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Nursing Exam Cram Sheet for the NCLEX-RN

The final mountain that nursing students must summit before becoming a registered nurse is the NCLEX. Preparing for the NCLEX can be stressful as
taking in colossal amounts of information has never been easy. This is where this cram sheet can help-- it contains condensed facts about the licensure
exam and key nursing information. When exam time comes, you can write and transfer these vital information from your head to a blank sheet of paper
provided by the testing center.

1. Test Information Rephrase the question putting the 5. ABG Values


Six hours the maximum time allotted question into your own words can pluck pH: 7.36 7.45
for the NCLEX is 6 hours. Take breaks if the unneeded info and reveal the core of HCO3: 24 26 mEq/L
you need a time out or need to move the stem. CO2: 35 45 mEq/L
around. Make an educated guess a PaO2: 80% 100%
75/265 the minimum number of make the best answer for a question SaO2: >95%
questions you can answer is 75 and a after carefully reading it, choose the 6. Acid-Base Balance
maximum of 265. answer with the most information. Remember ROME (respiratory
Read the question and answers 2. Vital Signs opposite/metabolic equal) to remember
carefully do not jump into conclusions Heart rate: 80 100 bpm that in respiratory acid/base disorders
or make wild guesses. Respiratory rate: 12-20 rpm the pH is opposite to the other
Look for keywords Avoid answers with Blood pressure: 110-120/60 mmHg components.
absolutes like always, never, all, every, Temperature: 37 °C (98.6 °F) Use the Tic-Tac-Toe Method for
only, must, except, none, or no. 3. Hematology values interpreting ABGs. Read more about it
D n ead in he e i n Never RBCs: 4.5 5.0 million here (http://bit.ly/abgtictactoe).
assume anything that has not been WBCs: 5,000 10,000 7. Chemistry Values
specifically a a Platelets: 200,000 400,000 Glucose: 70 110 mg/dL
extra meaning to the question. Hemoglobin (Hgb): 12 16 gm (female); Specific Gravity: 1.010 1.030
Eliminate answers that are clearly wrong 14 18 gm (male). BUN: 7-22 mg/dL
or incorrect to increase your probability Hematocrit (Hct): 37 47 (female); 40 Serum creatinine: 0.6 1.35 mg/dL
of selecting the correct answer! 54 (male) LDH: 100-190 U/L
Watch for grammatical 4. Serum electrolytes Protein: 6.2 8.1 g/dL
inconsistencies Subjects and verbs Sodium: 135 145 mEq/L Albumin: 3.4 5.0 g/dL
should agree. If the question is an Potassium: 3.5 5.5 mEq/L Bilirubin: <1.0 mg/dL
incomplete sentence, the correct answer Calcium: 8.5 10.9 mEq/L Total Cholesterol: 130 200 mg/dL
should complete the question in a Chloride: 95 105 mEq/L Triglyceride: 40 50 mg/dL
grammatically correct manner. Magnesium: 1.5 2.5 mEq/L Uric acid: 3.5 7.5 mg/dL
Phosphorus: 2.5 4.5 mEq/L CPK: 21-232 U/L

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8. Therapeutic Drug Levels 1 gram (g) = 1,000 mg Category C Risk not ruled out.
Carbamazepine (Tegretol): 4 10 1 kilogram (kg) = 2.2 lbs Examples: Rifampicin (Rifampin),
mcg/ml 1 lb = 16 oz Theophylline (Theolair).
Digoxin (Lanoxin): 0.8 2.0 ng/ml Convert C to F: C+40 multiply by 9/5 and Category D Positive evidence of risk.
Gentamycin (Garamycin): 5 10 mcg/ml subtract 40 Examples: Phenytoin, Tetracycline.
(peak), <2.0 mcg/ml (valley) Convert F to C: F+40 multiply by 5/9 and Category X Contraindicated in
Lithium (Eskalith): 0.8 1.5 mEq/L subtract 40 Pregnancy. Examples: Isotretinoin
Phenobarbital (Solfoton): 15 40 11. Maternity Normal Values (Accutane), Thalidomide (Immunoprin),
mcg/mL Fetal Heart Rate: 120 160 bpm etc.
Phenytoin (Dilantin): 10 20 mcg/dL Variability: 6 10 bpm Pregnancy Category N Not yet
Theophylline (Aminophylline): 10 20 Amniotic fluid: 500 1200 ml classified
mcg/dL Contractions: 2 5 minutes apart with 14. Drug Schedules
Tobramycin (Tobrex): 5 10 mcg/mL duration of < 90 seconds and intensity Schedule I no currently accepted
(peak), 0.5 2.0 mcg/mL (valley) of <100 mmHg. medical use and for research use only
Valproic Acid (Depakene): 50 100 APGAR Scoring: Appearance, Pulses, (e.g., heroin, LSD, MDMA).
mcg/ml Grimace, Activity, Reflex Irritability. Done Schedule II drugs with high potential
Vancomycin (Vancocin): 20 40 mcg/ml at 1 and 5 minutes with a score of 0 for for abuse and requires written
(peak), 5 to 15 mcg/ml (trough) absent, 1 for decreased, and 2 for prescription (e.g., Ritalin,
9. Anticoagulant therapy strongly positive. Scores 7 and above hydromorphone (Dilaudid), meperidine
Sodium warfarin (Coumadin) PT: 10 12 are generally normal, 4 to 6 fairly low, (Demerol), and fentanyl).
seconds (control). The antidote is and 3 and below are generally regarded Schedule III requires new prescription
Vitamin K. as critically low. after six months or five refills (e.g.,
INR (Coumadin): 0.9 1.2 AVA: The umbilical cord has two arteries codeine, testosterone, ketamine).
Heparin PTT: 30 45 seconds (control). and one vein. Schedule IV requires new prescription
The antidote is protamine sulfate. 12. STOP Treatment for maternal hypotension after six months (e.g., Darvon, Xanax,
APTT: 23.3 31.9 seconds after an epidural anesthesia: Soma, and Valium).
Fibrinogen level: 203 377 mg/dL Stop infusion of Pitocin. Schedule V dispensed as any other
10. Conversions Turn the client on her left side. prescription or without prescription
1 teaspoon (t) = 5 ml Administer oxygen. (e.g., cough preparations, Lomotil,
1 tablespoon (T) = 3 t = 15 ml If hypovolemia is present, push IV fluids. Motofen).
1 oz = 30 ml 13. Pregnancy Category of Drugs 15. Medication Classifications
1 cup = 8 oz Category A No risk in controlled human Antacids reduces hydrochloric acid in
1 quart = 2 pints studies the stomach.
1 pint = 2 cups Category B No risk in other studies. Antianemics increases blood cell
1 grain (gr) = 60 mg Examples: Amoxicillin, Cefotaxime. production.

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Anticholinergics decreases oral dose. Check digitalis and potassium 18. Developmental Milestones
secretions. levels. 2 3 months: able to turn head up, and
Anticoagulants prevents clot Aluminum Hydroxide (Amphojel) can turn side to side. Makes cooing or
formation, Treatment of GERD and kidney stones. gurgling noises and can turn head to
Anticonvulsants used for management WOF constipation. sound.
of seizures and/or bipolar disorders. Hydroxyzine (Vistaril) Treatment of 4 5 months: grasps, switch and roll
Antidiarrheals decreases gastric anxiety and itching. WOF dry mouth. over tummy to back. Can babble and
motility and reduce water in bowel. Midazolam (Versed) given for can mimic sounds.
Antihistamines block the release of conscious sedation. WOF respiratory 6 7 months: sits at 6 and waves bye-
histamine. depression and hypotension. bye. Can recognize familiar faces and
Antihypertensives lower blood Amiodarone (Cordarone) WOF knows if someone is a stranger. Passes
pressure and increases blood flow. diaphoresis, dyspnea, lethargy. Take things back and forth between hands.
Anti-infectives used for the treatment missed dose any time in the day or to 8 9 months: stands straight at eight,
of infections, skip it entirely. Do not take double dose. has favorite toy, plays peek-a-boo.
Bronchodilators dilates large air Warfarin (Coumadin) WOF for signs of 10 11 months: belly to butt.
passages in asthma or lung diseases bleeding, diarrhea, fever, or rash. Stress 12 13 months: twelve and up, drinks
(e.g., COPD). importance of complying with from a cup. Cries when parents leave,
Diuretics decreases water/sodium prescribed dosage and follow-up uses furniture to cruise.
from the Loop of Henle. appointments. 19. Cultural Considerations
Laxatives promotes the passage of Methylphenidate (Ritalin) Treatment of African Americans May believe that
stool. ADHD. Assess for heart related side- illness is caused by supernatural causes
Miotics constricts the pupils. effects and reported immediately. Child and seek advice and remedies form faith
Mydriatics dilates the pupils. may need a drug holiday because the healers; they are family oriented; have
Narcotics/analgesics relieves drug stunts growth. higher incidence of high blood pressure
moderate to severe pain. Dopamine Treatment of hypotension, and obesity; high incidence of lactose
16. Rules of nines for calculating Total Body shock, and low cardiac output. Monitor intolerance with difficulty digesting milk
Surface Area (TBSA) for burns ECG for arrhythmias and blood pressure. and milk products.
Head: 9% Rifampicin causes red-orange tears Arab Americans May remain silent
Arms: 18% (9% each) and urine. about health problems such as STIs,
Back: 18% Ethambutol causes problems with substance abuse, and mental illness; a
Legs: 36% (18% each) vision, liver problem. devout Muslim may interpret illness as
Genitalia: 1% Isoniazid can cause peripheral neuritis, the will of Allah, a test of faith; may rely
17. Medications take vitamin B6 to counter. on ritual cures or alternative therapies
Digoxin (Lanoxin) Assess pulses for a before seeking help from health care
full minute, if less than 60 bpm hold provider; after death, the family may

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want to prepare the body by washing Native Americans May turn to a Cirrhosis (stable) normal protein
and wrapping the body in unsewn white medicine man to determine the true Cirrhosis with hepatic insufficiency
cloth; postmortem examinations are cause of an illness; may value the ability restrict protein, fluids, and sodium.
discouraged unless required by law. to endure pain or grief with silent Constipation high-fiber, increased
May avoid pork and alcohol if Muslim. stoicism; diet may be deficient in fluids
Islamic patients observe month long vitamin D and calcium because many COPD soft, high-calorie, low-
fast of Ramadan (begins approximately suffer from lactose intolerance o carbohydrate, high-fat, small frequent
mid-October); people suffering from drink milk; obesity and diabetes are feedings
chronic illnesses, pregnant women, major health concerns; may divert eyes Cystic Fibrosis increase in fluids.
breast- , a to the floor when they are praying or Diarrhea liquid, low-fiber, regular, fluid
fast. Females avoid eye contact with paying attention. and electrolyte replacement
males; use same-sex family members as Western Culture May value technology Gallbladder diseases low-fat, calorie-
interpreters. almost exclusively in the struggle to restricted, regular
Asian Americans May value ability to conquer diseases; health is understood Gastritis low-fiber, bland diet
endure pain and grief with silent to be the absence, minimization, or Hepatitis regular, high-calorie, high-
stoicism; typically family oriented; control of disease process; eating protein
extended family should be involved in utensils usually consists of knife, fork, Hyperlipidemias fat-controlled, calorie-
a a ;b - and spoon; three daily meals is typical. restricted
/ a ; 20. Common Diets Hypertension, heart failure, CAD low-
intake is generally high because of Acute Renal Disease protein-restricted, sodium, calorie-restricted, fat-controlled
salted and dried foods; may believe high-calorie, fluid-controlled, sodium and Kidney Stones increased fluid intake,
prolonged eye contact is rude and an potassium controlled. calcium-controlled, low-oxalate
invasion of privacy; may not without Addi n di ea e increased sodium, Nephrotic Syndrome sodium-restricted,
necessarily understanding; may prefer low potassium diet. high-calorie, high-protein, potassium-
to maintain a comfortable physical ADHD and Bipolar high-calorie and restricted.
distance between the patient and the provide finger foods. Obesity, overweight calorie-restricted,
health care provider. Burns high protein, high caloric, high-fiver
Latino Americans May view illness as a increase in Vitamin C. Pancreatitis low-fat, regular, small
sign of weakness, punishment for evil Cancer high-calorie, high-protein. frequent feedings; tube feeding or total
doing; may consult with a curandero or Celiac Disease gluten-free diet (no parenteral nutrition.
voodoo priest; family members are BROW: barley, rye, oat, and wheat). Peptic ulcer bland diet
typically involved in all aspects of Chronic Renal Disease protein- Pernicious Anemia increase Vitamin
decision making such as terminal restricted, low-sodium, fluid-restricted, B12 (Cobalamin), found in high amounts
illness; may see no reason to submit to potassium-restricted, phosphorus- on shellfish, beef liver, and fish.
mammograms or vaccinations. restricted.

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Sickle Cell Anemia increase fluids to Air/Pulmonary embolism turn patient abduction by separating thighs with
maintain hydration since sickling to left side and lower HOB. pillows.
increases when patients become Postural Drainage Lung segment to be Prolapsed cord knee-chest position or
dehydrated. drained should be in the uppermost Trendelenburg.
Stroke mechanical soft, regular, or position to allow gravity to work. Cleft-lip position on back or in infant
tube-feeding. Post Lumbar puncture patient should seat to prevent trauma to the suture
Underweight high-calorie, high protein lie flat in supine to prevent headache line. While feeding, hold in upright
Vomiting fluid and electrolyte and leaking of CSF. position.
replacement Continuous Bladder Irrigation (CBI) Cleft-palate prone.
21. Positioning Clients catheter should be taped to thigh so Hemorrhoidectomy assist to lateral
Asthma orthopneic position where legs should be kept straight. position.
patient is sitting up and bent forward After myringotomy position on the side Hiatal Hernia upright position.
with arms supported on a table or chair of affected ear after surgery (allows Preventing Dumping Syndrome eat in
arms. drainage of secretion). reclining position, lie down after meals
Post Bronchoscopy flat on bed with Post cataract surgery patient will sleep for 20-30 minutes (also restrict fluids
head hyperextended. on unaffected side with a night shield during meals, low fiber diet, and small
Cerebral Aneurysm F . for 1-4 weeks. frequent meals).
Hemorrhagic Stroke: HOV elevated 30 Detached retina area of detachment Enema Administration position patient
degrees to reduce ICP and facilitate should be in the dependent position. in left- (S )
venous drainage. Post thyroidectomy low or semi- knees flexed.
Ischemic Stroke: HOB flat. Fowlers, support head, neck and Post supratentorial surgery (incision
Cardiac Catheterization keep site shoulders. behind hairline) elevate HOB 30-45
extended. Thoracentesis sitting on the side of the degrees.
Epistaxis lean forward. bed and leaning over the table (during Post infratentorial surgery (incision at
Above Knee Amputation elevate for procedure); affected side up (after nape of neck) position patient flat and
first 24 hours on pillow, position on procedure). lateral on either side.
prone daily for hip extension. Spina Bifida position infant on prone Increased ICP F .
Below Knee Amputation foot of bed so that sac does not rupture. Laminectomy back as straight as
elevated for first 24 hours, position B ck T ac i n elevate foot of bed for possible; log roll to move and sand bag
prone daily for hip extension. counter-traction. on sides.
Tube feeding for patients with Post Total Hip Replacement d Spinal Cord Injury immobilize on spine
decreased LOC position patient on a , p board, with head in neutral position.
right side to promote emptying of the more than 45-60 , a Immobilize head with padded C-collar,
stomach with HOB elevated to prevent HOB more than 45 degrees. Maintain hip maintain traction and alignment of head
aspiration.

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manually. Log roll client and do not Oil-based dye flat on bed for at Psoas sign (pain from flexing the thigh
allow client to twist or bend. least 6-8 hours to prevent leakage to the hip).
Liver Biopsy right side lying with pillow of CSF. Meningitis K (
or small towel under puncture site for at Air dye Trendelenburg. hamstrings causing inability to
least 3 hours. 22. Common Signs and Symptoms straighten the leg when the hip is flexed
Paracentesis flat on bed or sitting. Pulmonary Tuberculosis (PTB) low- 90 ), B (
Intestinal Tubes place patient on right grade afternoon fever. flexion of the neck elicits a reflex flexion
side to facilitate passage into Pneumonia rust-colored sputum. of the hips).
duodenum. Asthma wheezing on expiration. Tetany hypocalcemia, [+] Troussea
Nasogastric Tubes elevate HOB 30 Emphysema barrel chest. sign; Chvostek sign.
degrees to prevent aspiration. Maintain Kawasaki Syndrome strawberry Tetanus Risus sardonicus or rictus
elevation for continuous feeding or tongue. grin.
1hour after intermittent feedings. Pernicious Anemia red beefy tongue. Pancreatitis C (
Pelvic Exam lithotomy position. Down syndrome protruding tongue. b ), G T
Rectal Exam knee-chest position, Cholera rice-watery stool and washer (bruising of the flank).
S , a b . a a ( a Pyloric Stenosis olive like mass.
During internal radiation patient should dehydration). Patent Ductus Arteriosus washing
be on bed rest while implant is in place. Malaria stepladder like fever with machine-like murmur.
Autonomic Dysreflexia place client in chills. Addi n di ea e bronzelike skin
sitting position (elevate HOB) first Typhoid rose spots in the abdomen. pigmentation.
before any other implementation. Dengue fever, rash, and headache. C hing nd me moon face
Shock bed rest with extremities P H a . appearance and buffalo hump.
elevated 20 degrees, knees straight, Diphtheria pseudo membrane G a e Di ea e (H e h idi m)
head slightly elevated (modified formation. Exophthalmos (bulging of the eye out of
Trendelenburg). Measles K s spots (clustered the orbit).
Head Injury elevate HOB 30 degrees to white lesions on buccal mucosa). Intussusception Sausage-shaped
decrease intracranial pressure. Systemic Lupus Erythematosus mass.
Peritoneal Dialysis when outflow is butterfly rash. Multiple Sclerosis C a T a :
inadequate turn patient side to side Leprosy leonine facies (thickened nystagmus, intention tremor, and
before checking for kinks in the tubing. folded facial skin). dysarthria.
Myelogram Bulimia chipmunk facies (parotid gland Myasthenia Gravis descending muscle
Water-based dye F swelling). weakness, ptosis (drooping of eyelids).
for at least 8 hours. Appendicitis rebound tenderness at Guillain-Barre Syndrome ascending
M B .R muscles weakness.
(palpation of LLQ elicits pain in RLQ).

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Deep vein thrombosis (DVT) H a Syphilis painless chancres Neutropenic patients should not receive
Sign. Chancroid painful chancres. vaccines, fresh fruits, or flowers.
Angina crushing, stabbing pain relieved Gonorrhea green, creamy Nitroglycerine patch is administered up
by NTG. discharges and painful urination. to three times with intervals of five
Myocardial Infarction (MI) crushing, Chlamydia milky discharge and minutes.
stabbing pain radiating to left shoulder, painful urination. Morphine is contraindicated in
neck, and arms. Unrelieved by NTG. Candidiasis white cheesy pancreatitis because it causes spasms
Pa kin n di ea e pill-rolling tremors. odorless vaginal discharges. of the Sphincter of Oddi. Demerol should
Cytomegalovirus (CMV) infection O Trichomoniasis yellow, itchy, be given.
eye appearance of cells (huge nucleus frothy, and foul-smelling vaginal Never give potassium (K+) in IV push.
in cells). discharges. Infants born to an HIV-positive mother
Glaucoma tunnel vision. 23. Miscellaneous Tips should receive all immunizations of
Retinal Detachment flashes of light, Delegate sterile skills (e.g., dressing schedule.
shadow with curtain across vision. change) to the RN or LPN. Gravida is the number of pregnancies a
Basilar Skull Fracture Raccoon eyes Where non-skilled care is required, woman has had, regardless of outcome.
( b a ) a Ba delegate the stable client to the nursing Para is the number of pregnancies that
sign (mastoid ecchymosis). assistant. reached viability, regardless of whether
B e ge Di ea e intermittent Assign the most critical client to the RN. the fetus was delivered alive or stillborn.
claudication (pain at buttocks or legs Clients who are being discharged should A ab a 20
from poor circulation resulting in have final assessments done by the RN. gestation.
impaired walking). The Licensed Practical Nurse (LPN) can Lochia rubra is the vaginal discharge of
Diabetic Ketoacidosis acetone breathe. monitor clients with IV therapy, insert almost pure blood that occurs during
Pregnancy Induced Hypertension urinary catheters, feeding tubes, and the first few days after childbirth.
(PIH) proteinuria, hypertension, edema. apply restraints. Lochia serosa is the serous vaginal
Diabetes Mellitus polydipsia, Assessment, teaching, medication discharge that occurs 4 to 7 days after
polyphagia, polyuria. administration, evaluation, unstable childbirth.
Gastroesophageal Reflux Disease patients cannot be delegated to an Lochia alba is the vaginal discharge of
(GERD) heart burn. unlicensed assistive personnel. decreased blood and increased
Hirsch ng Di ea e (T ic Weight is the best indicator of a a a
Megacolon) ribbon-like stool. dehydration. lochia. It occurs 7 to 10 days after
Sexual Transmitted Infections: When patient is in distress, childbirth.
Herpes Simplex Type II painful administration of medication is rarely In the event of fire, the acronym most
vesicles on genitalia the best choice. often used is RACE. (R) Remove the
Genital Warts warts 1-2 mm in Always check for allergies before patient. (A) Activate the alarm. (C)
diameter. administering antibiotics. Attempt to contain the fire by closing

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the door. (E) Extinguish the fire if it can bologna, Chianti wine, and beer may NCLEX-RN Practice Questions Over
be done safely. cause severe hypertension in a patient 2,100 free sample questions
Before signing an informed consent who takes a monoamine oxidase (http://nurseslabs.com/nclex-practice-
form, the patient should know whether inhibitor. questions/)
other treatment options are available Projection is the unconscious assigning 20 NCLEX Tips and Strategies Every
and should understand what will occur of a thought, feeling, or action to Nursing Students Should Know
during the preoperative, intraoperative, someone or something else. (http://nurseslabs.com/20-nclex-tips-
and postoperative phases; the risks Sublimation is the channeling of strategies-every-nursing-students-
involved; and the possible unacceptable impulses into socially know/)
complications. The patient should also acceptable behavior. 12 Tips to Answer NCLEX Select All That
have a general idea of the time required Repression is an unconscious defense Apply (SATA) Questions
from surgery to recovery. In addition, he mechanism whereby unacceptable or (http://nurseslabs.com/tips-answer-
should have an opportunity to ask painful thoughts, impulses, memories, or select-apply-questions-nclex/)
questions. feelings are pushed from the 5 Principles in Answering Therapeutic
The first nursing intervention in a consciousness or forgotten. Communication Questions great tips
quadriplegic client who is experiencing People with obsessive-compulsive on how to answer TheraCom questions
autonomic dysreflexia is to elevate his disorder realize that their behavior is (http://nurseslabs.com/5-principles-
head as high as possible. unreasonable, but are powerless to answering-therapeutic-communication-
Usually, patients who have the same control it. questions/)
infection and are in strict isolation can A significant toxic risk associated with 11 Test Taking Tips & Strategies For
share a room. clozapine (Clozaril) administration is Nurses (http://nurseslabs.com/11-test-
Veracity is truth and is an essential blood dyscrasia. taking-tips-strategies/)
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25. NCLEX Books Saunders Q&A Review Cards for the Kaplan NCLEX RN 2013-2014 Edition:
Saunders Comprehensive Review for the NCLEX-RN Examination by Silvestri and Strategies, Practice, and Review
NCLEX-RN by Silvestri, 6th edition Silvestri, 2nd edition (http://amzn.to/171hdQR)
(http://amzn.to/1MhSw3C) (http://amzn.to/1Ahi5yB) L NCLEX-RN Questions and
Saunders Q & A Review for the NCLEX- Da NCLEX-RN Success by Answers Made Incredibly Easy, 5th
RN Examination by Silvestri, 6th edition Lagerquist, 3rd edition edition (http://amzn.to/1vpd6Et)
(http://amzn.to/1J6gOhO) (http://amzn.to/1zbKboZ) Lipp NCLEX-RN Alternate-Format
Saunders 2014-2015 Strategies for Test M b C R Questions, 5th edition
Success Passing Nursing School and Nursing for the NCLEX-RN Exam by (http://amzn.to/19dEEIz)
the NCLEX Exam by Silvestri, 3rd edition Nugent et al., 20th edition
(http://amzn.to/1F45gJ8) (http://amzn.to/1ytMYIR)

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