Saunders Comprehensive Review for the NCLEX-RN Examination, 5th Edition Test Bank

Saunders Comprehensive Review for the NCLEX-RN Examination, 5th Edition Test Bank

Silvestri: Saunders Comprehensive Review for the NCLEX-RN® Examination, 5^th EditionAdult HealthTest BankMULTIPLE CHOICE1.The nurse reviews the health record of a client with melasma. The nurse would anticipate that this client will exhibit:1.Skin that is uniformly dark in color2.Very pale skin with little pigmentation3.Patches of skin that have loss of pigmentation4.Blotchy brown macules across the cheeks and foreheadANS: 4Rationale: Melasma is a condition caused by hormonal influences on melanin production and is noted by the appearance of blotchy brown macules across the cheeks and forehead. “Skin that is uniformly dark in color” describes vitiligo. “Very pale skin with little pigmentation” and “patches of skin that have loss of pigmentation” refer to normal variations in skin color.Test-Taking Strategy: To answer this question correctly, you must be familiar with the various terms used when discussing skin structures and functions. “Skin that is uniformly dark in color” describes vitiligo. “Very pale skin with little pigmentation” and “patches of skin that have loss of pigmentation” refer to normal variations in skin color. Review the description of melasma if you had difficulty with this question.PTS: 1DIF: Level of Cognitive Ability: UnderstandingREF: Black, J., & Hawks, J. (2009). Medical-surgical nursing: clinical management for positive outcomes (8th ed.). St. Louis: Saunders.OBJ: Client Needs: Physiological IntegrityTOP: Content Area: Adult Health/IntegumentaryMSC: Integrated Process: Nursing Process—Assessment2.The client with cellulitis of the lower leg has had cultures done on the affected area. The nurse reviewing the results of the culture report interprets that which of the following organisms is not part of the normal flora of the skin?1.Escherichia coli2.Candida albicans3.Staphylococcus aureus4.Staphylococcus epidermidisANS: 1Rationale: E. coli is normally found in the intestines and is a common source of infection of wounds and the urinary system. C. albicans, S. aureus, and S. epidermis are part of the normal flora of the skin.Test-Taking Strategy: To answer this question correctly, you must be familiar with the normal microorganisms that inhabit the skin. Note that the question asks for the organism that is not part of normal flora. Remember that E. coli is normally found in the intestines. Review basic skin structures if you had difficulty with this question.PTS: 1DIF: Level of Cognitive Ability: UnderstandingREF: Ignatavicius, D., & Workman, M. (2010). Medical-surgical nursing: patient-centered collaborative care (6th ed.). St. Louis: Saunders.OBJ: Client Needs: Physiological IntegrityTOP: Content Area: Adult Health/IntegumentaryMSC: Integrated Process: Nursing Process—Assessment3.The client complains of chronic pruritus. Which of the following diagnoses would the nurse expect to support this client’s complaint?1.Anemia2.Renal failure3.Hypothyroidism4.Diabetes mellitusANS: 2Rationale: Clients with renal failure often have pruritus, or itchy skin. This is because of impaired clearance of waste products by the kidneys. The client who is markedly anemic is likely to have pale skin. Hypothyroidism may lead to complaints of dry skin. Clients with diabetes mellitus are at risk for skin infections and skin breakdown.Test-Taking Strategy: Focus on the subject, chronic pruritus. Remember that clients with renal failure often experience this problem. If this question was difficult, review the common causes of pruritus.PTS: 1DIF: Level of Cognitive Ability: UnderstandingREF: Ignatavicius, D., & Workman, M. (2010). Medical-surgical nursing: patient-centered collaborative care (6th ed.). St. Louis: Saunders.OBJ: Client Needs: Physiological IntegrityTOP: Content Area: Adult Health/IntegumentaryMSC: Integrated Process: Nursing Process—Assessment4.A client being seen in an ambulatory clinic for an unrelated complaint has a butterfly rash noted across the nose. The nurse interprets that this finding is consistent with early manifestations of which of the following disorders?1.Hyperthyroidism2.Pernicious anemia3.Cardiopulmonary disorders4.Systemic lupus erythematosus (SLE)ANS: 4Rationale: An early sign of SLE is the appearance of a butterfly rash across the nose. Hyperthyroidism often leads to moist skin and increased perspiration. Pernicious anemia is exhibited by pale skin. Severe cardiopulmonary disorders may lead to clubbing of the fingers.Test-Taking Strategy: To answer this question accurately, you must be familiar with the impact of systemic conditions on the skin. Remember that SLE causes a characteristic butterfly rash. If this question was difficult, review the disorders identified in the options and the associated skin conditions that occur in each disorder.PTS: 1DIF: Level of Cognitive Ability: UnderstandingREF: Ignatavicius, D., & Workman, M. (2010). Medical-surgical nursing: patient-centered collaborative care (6th ed.). St. Louis: Saunders.OBJ: Client Needs: Physiological IntegrityTOP: Content Area: Adult Health/IntegumentaryMSC: Integrated Process: Nursing Process—Assessment5.The nurse notes that the older adult client has a number of bright, ruby-colored, round lesions scattered on the trunk and thighs. The nurse correctly interprets the finding as alterations in blood vessels of the skin and defines them as:1.Purpura2.Venous star3.Cherry angioma4.Spider angiomaANS: 3Rationale: A cherry angioma occurs with increasing age and has no clinical significance. It is noted by the appearance of small, bright, ruby-colored round lesions on the trunk and/or extremities. Purpura results from hemorrhage into the skin. A venous star results from increased pressure in veins, usually in the lower legs, and has an irregularly shaped bluish center with radiating branches. Spider angiomas have a bright red center, with legs that radiate outward. These are commonly seen in those with liver disease or vitamin B deficiency, although they can occur occasionally without underlying pathology.Test-Taking Strategy: To answer this question accurately, you must be familiar with the various alterations in vascularity that can occur in the skin. Note the relationship of the words “ruby” in the question and “cherry” in the correct option. If you had difficulty with this question, review the various skin alterations identified in each of the options.PTS: 1DIF: Level of Cognitive Ability: UnderstandingREF: Ignatavicius, D., & Workman, M. (2010). Medical-surgical nursing: patient-centered collaborative care (6th ed.). St. Louis: Saunders.OBJ: Client Needs: Physiological IntegrityTOP: Content Area: Adult Health/IntegumentaryMSC: Integrated Process: Nursing Process—Assessment

Test Bank for Saunders Comprehensive Review for the NCLEX-RN Examination, 5th Edition

The “Test Bank for Saunders Comprehensive Review for the NCLEX-RN Examination, 5th Edition” by Linda Anne Silvestri is an invaluable educational resource specifically designed to support nursing students and educators in preparing for the NCLEX-RN exam. This comprehensive test bank aligns with the textbook and provides a wide range of questions that assess and reinforce the critical concepts and skills needed for the NCLEX-RN examination. Below is a detailed overview of the components and benefits of this test bank:

Overview of Test Bank Content

1. Chapter-by-Chapter Organization
   • The test bank is meticulously organized to correspond with each chapter of the textbook, ensuring thorough coverage of all key topics. This structure facilitates easy integration into the curriculum and enables targeted assessments.
2. Types of Questions
   • Multiple-Choice Questions (MCQs): These questions cover a broad spectrum of knowledge, from basic recall to complex application and critical thinking. Each question includes well-crafted distractors to challenge students’ understanding.
   • Alternate Item Format Questions: These include multiple response, fill-in-the-blank, hot spots, ordered response, and chart/exhibit questions to mirror the format of the NCLEX-RN exam.
   • True/False Questions: Evaluate students’ ability to differentiate between correct and incorrect statements, reinforcing factual knowledge and addressing common misconceptions.
   • Short Answer Questions: Require detailed yet concise responses, evaluating students’ ability to explain nursing concepts clearly and accurately.
   • Case Studies and Scenarios: Real-world scenarios and case studies help students apply theoretical knowledge to practical situations, enhancing their critical thinking and problem-solving skills.
3. Difficulty Levels
   • Questions are categorized by difficulty to provide a range of challenges and assess students’ proficiency at different levels, including:
     • Basic: Testing foundational knowledge and comprehension.
     • Intermediate: Requiring application of knowledge to practical nursing scenarios.
     • Advanced: Involving critical thinking, analysis, and synthesis of complex nursing information.
4. Core Focus Areas
   • Fundamentals of Nursing: Questions covering basic nursing principles, patient care, and the nursing process.
   • Medical-Surgical Nursing: Assessing knowledge of various medical-surgical conditions, treatments, and nursing interventions.
   • Pediatric Nursing: Focus on the care of children, including growth and development, common pediatric illnesses, and pediatric nursing interventions.
   • Maternity and Women’s Health Nursing: Examining prenatal, antenatal, postnatal care, and common conditions affecting women’s health.
   • Mental Health Nursing: Questions on mental health conditions, psychiatric nursing, and therapeutic communication techniques.
   • Pharmacology: Detailed coverage of medication administration, pharmacokinetics, pharmacodynamics, and specific drug classes.
   • Nutrition: Assessing understanding of nutritional needs, dietary planning, and nutrition-related conditions.
   • Critical Care Nursing: Questions on the care of critically ill patients, including advanced monitoring and life-support techniques.
   • Community Health Nursing: Coverage of public health principles, community-based nursing care, and health promotion strategies.
   • Leadership and Management: Questions on nursing leadership, management principles, and healthcare systems.
   • NCLEX-RN Test Strategies: Special focus on test-taking strategies, prioritization, and delegation questions designed to mimic the NCLEX-RN format.
5. Alignment with NCLEX-RN Test Plan
   • Each question in the test bank is aligned with the NCLEX-RN test plan, ensuring that assessments are relevant and targeted towards achieving the competencies required for the exam. This alignment helps in accurately measuring students’ readiness and proficiency.
6. Educational Support and Utility
   • For educators, the test bank provides a comprehensive resource for creating quizzes, exams, and other assessments. It simplifies the process of test creation and ensures consistency and alignment with the curriculum and the NCLEX-RN test plan.
   • For students, the test bank serves as a valuable tool for self-assessment and study, helping them identify areas of strength and weakness and focus their efforts on areas needing improvement.

Benefits of Using the Test Bank

1. Enhanced Learning and Retention
   • The diverse range of question types and difficulty levels helps reinforce learning through varied and repeated exposure to key concepts, enhancing retention and understanding.
2. Preparation for the NCLEX-RN Exam
   • By focusing on the types of questions and format used in the NCLEX-RN exam, the test bank prepares students for the practical aspects of the examination, ensuring they are ready to apply their knowledge effectively.
3. Comprehensive Assessment
   • The test bank allows for thorough and multi-faceted evaluation of students’ knowledge and skills, from basic understanding to advanced application, ensuring a well-rounded educational experience.
4. Efficient Teaching Resource
   • For educators, the test bank simplifies the process of creating assessments, providing a consistent and reliable tool for evaluating students’ progress and readiness for the NCLEX-RN exam.

Conclusion

The “Test Bank for Saunders Comprehensive Review for the NCLEX-RN Examination, 5th Edition” by Linda Anne Silvestri is an essential resource for nursing education. It provides structured, comprehensive, and versatile tools for assessing and enhancing students’ knowledge and skills in preparation for the NCLEX-RN exam. By aligning closely with the textbook and the NCLEX-RN test plan, the test bank supports the development of competent, confident professionals ready to excel in their nursing careers and pass the NCLEX-RN examination.