5th Edition by Wilda Rinehart, Diann Sloan, and Clara Hurd | 2026 Latest Update | 5 Full Practice Exams | Complete Study Guide with Verified Answers & Rationales

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This is the complete resource for NCLEX-RN Practice Questions Exam Cram, 5th Edition by Wilda Rinehart, Diann Sloan, and Clara Hurd — a Pearson title built from decades of real NCLEX review seminar experience, delivered across 500 pages of exam-ready practice questions with full answer rationales for every single option. The structure is clean and efficient: five complete full-length practice exams across Chapters 1 through 5, each with a quick-answer key followed by detailed rationale explanations that tell you not just what is correct but precisely why every distractor fails. Chapter 6 is dedicated entirely to alternative item format questions — the question types that trip up the most test-takers — including select-all-that-apply, ordered response, fill-in-the-blank, and hot spot questions, each with their own full rationale section. Every question is written at the application and analysis cognitive levels consistent with the actual NCLEX-RN, and content is distributed across all four Client Needs categories as they appear on the real exam — Safe and Effective Care Environment covering management of care, safety, and infection control; Health Promotion and Maintenance; Psychosocial Integrity; and Physiological Integrity spanning basic care and comfort, pharmacological and parenteral therapy, reduction of risk potential, and physiological adaptation. Clinical content covers pharmacology, respiratory disorders, genitourinary disorders, hematological disorders, fluid and electrolytes and acid-base balance, burns, sensory disorders, neoplastic disorders, gastrointestinal disorders, musculoskeletal and connective tissue disorders, endocrine disorders, cardiac disorders, neurological disorders, psychiatric disorders, maternal-newborn care, pediatric care, emergency nursing, cultural considerations, and legal issues in nursing practice. Two appendices complete the resource — Appendix A "Things You Forgot" covering therapeutic drug levels, vital signs, anticoagulant therapy, intrapartal normal values, standard precautions, AHA life support guidelines, defense mechanisms, nutrition notes, and immunization schedules; and Appendix B "Need to Know More?" providing chapter-by-chapter reference guides for targeted deeper study. One of the leanest and most efficient NCLEX-RN prep tools available — every page earns its place.

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Institution
NCLEX-RN
Course
NCLEX-RN

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, NCLEX-RN
®




Practice Questions
Fifth Edition


Wilda Rinehart
Diann Sloan
Clara Hurd




800 East 96th Street, Indianapolis, Indiana 46240 USA

,NCLEX-RN® Practice Questions Exam Cram, Fifth Edition Editor-in-Chief
Copyright ® 2017 by Pearson Education, Inc. Mark Taub
All rights reserved. No part of this book shall be reproduced, stored in a retrieval system, Product Line
or transmitted by any means, electronic, mechanical, photocopying, recording, or other- Manager
wise, without written permission from the publisher. No patent liability is assumed with
Brett Bartow
respect to the use of the information contained herein. Although every precaution has
been taken in the preparation of this book, the publisher and authors assume no respon-
Acquisitions Editor
sibility for errors or omissions. Nor is any liability assumed for damages resulting from
the use of the information contained herein. Michelle Newcomb
ISBN-13: 978-0-7897-5753-1 Development Editor
ISBN-10: 0-7897-5753-2 Christopher
Library of Congress Control Number: 2016958162 Cleveland
Printed in the United States of America
First Printing: December 2016 Managing Editor
Sandra Schroeder
Trademarks
All terms mentioned in this book that are known to be trademarks or service marks Project Editor
have been appropriately capitalized. Pearson cannot attest to the accuracy of this infor- Mandie Frank
mation. Use of a term in this book should not be regarded as affecting the validity of
any trademark or service mark. Copy Editor
NCLEX® is a registered trademark of the National Council of State Boards of Nursing, Bart Reed
Inc. (NCSBN), which does not sponsor or endorse this product.
Proofreader
Warning and Disclaimer The Wordsmithery
Every effort has been made to make this book as complete and as accurate as possible, LLC
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 to any person Technical Editor
or entity with respect to any loss or damages arising from the information contained in Steve Picray
this book.

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Coordinator
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, Contents at a Glance

Introduction 1
CHAPTER 1 Practice Exam 1 and Rationales 5
CHAPTER 2 Practice Exam 2 and Rationales 85
CHAPTER 3 Practice Exam 3 and Rationales 167
CHAPTER 4 Practice Exam 4 and Rationales 247
CHAPTER 5 Practice Exam 5 and Rationales 331
CHAPTER 6 Alternative Items: Questions and Rationales 415
APPENDIX A Things You Forgot 461
APPENDIX B Need to Know More? 467

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Number of pages
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Written in
2025/2026
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Questions & answers

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