Nursing Exam Review Questions

Med-Challenger Nurse

Online Pass-Guaranteed NCLEX review course with CNE and more.


Med-Challenger Nursing is the highest quality, easiest to use Nursing EXAM review question bank for the shelf exam, NCLEX Initial Certification exam and Nursing Maintenance of Certification (MOC). With built-in CNE credits and ongoing updates, the Med-Challenger Nursing Qbank provides everything you need to ace exams and fulfill requirements without having to attend an in-person exam review course or buy products over and over. Med-Challenger’s nursing review course is 100% pass-guaranteed and provides over 3000 case-based Q&A following the National Council Licensure Examination (NCLEX) exam blueprint, media banks, and ongoing content updates.

What’s more, with 150 ANCC “Contact Hour” CNE Credits, Med-Challenger’s nursing exam review Qbank, gives nurses everything needed to ace their exams and fulfill all requirements year after year with less time, labor, and worry.

For all the things you must do for your practice.

With Med-Challenger, it’s well in hand.

I used Med-Challenger’s nursing review and passed my NCLEX first try! Such an excellent review program. I understood concepts that I struggled with all through nursing school. To future NCLEX takers: I highly encourage you to try Challenger’s NCLEX review program! I couldn’t have asked for anything better.M. Howard, RN
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See why Med-Challenger Nurse is the #1 Nursing Exam Review Product in addition to having the MOST Q&A and HIGHEST pass-rate.

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    Time-saving adaptive learning engine leaves nothing behind

    Time-saving adaptive learning engine prioritizes missed and yet-to-be-seen content so you get every ounce of value from your review purchase.

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    Automatic prescriptive remediation takes you where you need to go next

    Automatic prescriptive remediation guidance offers “deeper dives” to repair your weak areas of knowledge.

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    Adaptive, NCLEX blueprint-based exam simulation

    Simulate the board examination instantly, while taking Q&A in the right subject areas and in the right amounts, everytime.

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    Practice, Review & Assessment modes for enhanced retention

    Work the way you want. No pressure practice mode, read-friendly Review mode, and CE credit assessments

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    Create your own custom exams!

    Create your own exams with our Custom Exam Builder. Save your custom exams and re-use them for study or routine self-assessment.

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    Earn CE credits as you study

    Earn CE credits within assets quickly. Manage credit claims and produce CE certificates.

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    Dashboards, analytics & reports keep things on track

    Track your progress and scores, compare against global averages, maximize your purchases, and maximize your time.

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    Daily content updates & new Q&A, plus peer-to-peer fun

    With your Med-Challenger account, you can play our weekly Quick Quiz game with new content and peer leaderboards

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    Work anywhere, anytime, on any device - in less time

    Work on any device from anywhere. 100% responsive design and time-saving adaptive tools.

Proven NCLEX-RN/NCLEX-PN Exam Success

After 25 years in exam review, we know how to get results – and fast.

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Exam Pass-rate
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Avg. Score Improvement
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Avg. Study Time Saved
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Nurses Served

Included Content & Questions

For Med-Challenger Nurse Exam Review Qbank

Over 0
Topics Covered
Over 0
NCLEX-style Questions

Nursing Question Topics

NCLEX publish content blueprint of the material that will appear on their respective exams.

This is how we determine which material appears in your adaptive Qbank.

NCLEX-RN Blueprint

Safe and Effective Care Environment
- Management of Care 17-23%
- Safety and Infection Control 9-15%
Health Promotion and Maintenance 6-12%
Psychosocial Integrity 6-12%
Physiological Integrity
- Basic Care and Comfort 6-12%
- Pharmacological and Parenteral Therapies 12-18%
- Reduction of Risk Potential 9-15%
- Physiological Adaptation 11-17%

NCLEX-PN Blueprint

Safe and Effective Care Environment
- Coordinated Care 18-24%
- Safety and Infection Control 10-16%
Health Promotion and Maintenance 6-12%
Psychosocial Integrity 9-15%
Physiological Integrity
- Basic Care and Comfort 7-13%
- Pharmacological Therapies 10-16%
- Reduction of Risk Potential 9-15%
- Physiological Adaptation 7-13%


High-Yield Nursing Questions

NCLEX-style, blueprint-based Q&A.
Just like you’ll see on the actual NCLEX exam.

Positively-stated, Case-based Question Stems

No “negatively phrased” questions, no “A and B”…you know what we mean. Our questions always address important “key point” blueprint-based content in a well structured manner.

An electrocardiogram (ECG) taken during a routine checkup reveals that a client has had a silent myocardial infarction. Changes in which leads of a 12-lead ECG indicate damage to the left ventricular septal region?

Clear Answer Options

A question’s difficulty is defined by the choice of distractors. Good distractors determine the difficulty level of a question. Therefore, good distractors are one of the most important features of a high quality question.

Leads I, aVL, V5, and V6.
Leads V3 and V4.
Leads II, III, and aVF.
Leads V1 and V2.

High-yield Remediation

Understanding why an answer choice is incorrect is just as important as knowing why it is correct. Med-Challenger questions contain detailed explanations for the correct and incorrect answer choices along with integrated media for those that learn best by visual stimuli.

Explanation:

Leads V1 through V4 often are called anterior leads because they view the anterior portion of the heart. More specifically, leads V1 and V2 are positioned next to the sternum and normally view the the intraventricular septum, leads V3 and V4 are placed on the left anterior chest to view the anterior wall of the left ventricle.

Leads V3 and V4 record electrical events in the septal region of the left ventricle. Leads I, aVL, V5, and V6 record electrical events on the lateral surface of the left ventricle. Leads II, III, and aVF record electrical events on the inferior surface of the left ventricle. Leads V1 and V2 record electrical events on the anterior surface of the right ventricle and the anterior surface of the left ventricle.

References:

Heuer, Al; Scanlan, Craig L. Wilkins’ Clinical Assessment in Respiratory Care. 7th ed. Missouri, Elsevier Mosby, 2014,p 245.

Smeltzer, S.C., et al. Brunner & Suddarth’s Textbook of Medical Surgical-Nursing, 11th ed. Philadelphia: Lippincott Williams & Wilkins, 2008, p. 875.


Table of Contents

Everything you need to know for NCLEX exams and current nursing practice.


Assessment
Planning
Implementation
Evaluation
Analysis
Assessment
Planning
Implementation
Evaluation
Analysis
Assessment
Planning
Implementation
Evaluation
Analysis
Assessment
Planning
Implementation
Evaluation
Analysis
Assessment
Planning
Implementation
Evaluation
Analysis

Assessment
Planning
Implementation
Evaluation
Analysis
Assessment
Planning
Implementation
Evaluation
Analysis
Assessment
Planning
Implementation
Evaluation
Analysis
Assessment
Planning
Implementation
Evaluation
Analysis
Assessment
Planning
Implementation
Evaluation
Analysis

Written and Maintained by Experts

Continually Updated
All content is continually maintained by clinical expert peer-review.

Editor-in-Chief:

Mary Alice O’Brien, DNP, APRN, FNP-BC
Associate Professor
Georgetown University School of Nursing
Washington, DC

Contributing Authors:

Kathleen K. Aiello, MD, FAAP
Pediatrician
Ambler Pediatrics
Ambler, PA

Deborah Brunson, MD
Physician
CenseoHealth
Boulder, CO

Joseph Cama, MD
Carabou Medical
Towanda, PA

Adam Cohen, MD
Department of Oncology
Huntsman Cancer Institute
Salt Lake City, UT

Kimberly Collins, MD
Emergency Physician
MedExpress Urgent Care
Tampa, FL

Michael Anthony Darracq, MD, MPH
Emergency Physician
Kaiser Permanente Medical Group, Southern California
San Diego, CA

Arthur Frazzano, MD, FAAFP
Founding Director, Area Health Education Center of RI Network
Director, Division of Health Policy and Advocacy and Associated
Fellowship Program
Associate Professor
Department of Family Medicine
Warren Alpert Medical School
Brown University
Providence, Rhode Island

Alex Kadner, PhD
Medical Writer/Scientific Consultant, Neuroscience
Ballston Spa, NY

Gerard Kiernan, MD
Hospitalist
Dartmouth Hitchcock Clinic
Keene, NH

Miguel G. Madariaga, MD, MSc, FACP, DLSHTM
Director, Center for Wound Healing and Hyperbaric Medicine
Physician, Infectious Disease
Doylestown Hospital
Doylestown, Pennsylvania

Amy Marcini, MD
General and Orthopedic Surgeon
Boston, MA

Laeth Nasir, MBBS
Professor and Chairman
Department of Family Medicine
Creighton University
Omaha, NE

Jahan Porhomayon, MD. CBA, FCCP
Clinical Associate Professor of Anesthesiology
University at Buffalo
Buffalo, New York

Mark W. Perdue, PA-C
Former Faculty Instructor
University of Oklahoma Tulsa Physician Assistant Program
Physician Assistant
Mednow Urgent Care
Broken Arrow, OK

Joseph Scott Savage, DO, FAAEM, FACHE, FSCP, FAIHQ
Staff Physician
Emergency Dept.
Yale-New Haven Health System
Bridgeport Hospital
New Haven, CT

George Smolinksi III, MD
Major, Medical Corps, U.S. Army
Officer-In-Charge
Physical Medicine Clinic
Landstuhl Regional Medical Center
Landstuhl, Germany

Richard Snyder, DO
Nephrologist
Integrative Medicine Practitioner
LeHigh Valley Nephrology Associates

Rodrigo Tanchanco, MD, FACP
Hospitalist
Christiana Medical Group
Newark, DE

Frank Townsend, III, MD, JD
Attending Physician
Greater Baltimore Medical Center
Baltimore, MD
Tricia A. Walters, MD
Family Medicine w/ Obstetrics
Wyatt, IN

Cezary Wojcik, MD, PhD
Deaconess Hospital
Assistant Professor
Indiana University School of Medicine
Evansville, IN

Melissa Wolf, MD
Physician
Bozeman Deaconess Women’s Specialists
Bozeman, MT

Sean Wormuth, MD
Emergency Medicine Physician
Kaiser Permanente Medical Center
Vallejo, CA

Editorial Research and Product Development:

Nancy M. Anderson, MS, MBA
Epidemiologist, Clinical Researcher
Memphis, TN



Built-in CE Credit Resources

Earn CE credits while you study. Knock out requirements fast.

Earn Up To
150
ANCC ''CONTACT HOUR'' CNE Credits

CE Accreditation

The Postgraduate Institute for Medicine is accredited with distinction as a provider of continuing nursing education by the American Nurses Credentialing Center‘s Commission on Accreditation. This educational activity for 158 contact hour(s) is provided by the Postgraduate Institute for Medicine.


Earn and Claim Credits in a snap.



  • Score 80% or better on topic-based CNE assessments
  • ANCC CNE "contact hour" earnings will appear in your CME Claims Center
  • Produce PDF CNE Certificates (claim credits) instantly
  • PDFs list all topics claimed for hassle-free submission
  • Return anytime to reprint or review historical earnings
Earn and Claim Credits Easily, Earn CME Credits, AMA PRA Category 1 CME Credits

Testimonials

Med-challenger Nurse was incredible. I enjoyed the way the content was condensed and simplified, and the way it learned from what I struggled with. It helped me master key points needed to ace the NCLEX.C. Karr, RN.
The Q reviews were helpful, NCLEX style questions. I’m happy to say that I passed the NCLEX with 75 questions with help from med-challenger nurse. Highly recommended!B. Thomas, RN

You don’t just get the best content.
You get the best tools too.

Great content does nothing on it’s own. You have to use it.
We give you the most tools to “get it done” – your way.

All Features & Benefits

Beware!

Other “QBanks” stop short.
With Med-Challenger, you not only get the largest NCLEX QBank – you get a complete system of self-assessment, knowledge upkeep, and career MOC efficiency that serves you now and forever.


Med-Challenger's unique objective based user interface

Better than the best “QBank.”

Built for the Nursing exams – and everything beyond.

We give you over 3000 NCLEX-based questions with detailed explanations – more than any RN/LPN Review Question Bank.

But we also give you additional review tools, content assets, media banks, and time-saving career conveniences – like satisfying MOC requirements on-demand – useful every year.

Our nursing exam review doesn’t just get you through exams, it keeps an eye toward your future, your ongoing practice needs, and your quality of life.

In fact, you can add multiple products to your single Med-Challenger account to cover every special need your specific practice career requires.

Searchable clinical media banks

And you’ll never have to re-buy assets ever again!

Instead of wasting time and money every year, we have a better plan –
One-time purchasing and a single low cost Premium Membership super-renewal.
One-time purchase as many products as you need at regular price. Get a full year of use, then…
For just $199/yr, you can renew access to ALL of your continually-updated Med-Challenger assets for another full year.
We keep everything current at all times, including adding new materials to annual MOC subscription products.
NOTHING BEATS IT.

With Med-Challenger, you can do everything your Nursing career requires, more easily, now and forever.

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Buy assets individually or by bundle.

Bundles include multiple assets for “entire career” coverage.
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Option 1

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MED-CHALLENGER NURSE EXAM REVIEW COURSE + ANCC “contact hour” CNE Credits
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Benefits included:

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  • Renew access to ALL PURCHASED ACCOUNT ASSETS for only $199/yr
  • Content updates and annual subscription product additions FREE with active Premium Membership
  • Time-saving adaptive learning engine prioritizes missed and yet-to-be-seen content
  • Automatic prescriptive remediation guidance targets weak areas
  • Ready-made blueprint-based exams
  • Create your own custom exams!
  • Find and earn CME credits within assets quickly
  • Easy CME certificate production
  • Dashboards
  • Analytics & Reports
  • Free weekly Quick Quiz game with new content and peer leaderboards
  • Fully responsive for use on all devices
  • Free customer support

72 hour free trial available


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The Library

Everything, Ever

THE MED-CHALLENGER LIBRARY SUBSCRIPTION: ALL COURSES & ALL NEW ADDITIONS
$3699
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Assets included:

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  • Special Purpose
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  • Nurse Practitioner: Primary
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  • RN / NCLEX
  • EM LLSA Subscription
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  • PEDS MOC Part 2
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  • Risk Management & Malpractice
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  • AMA PRA Cat. 1 Credits™ and other CME types included
  • New Med-Challenger course assets including new titles and editions FREE as they are released.

Benefits included:

  • One year of access (Premium Membership) free with purchase
  • One-time Purchase! Purchased assets remain in your account forever – No more re-buys!
  • Renew access to ALL PURCHASED ACCOUNT ASSETS for only $199/yr
  • Content updates and annual subscription product additions FREE with active Premium Membership
  • Time-saving adaptive learning engine prioritizes missed and yet-to-be-seen content
  • Automatic prescriptive remediation guidance targets weak areas
  • Ready-made blueprint-based exams
  • Create your own custom exams!
  • Find and earn CME credits within assets quickly
  • Easy CME certificate production
  • Dashboards
  • Analytics & Reports
  • Free weekly Quick Quiz game with new content and peer leaderboards
  • Fully responsive for use on all devices
  • Free customer support

72 hour free trial available


Start Free Full Trial
Add The Library to Cart

How It Works


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Med-Challenger works for both practicing clinicians, clinician educators, and quality directors by providing a singularly efficient and effective system of knowledge review, exam prep, and recurring career requirement fulfillment adaptable to any learning environment or objective.

How it Works
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    2. Add assets

    One-time purchase your exam review and MOC requirements.

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And by the way….
Med-Challenger also works for Nurse Group Education.

Add group education resources and education management controls to your RN/PN training program.