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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

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

  • 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

Graduating RN students studying for the NCLEX-RN® exam

Table of contents

Unit I: NCLEX-RN® Exam Preparation

1. The NCLEX-RN Examination

2. Self-Efficacy and Pathways to Success

3. The NCLEX-RN® Examination from a Graduate's Perspective

4. Clinical Judgment and Test-Taking Strategies

Unit II: Professional Standards in Nursing

5. Population Health Nursing

6. Ethical and Legal Issues

7. Community Care Coordination and Care Settings

Unit III: Foundations of Care

8. Fluids and Electrolytes

9. Acid-Base Balance

10. Vital Signs and Laboratory Reference Intervals

11. Nutrition

12. Health and Physical Assessment of the Adult Client

13. Safety and Infection Control

14. Medication Administration and Intravenous Therapies

15. Perioperative Nursing Care

16. Hygiene, Mobility, and Skin Integrity

17. Urinary and Bowel Elimination

Unit IV: Growth and Development Across the Life Span

18. Theories of Growth and Development

19. Growth, Development, and Stages of Life

20. Care of the Older Client

Unit V: Maternity Nursing

21. Reproductive System

22. Prenatal Period

23. Risk Conditions Related to Pregnancy

24. Labor and Birth

25. Problems with Labor and Birth

26. Postpartum Period

27. Postpartum Complications

28. Care of the Newborn

29. Maternity and Newborn Medications

Unit VI: Pediatric Nursing

30. Integumentary Problems

31. Hematological Problems

32. Oncological Problems

33. Metabolic and Endocrine Problems

34. Gastrointestinal Problems

35. Eye, Ear, and Throat Problems

36. Respiratory Problems

37. Cardiovascular Problems

38. Renal and Genitourinary Problems

39. Neurological and Cognitive Problems

40. Musculoskeletal Problems

41. Immune Disorders and Infectious Diseases

42. Pediatric Medication Administration and Calculations

Unit VII: Integumentary Problems of the Adult Client

43. Integumentary Problems

44. Integumentary Medications

Unit VIII: Oncological and Hematological Problems of the Adult Client

45. Oncological and Hematological Problems

46. Oncological and Hematological Medications

Unit IX: Endocrine Problems of the Adult Client

47. Endocrine Problems

48. Endocrine Medications

Unit X: Gastrointestinal Problems of the Adult Client

49. Gastrointestinal Problems

50. Gastrointestinal Medications

Unit XI: Respiratory Problems of the Adult Client

51. Respiratory Problems

52. Respiratory Medications

Unit XII: Cardiovascular Problems of the Adult Client

53. Cardiovascular Problems

54. Cardiovascular Medications

Unit XIII: Renal and Urinary Problems of the Adult Client

55. Renal and Urinary Problems

56. Renal and Urinary Medications

Unit XIV: Eye and Ear Problems of the Adult Client

57. Eye and Ear Problems

58. Eye and Ear Medication

Unit XV: Neurological Problems of the Adult Client

59. Neurological Problems

60. Neurological Medications

Unit XVI: Musculoskeletal Problems of the Adult Client

61. Musculoskeletal Problems

62. Musculoskeletal Medications

Unit XVII: Immune Problems of the Adult Client

63. Immune Problems

64. Immunological Medications

Unit XVIII: Mental Health Problems of the Adult Client

65. Foundations of Psychiatric Mental Health Nursing

66. Mental Health Problems

67. Addictions

68. Crisis Theory and Intervention

69. Psychiatric Medications

Unit XIX: Complex Care

70. Complex Care

Product details

  • Edition: 10
  • Latest edition
  • Published: January 5, 2027
  • Language: English

About the authors

LS

Linda Anne Silvestri

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, USA

AS

Angela Silvestri

Assistant Professor Angela Silvestri at Touro University Nevada-School of Nursing.
Affiliations and expertise
Assistant Professor, Touro University Nevada-School of Nursing, USA