Saunders Comprehensive Review for the NCLEX-RN® Examination
- 10th Edition - March 27, 2026
- Latest edition
- Authors: Linda Anne Silvestri, Angela Silvestri
- Language: English
Prepare for success on the NCLEX-RN® exam with this complete review! Often called the “the best NCLEX® exam review book ever,” Saunders Comprehensive Review for the NCLEX-RN® Exam… Read more
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Description
Description
Prepare for success on the NCLEX-RN® exam with this complete review! Often called the “the best NCLEX® exam review book ever,” Saunders Comprehensive Review for the NCLEX-RN® Examination reviews all nursing content areas related to the current test plan. This new edition includes more than 6,000 questions for the NCLEX-RN in the book and online, including alternate items formats and Next Generation NCLEX questions. Not all NCLEX prep books are created equal. Our resources specifically present high-level questions that consistently test the clinical judgment skills necessary to pass today’s NCLEX exam. Even better, all answers include detailed rationales to help you learn from your answer choices as well as test-taking strategies with tips on how to best approach each question. Written by the most trusted names in NCLEX review, Linda Anne Silvestri and Angela Elizabeth Silvestri, this is THE book of choice for NCLEX preparation. But don’t just take our word for it — read any customer review or ask your classmates to see why there's nothing else like it.
Key features
Key features
- More than 6,000 practice questions in the text and on the Evolve website offer ample testing practice and reflect all item types, including Next Generation NCLEX® (NGN) items.
- Detailed rationale and test-taking strategy are included for each question, offering clues for analyzing and uncovering the correct answer option, with rationales for both correct and incorrect answers.
- Clinical Judgment boxes identify clinical judgment situations, each addressing one of the six cognitive skills of the NCSBN Clinical Judgment Measurement Model.
- Pyramid Terms important to the discussion in the chapter are highlighted.
- Pyramid to Success provides a focus of review in each unit and points out key content for NCLEX preparation.
- Pyramid Points icons indicate important information, identifying content that is likely to appear on the NCLEX-RN® examination.
- Pyramid Alerts icons appear in red text and highlight key nursing concepts to remember, and identify content that typically appears on the NCLEX-RN exam.
- Priority Concepts — two in each chapter — identify the focus of important content for nursing care, and reflect the latest edition of Giddens’ Concepts for Nursing Practice text.
- Mnemonics are included to help you remember important information.
- Audio podcasts on Evolve cover pharmacology, acid-base balance, and fluids and electrolytes.
- Pathways to Success provide guidance with a focus on self-efficacy and both academic and nonacademic test preparation.
- New graduate’s perspective is offered on how to prepare for the NCLEX-RN and the testing experience.
- Pharmacology review provides 13 chapters on medications by body systems, a medication and IV calculation chapter, and a pediatric medication administration and calculation chapter. There are over 1,000 pharmacology questions on Evolve.
- Alternate item format questions cover multiple-response [select all that apply], prioritizing [ordered response], fill-in-the-blank, figure/illustration [hot spot], graphic options, chart/exhibit, and audio questions.
- Next Generation NCLEX (NGN) standalone and unfolding case studies provide Bow-tie and Trend items, and unfolding cases accompanied by all types of NGN items: highlight (in text, in table), multiple-response (SATA, select N, grouping), matrix (multiple choice and multiple response), drag-and-drop, and drop-down.
- 85-question pre-test and post-test on Evolve cover all content areas in the same percentages that they are covered on the actual NCLEX-RN test plan. Each test generates an individualized study calendar.
- Practice questions on Evolve are organized by cognitive level, content area, client needs area, integrated process, health problem, cognitive skills, strategy, and priority concepts, allowing completely customizable exams or study sessions.
Readership
Readership
Graduating RN students studying for the NCLEX-RN® exam
Table of contents
Table of contents
SECTION I NCLEX-RN® EXAM PREPARATION
Chapter 1 Clinical Judgment and the Next Generation NCLEX-RN® Examination
Chapter 2 Self-Efficacy and Pathways to Success
Chapter 3 The NCLEX-RN® Examination from a Graduate’s Perspective
Chapter 4 Clinical Judgment and Test-Taking Strategies
SECTION II PROFESSIONAL STANDARDS AND CARE SETTINGS
Chapter 5 Population Health Nursing
Chapter 6 Ethical and Legal Issues
Chapter 7 Coordinating and Prioritizing Care: Leadership, Delegation, and Community-Based Nursing Practice
SECTION III FOUNDATIONS OF CARE
Chapter 8 Fluids and Electrolytes
Chapter 9 Acid-Base Balance
Chapter 10 Vital Signs and Laboratory Reference Ranges
Chapter 11 Nutrition
Chapter 12 Health and Physical Assessment of the Adult Client
Chapter 13 Safety and Infection Prevention and Control
Chapter 14 Medication Administration and Intravenous Therapies
Chapter 15 Perioperative Nursing Care
Chapter 16 Hygiene, Mobility, and Skin Integrity
Chapter 17 Urinary and Bowel Elimination
SECTION IV GROWTH AND DEVELOPMENT ACROSS THE LIFE SPAN
Chapter 18 Theories of Growth and Development
Chapter 19 Growth, Development, and Stages of Life
Chapter 20 Care of the Older Client
SECTION V OBSTETRICAL NURSING
Chapter 21 Reproductive System
Chapter 22 Prenatal Period
Chapter 23 Risk Conditions Related to Pregnancy
Chapter 24 Labor and Birth
Chapter 25 Problems With Labor and Birth
Chapter 26 Postpartum Period
Chapter 27 Postpartum Complications
Chapter 28 Care of the Newborn
Chapter 29 Obstetric and Newborn Medications
SECTION VI PEDIATRIC NURSING
Chapter 30 Integumentary Problems
Chapter 31 Hematological Problems
Chapter 32 Oncological Problems
Chapter 33 Metabolic and Endocrine Problems
Chapter 34 Gastrointestinal Problems
Chapter 35 Eye, Ear, and Throat Problems
Chapter 36 Respiratory Problems
Chapter 37 Cardiovascular Problems
Chapter 38 Renal and Genitourinary Problems
Chapter 39 Neurological and Cognitive Problems
Chapter 40 Musculoskeletal Problems
Chapter 41 Immune Problems and Infectious Diseases
Chapter 42 Pediatric Medication Administration and Calculations
SECTION VII INTEGUMENTARY PROBLEMS OF THE ADULT CLIENT
Chapter 43 Integumentary Problems
Chapter 44 Integumentary Medications
SECTION VIII ONCOLOGICAL AND HEMATOLOGICAL PROBLEMS OF THE ADULT CLIENT
Chapter 45 Oncological and Hematological Problems
Chapter 46 Oncological and Hematological Medications
SECTION IX ENDOCRINE PROBLEMS OF THE ADULT CLIENT
Chapter 47 Endocrine Problems
Chapter 48 Endocrine Medications
SECTION X GASTROINTESTINAL PROBLEMS OF THE ADULT CLIENT
Chapter 49 Gastrointestinal Problems
Chapter 50 Gastrointestinal Medications
SECTION XI RESPIRATORY PROBLEMS OF THE ADULT CLIENT
Chapter 51 Respiratory Problems
Chapter 52 Respiratory Medications
SECTION XII CARDIOVASCULAR PROBLEMS OF THE ADULT CLIENT
Chapter 53 Cardiovascular Problems
Chapter 54 Cardiovascular Medications
SECTION XIII RENAL AND URINARY PROBLEMS OF THE ADULT CLIENT
Chapter 55 Renal and Urinary Problems
Chapter 56 Renal and Urinary Medications
SECTION XIV EYE AND EAR PROBLEMS OF THE ADULT CLIENT
Chapter 57 Eye and Ear Problems
Chapter 58 Eye and Ear Medications
SECTION XV NEUROLOGICAL PROBLEMS OF THE ADULT CLIENT
Chapter 59 Neurological Problems
Chapter 60 Neurological Medications
SECTION XVI MUSCULOSKELETAL PROBLEMS OF THE ADULT CLIENT
Chapter 61 Musculoskeletal Problems
Chapter 62 Musculoskeletal Medications
SECTION XVII IMMUNE PROBLEMS OF THE ADULT CLIENT
Chapter 63 Immune Problems
Chapter 64 Immunological Medications
SECTION XVIII MENTAL HEALTH PROBLEMS OF THE ADULT CLIENT
Chapter 65 Foundations of Psychiatric Mental Health Nursing
Chapter 66 Mental Health Problems
Chapter 67 Addictions
Chapter 68 Crisis Theory and Intervention
Chapter 69 Psychotherapeutic Medications
SECTION XIX COMPLEX CARE
Chapter 70 Complex Care
References
Index
Chapter 1 Clinical Judgment and the Next Generation NCLEX-RN® Examination
Chapter 2 Self-Efficacy and Pathways to Success
Chapter 3 The NCLEX-RN® Examination from a Graduate’s Perspective
Chapter 4 Clinical Judgment and Test-Taking Strategies
SECTION II PROFESSIONAL STANDARDS AND CARE SETTINGS
Chapter 5 Population Health Nursing
Chapter 6 Ethical and Legal Issues
Chapter 7 Coordinating and Prioritizing Care: Leadership, Delegation, and Community-Based Nursing Practice
SECTION III FOUNDATIONS OF CARE
Chapter 8 Fluids and Electrolytes
Chapter 9 Acid-Base Balance
Chapter 10 Vital Signs and Laboratory Reference Ranges
Chapter 11 Nutrition
Chapter 12 Health and Physical Assessment of the Adult Client
Chapter 13 Safety and Infection Prevention and Control
Chapter 14 Medication Administration and Intravenous Therapies
Chapter 15 Perioperative Nursing Care
Chapter 16 Hygiene, Mobility, and Skin Integrity
Chapter 17 Urinary and Bowel Elimination
SECTION IV GROWTH AND DEVELOPMENT ACROSS THE LIFE SPAN
Chapter 18 Theories of Growth and Development
Chapter 19 Growth, Development, and Stages of Life
Chapter 20 Care of the Older Client
SECTION V OBSTETRICAL NURSING
Chapter 21 Reproductive System
Chapter 22 Prenatal Period
Chapter 23 Risk Conditions Related to Pregnancy
Chapter 24 Labor and Birth
Chapter 25 Problems With Labor and Birth
Chapter 26 Postpartum Period
Chapter 27 Postpartum Complications
Chapter 28 Care of the Newborn
Chapter 29 Obstetric and Newborn Medications
SECTION VI PEDIATRIC NURSING
Chapter 30 Integumentary Problems
Chapter 31 Hematological Problems
Chapter 32 Oncological Problems
Chapter 33 Metabolic and Endocrine Problems
Chapter 34 Gastrointestinal Problems
Chapter 35 Eye, Ear, and Throat Problems
Chapter 36 Respiratory Problems
Chapter 37 Cardiovascular Problems
Chapter 38 Renal and Genitourinary Problems
Chapter 39 Neurological and Cognitive Problems
Chapter 40 Musculoskeletal Problems
Chapter 41 Immune Problems and Infectious Diseases
Chapter 42 Pediatric Medication Administration and Calculations
SECTION VII INTEGUMENTARY PROBLEMS OF THE ADULT CLIENT
Chapter 43 Integumentary Problems
Chapter 44 Integumentary Medications
SECTION VIII ONCOLOGICAL AND HEMATOLOGICAL PROBLEMS OF THE ADULT CLIENT
Chapter 45 Oncological and Hematological Problems
Chapter 46 Oncological and Hematological Medications
SECTION IX ENDOCRINE PROBLEMS OF THE ADULT CLIENT
Chapter 47 Endocrine Problems
Chapter 48 Endocrine Medications
SECTION X GASTROINTESTINAL PROBLEMS OF THE ADULT CLIENT
Chapter 49 Gastrointestinal Problems
Chapter 50 Gastrointestinal Medications
SECTION XI RESPIRATORY PROBLEMS OF THE ADULT CLIENT
Chapter 51 Respiratory Problems
Chapter 52 Respiratory Medications
SECTION XII CARDIOVASCULAR PROBLEMS OF THE ADULT CLIENT
Chapter 53 Cardiovascular Problems
Chapter 54 Cardiovascular Medications
SECTION XIII RENAL AND URINARY PROBLEMS OF THE ADULT CLIENT
Chapter 55 Renal and Urinary Problems
Chapter 56 Renal and Urinary Medications
SECTION XIV EYE AND EAR PROBLEMS OF THE ADULT CLIENT
Chapter 57 Eye and Ear Problems
Chapter 58 Eye and Ear Medications
SECTION XV NEUROLOGICAL PROBLEMS OF THE ADULT CLIENT
Chapter 59 Neurological Problems
Chapter 60 Neurological Medications
SECTION XVI MUSCULOSKELETAL PROBLEMS OF THE ADULT CLIENT
Chapter 61 Musculoskeletal Problems
Chapter 62 Musculoskeletal Medications
SECTION XVII IMMUNE PROBLEMS OF THE ADULT CLIENT
Chapter 63 Immune Problems
Chapter 64 Immunological Medications
SECTION XVIII MENTAL HEALTH PROBLEMS OF THE ADULT CLIENT
Chapter 65 Foundations of Psychiatric Mental Health Nursing
Chapter 66 Mental Health Problems
Chapter 67 Addictions
Chapter 68 Crisis Theory and Intervention
Chapter 69 Psychotherapeutic Medications
SECTION XIX COMPLEX CARE
Chapter 70 Complex Care
References
Index
Product details
Product details
- Edition: 10
- Latest edition
- Published: November 9, 2026
- Language: English
About the authors
About the authors
Linda Anne Silvestri
Author
Linda Anne Silvestri has provided decades of nursing education and leadership that has directly impacted the growing and needed nursing workforce. Her research focused on a holistic investigation of predictors leading to success on the licensure examination. Her findings, published in the Journal of Nursing Education and Practice, led to significant contributions, filling a critical need in NCLEX® preparation. Linda’s vision was to provide a holistic educational approach to ensure overall well-being in test anxiety and self-efficacy, and success on the NCLEX®. As a leader in providing global NCLEX® preparation resources published by Elsevier, she strives for excellence in publication quality, based on the discovery of new knowledge in nursing, standards of care, and research-based studies. Her published resources ensure nursing graduates’ ability to make sound clinical judgments as they serve the public and the nursing profession. Linda is also a Next Generation NCLEX® Subject Matter Expert and Consultant for Elsevier.
Affiliations and expertise
Nursing Instructor, University of Nevada, Las Vegas Las, Nevada; President, Nursing Reviews, Inc. and Professional Nursing Seminars, Inc. Henderson, Nevada; Elsevier Next Generation NCLEX® (NGN) Thought Leader, USAAngela Silvestri
Author
Assistant Professor Angela Silvestri at Touro University Nevada-School of Nursing.
Affiliations and expertise
Assistant Professor, Touro University Nevada-School of Nursing, USA