NCLEX Examination Process - Eight Steps

nclex rn exam centers in kerala india

1. ALL4NURSES COCHIN OFFERS HAAD/DHA/NCLEX-RN/CGFNS/CRNE/ QATAR and SAUDI PROMETRIC/kuwait MoH -CALL 9995226341 , 8089299881 - Kochi

2. Marian Overseas Education
Asaripparambu Road, Edapplly,Ernakulam, Kerala Tel: 0484 3199017, 9544093300, 9605253569

3. St.Alphonsa Nurse's Academy

Global Residential Training Centre

Thodupuzha,Bangalore,Kothamangalam,Calicut

Call : 09656 800 100, 04862263930 

4.  EVANS ACADEMY

M. D. M. Building, Near DDC Lab,

Petta Junction, Vytilla, Cochin - 38

Contact : 9526612888

5.  St.Johns Overseas Education Near Angamaly railway station & Private Bus stand..

Call @ 0484 6007050

NCLEX RN 3500 FREE DOWNLOAD

Please go to bellow link for downloading the same. 

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Thank you

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List of NCLEX testing centers.

American Samoa
Pearson Professional Centers-Pago Pago AS
Pago Plaza, PO Box AC, Suite 222, Pago Pago,
96799
011-684-633-7873

Canada
Pearson Professional Centers- British Columbia
4190 Lougheed Hwy, Suite 103, Burnaby, BC V5C 6A8
604-678-2636

Pearson Professional Centres-Montreal
7705 17th Avenue, Montreal, QC H2A
2S4
514-727-6006

Germany
Pearson Professional Centers-Frankfurt
62 Bettinastrasse, 4th floor, Frankfurt, 60325
+49 69- 7409 3624

India
Pearson Professional Centers-Bangalore
Trade Center, Dickenson Road, Next to Maniple Centre, Bangalore, KAR 560042
+91-80-41134165

Pearson Professional Centers-Chennai                        
Gee Gee Emerald Building, 151,Village Road,Nungambakkam, Chennai, TAM 600034                            
+91-44-43021101

Pearson Professional Centers-Hyderabad
202,ABK Olbee Plaza, Road No.1,Banjara Hills, Hyderabad, AND 500034
+91-40-66469825

Pearson Vue Professional Centers – New Delhi
Yousuf Sarai Community Centre, Above Hyundai Show room, New Delhi, DEL 110016
+91-11-41841472

Pearson Professional Centers-Mumbai
Solitaire Corporate Park,167 Andheri, J B Nagar Link Rd,Chakala,Andheri,
Mumbai, MAH 400093
+91-22-40056787

Hong Kong
Pearson Professional Centers-Hong
Grand Millenium Plaza, 181 Queens Road, Central, Hong Kong
+91 85221678568

Mexico
Pearson Professional Centers-Mexico
Atlacomulco 500, Industrial Atoto, Naucalpan, Estado de Mexico
53519
+55.5359.8106

Puerto Rico
Pearson Professional Centers-San Juan
273 Ponce de Leon Avenue, Plaza Scotiabank, Suite 501, San Juan,
00917
787-641-9632

Philippines
Pearson Professional Centers-Manila
Trident Tower, 313 Senator Gil Puyat Avenue, Makati City, Manila, 1327
+63 2 887 2198

Taiwan
Pearson Professional Centers-Taipei
No 163 Sec 1, 13 F-3, Keelung Road, Union Century Building, Taipei
+886 2 2756 7808

United Kindom
Pearson Professional Centers-London
190 High Holborn, London, WC1V 7BH,
+08007314359

United States - Alabama
Pearson Professional Centers-Birmingham AL
Shelby Building Highpoint Office Center, 600 Vestavia Parkway, Suite 241,
Birmingham, AL 35216
205-824-0017

Pearson Professional Centers-Decatur AL
AM South Bank Building, Suite 602, 401 Lee Street, Decatur, AL
35602
256-552-0667

Pearson Professional Centers-Dothan AL
2623 Montgomery Hwy., Suite 4, Carmel Plaza, Dothan, AL
36303
334-671-7007

Pearson Professional Centers-Mobile AL
900 Western America Circle, Executive Center One, Suite 504, Mobile, AL
36609
251-343-2601

Pearson Professional Centers-Montgomery AL
400 East Boulevard, Suite 103, Montgomery, AL 36117
334-271-8995

United States – Alaska
Pearson Professional Centers-Anchorage AK
2550 Denali Street, Suite 511, Denali Towers North Building, Anchorage, AK 99503
907-222-1821

United States – Arizona
Pearson Professional Centers-Mesa AZ
555 W. Iron Avenue, Suite 102, Mesa, AZ 85210
480-655-7775

Pearson Professional Centers-Phoenix AZ
2501 West Dunlap Avenue, Suite 260, Phoenix, AZ 85021
602-944-4425

Pearson Professional Centers-Tucson AZ
5210 East Williams Circle, Merrill Lynch Building, Suite 722, Tucson, AZ
85711
520-790-2207

United States – Arkansas
Pearson Professional Centers-Fort Smith AR
1401 S Waldron Road, Suite 208, Fort Smith, AR
72903
479-484-5660

Pearson Professional Centers-Little Rock AR
10802 Executive Center Dr., Benton Building,
Suite 201, Little Rock, AR 72211
501-313-9082

Pearson Professional Centers-Texarkana AR
210 North State Line Avenue, Landmark Building, Suite B100,
Texarkana, 71854
870-772-3247

Unites States – California
Pearson Professional Centers-Anaheim (LA) CA
2190 Towne Centre Place, Suite 300, Anaheim Corporate Plaza, Anaheim, CA 92806                              
714-937-0281

Pearson Professional Centers-Fresno CA
7555 N. Palm Avenue, Suite 205, Fresno, CA 93711
559-449-0986

Pearson Professional Centers-Gardena (LA) CA
1515 West 190th Street, South Bay Center, Suite 405, Gardena, CA 90248
310-532-7521

Pearson Professional Centers-Oakland CA
1000 Broadway, Transpacific Center, Suite 470, Oakland, CA 94607
510-836-3171

Pearson Professional Centers-Ontario (LA) CA 
3401 Centrelake Drive, Centerlake Plaza, Suite 675, Ontario, CA 91761  
909-937-3223

Pearson Professional Centers-Pasadena (LA) CA
Union Bank Building, 70 S. Lake Avenue, Suite 840,
626-397-2815

Pearson Professional Centers-San Diego (North) CA
11770 Bernardo Plaza Court, Suite 463, San Diego, CA 92138
800-247-8731

Pearson Professional Centers-San Diego CA   
9619 Chesapeake Drive, Suite 208, San Diego, CA 92133
858-541-1934

Pearson Professional Centers-San Francisco CA
201 Filbert Street, Suite 200, San Francisco, CA 94133-3238
415-362-6316

Pearson Professional Centers-San Jose CA
1641 N 1st Street, Koll Lyon Plaza, Suite 260, San Jose, CA 95113-4519
408-437-1707

Pearson Professional Centers-Santa Maria CA 
1010 South Broadway, Gill Office Building, Suite F, Santa Maria, CA 93454
805-348-1340

Pearson Professional Centers-Westlake Village (LA)
875 Westlake Blvd.Westlake Corporate Centre, Suite 106, WestLake Village, CA 91361
805-778-0020

United States – Colorado
Pearson Professional Centers-Greenwood Village
5660 Greenwood Plaza Blvd, Suite 510,The Triad, Greenwood Village, CO 80111
720-482-2806

Pearson Professional Centers-Pueblo CO
41 Montebello Road, University Center Professional Building, Suite 313, Pueblo, CO 81001
719-545-6376

Pearson Professional Centers-Westminster
9101 Harlan Street, Lake Arbor Plaza, Suite 320, Westminster, CO 80031
303-427-6446

United States – Connecticut
Pearson Professional Centers-Wallingford 
35 Thorpe Avenue, Suite 105, Wallingford, CT 06492
203-269-0732
         
Pearson Professional Centers-Wethersfield
100 Great Meadow Road, Putnam Park, Suite 404,Wethersfield, CT 06109
860-513-1362

United States – Delaware
Pearson Professional Centers-Dover DE
1013 College Road, Suite 104, The Kay’s Building, Dover, DE 19904
302-736-8006

Pearson Professional Centers-Newark (Wilmington) DE 
111 Continental Drive, Suite 109, Newark, DE 19713302-368-5271

United States – District of Columbia
Pearson Professional Centers-Washington DC             
1615 L Street NW, Suite 410, Washington, DC 20036
202-223-6640

United States – Florida
Pearson Professional Centers-Deerfield Beach, FL       
1191 East Newport Center Drive, Suite PHA, 3rd Floor, Penthouse A, Deerfield Beach, FL 33442                                   
800-247-8731

Pearson Professional Centers-Gainesville FL                 
201 SE Second Avenue, Union Street Station, Suite 208,Gainesville, FL 32601
352-374-8001

Pearson Professional Centers-Jacksonville FL              
8659 Baypine Road, Suite 305, Spring Lake Business Center, Building 3, Jacksonville, FL 32256                                   
904-448-5410

Pearson Professional Centers-Miami FL                      
8615-8617 South Dixie Highway, Miami, FL 33143
786-268-8176

Pearson Professional Centers-Orlando FL                    
1707 Orlando Central Parkway, Suite 300, Orlando, FL 32809
407-857-9685

Pearson Professional Centers-Plantation (Ft Laud)       
1000 South Pine Island Road, Royal Palm At Southpoint, Suite 260, Plantation, FL 33324                                              
954-370-9964

Pearson Professional Centers-Port Charlotte FL            
1777 Tamiami Trail (41 Hwy), M & I Bank Building, Suite 508, Port Charlotte, FL 33948                                                               
941-625-0345

Pearson Professional Centers-St. Petersburg, FL          
The Glades Building, 877 Executive Center Drive,Suite 350, St. Petersburg, FL 33702                                                                
727-577-9794

Pearson Professional Centers-Tallahassee FL                
2286-2 Wednesday Street, Tallahassee, FL 32308
850-201-1953

Pearson Professional Centers-Tampa FL                       
3922 Coconut Palm Drive, Sabal Business Center 5, Suite 101,Tampa, FL 33619                                                                       
813-621-2397

United States – Georgia
Pearson Professional Centers-Albany GA                    
2410 Westgate Drive, Suite 102, Albany, GA 31707                             
229-878-6265

Pearson Professional Centers-Atlanta (South)GA          
3420 Norman Berry Rd., The Entrusted Building, Suite 275, Atlanta, GA 30354
404-305-9220

Pearson Professional Centers-Atlanta (North) GA          
1117 Perimeter Center West, W-500, Perimeter Center West, Atlanta, GA 30338
678-587-9268

Pearson Professional Centers-Augusta GA                   
One 10th Street, Suite 640, Augusta Riverfront Center, Augusta, GA 30901
706-724-2892

Pearson Professional Centers-Macon GA                      
4885 Riverside Drive, Riverside Corporate Center, Suite 101, Macon, GA 31310
478-474-1400

Pearson Professional Centers-Savannah GA                 
785 King George Blvd, Suite C, Georgetown Center, Savannah, GA 31419
913-921-5352

United States – Hawaii
Pearson Professional Centers-Honolulu HI                   
3049 Ualena Street, Suite 406, Airport Center Building, Honolulu, HI 96819
808-834-8909

United States – Idaho
Pearson Professional Centers-Boise ID                        
1951 South Saturn Way, Suite 200, Spectrum View Business Center, Boise, ID 83709
208-323-8330

United States – Illinois
Pearson Professional Centers-Chicago Financial District
200 West Adams Street, Suite 1105, Chicago, IL 60606
313-551-1143

Pearson Professional Centers-Chicago IL (La Salle)      
1 North LaSalle St., Suite 1350, Chicago, IL 60602
313-422-8621

Pearson Professional Centers-Marion IL                        
103 Airway Drive, Suite 1, Marion, IL 62959
618-993-8253

Pearson Professional Centers-Peoria IL                        
4507 N. Sterling Ave, Norwoods Professional Bldg, Suite 302, Peoria, IL 61615
309-682-8638

Pearson Professional Centers-Schaumburg                   
1827 Walden Office Sq. Gateway Executive Park,Algonquin Road, Schaumburg, IL 60173                                             
847-925-1032

Pearson Professional Centers-Springfield IL                  
3000 Professional Drive, Suite C, Springfield, IL 62703
217-789-9482

United States – Indiana
Pearson Professional Centers-Evansville IN                  
4424 Vogel Road, Suite 402, Bank of Evansville Building, Evansville, IN 47715
813-473-2083

Pearson Professional Centers-Fort Wayne IN                
9921 Dupont Circle Drive West, Suite 140, Dupont Office Center Bldg 2, Fort Wayne, IN 46825                                      
260-489-5615

Pearson Professional Centers-Indianapolis IN               
3500 DePauw Blvd. Bldg 2, Fl 8, Ste 2080, Pyramid Buildings at College Park, Indianapolis, IN 46268                          
317-337-9553

Pearson Professional Centers-Merrillville IN                   
8585 Broadway, Chase Building, Suite 745, Merrillville, IN. 46410
219-736-1056

Pearson Professional Centers-Terre Haute IN                 
630 Wabash Avenue, Suite 221, Terre Haute, IN 47807
813-478-5334

United States – Iowa
Pearson Professional Centers-Coralville (Iowa City)       
327 2nd St., Suite 370, Coralville, IA 52241
319-338-1148

Pearson Professional Centers-Davenport                     
100 East Kimberly Road, Suite 401, Northwest Bank & Trust Company, Davenport, IA52806                                        
563-386-0906

Pearson Professional Centers-Sioux City IA                   
4300 S. Lakeport, Suite 204, Sioux City, IA 51106
713-274-2114

Pearson Professional Centers-West Des Moines IA       
3737 Woodland Ave, Colony Park Office Building, Third Floor, Suite 340, West Des Moines, IA 50266  
515-226-0502

United States – Kansas
Pearson Professional Centers-Hays KS                        
205 E. 7th St., Hadley Center, Suite 237, Hays, KS 67601
785-650-0152

Pearson Professional Centers-Topeka KS                     
4135 SW Gage Center Drive, Gage Center Office Suites, Suite 201, Topeka, KS 66604
785-273-4304

Pearson Professional Centers-Wichita KS                     
7701 E. Kellogg, Equity Financial Center, Suite 750-7th floor, Wichita, KS 67207
316-687-9015

United States – Kentucky
Pearson Professional Centers-Lexington KY                
2317 Alumni Park Plaza, Alumni Office Park, Suite B-130,Lexington, KY 40517
859-273-6443

Pearson Professional Centers-Louisville KY                 
1941 Bishop Lane, Suite 713, Louisville, KY 40218
502-451-4222

United States – Louisiana
Pearson Professional Centers-Baton Rouge LA           
5555 Hilton Ave, Suite 430, Corporate Atrium Bldg,Baton Rouge, LA 70808
225-216-2794

Pearson Professional Centers-Metairie LA.                  
2800 Veterans Blvd., Suite 215, Metairie, LA 70002
504-828-4969

Pearson Professional Centers-Shreveport LA              
920 Pierremont Road, Pierremont Office Park, Suite 213, Shreveport, LA 71106
318-861-6692

United States - Maine
Pearson Professional Centers-Bangor ME                    
10 Ridgewood Drive, Suite 2, Bangor, ME 04401
207-262-4398

Pearson Professional Centers-Westbrook .                  
201 Main Streets, Suite 4A, Westbrook, ME  04092
207-854-4853

United States – Maryland
Pearson Professional Centers-Baltimore MD               
3108 Lord Baltimore Dr, Suite 103, Baltimore, MD 21344
410-944-8460

Pearson Professional Centers-Bethesda MD               
4340 East West Highway, Suite 901, Bethesda Towers, Bethesda, MD 20814
301-652-3131

Pearson Professional Centers-Columbia MD              
9891 Broken Land Parkway, Suite 108, Columbia, MD 21046
410-290-8217

Pearson Professional Centers-Salisbury MD               
1315 Mt. Hermon Road, Suite B, Salisbury, MD 21804
410-860-0650

United States – Massachusetts
Pearson Professional Centers-Boston MA                 
Park Square, 31 St. James Avenue, Suite 725, Boston, MA 02116
617-451-1473

Pearson Professional Centers-Boston MA                 
295 Devonshire Street, 2nd Floor, Boston, MA 02110
617-423-9297

Pearson Professional Centers-Springfield MA           
1414 Main st., One Monarch Place, Suite 1110, Springfield, MA 01144
413-747-5327

Pearson Professional Centers-Waltham MA               
470 Totten Pond Road, Waltham Office Center, 2nd Floor, Waltham, MA 02451
781-290-0967

Pearson Professional Centers-Worcester MA             
255 Park Avenue, Suite 604, Worcester, MA 01609
508-757-9547

United States – Michigan
Pearson Professional Centers-Ann Arbor MI              
325 E. Eisenhower Parkway, Suite 3A, Burlington Office Center I, Ann Arbor, MI 48108
734-761-9857

Pearson Professional Centers-Grand Rapids MI        
161 Ottawa Ave NW, Waters Building, Suite 307, Grand Rapids, MI 49503
616-774-9443

Pearson Professional Centers-Lansing MI                  
3390 Pine Tree Road, Suite 101, Lansing, MI 48911
517-394-4565

Pearson Professional Centers-Marquette MI               
290 Rublein Street, Rublein Building,Suite B,Marquette, MI 49855
906-228-6585

Pearson Professional Centers-Southfield (Detroit) MI  
26555 Evergreen Rd.,Suite 822, Travelers Tower I,Southfield, MI 48076
248-356-6913

Pearson Professional Centers-Troy (Detroit) MI          
888 W. Big Beaver Rd,,City Center,Suite 490,Troy, MI 48084
248-244-9650

United States – Minnesota
Pearson Professional Centers-Bloomington (MPLS)   
5601 Green Valley Dr,,Suite 150,Bloomington, MN 55437
952-831-0640

Pearson Professional Centers-Brooklyn Park (MPLS)  
7101 Northland Circle, Triad Building, Suite 102, Brooklyn Park, MN 55428
763-531-2026

Pearson Professional Centers-Eagan (MPLS)            
3459 Washington Drive, Suite 107, Washington Dr Executive Center, Eagan, MN 55132-1347                                         
651-994-0650

Pearson Professional Centers-Hermantown MN          
4815 West Arrowhead Road, North Shore Bank Place, Suite 100, Hermantown, MN 55811
218-279-3084

Pearson Professional Centers-Rochester MN             
1544 Greenview Drive SW, Greenview Office Building, Suite 200, Rochester, MN 55902
507-285-3277

United States – Mississippi
Pearson Professional Centers-Ridgeland MS             
795 Woodlands Parkway, Woodlands Office Park, Suite 107, Ridgeland, MS 39157
601-956-0156

Pearson Professional Centers-Tupelo MS                  
431 W. Main Street, Suite 340, Tupelo, MS 38801
662-620-2094

United States – Missouri
Pearson Professional Centers-Columbia MO             
3610 Buttonwood Drive, Suite 102A, Buttonwood Building, Columbia, MO 65201
573-449-0524

Pearson Professional Centers-Kansas City MO         
9200 Ward Parkway, Ward Parkway Corporate Centre, Suite 101, Kansas City, MO 64114
816-363-8571

Pearson Professional Centers-Springfield MO           
1111 S. Glenstone, Eleven-Eleven Building, Suite 2-103, Springfield, MO 65804
417-864-3033

Pearson Professional Centers-St Louis MO               
1600 S. Brentwood Blvd, Center Forty Building, Suite 130, St. Louis, MO 63144
314-961-4551

United States – Montana
Pearson Professional Centers-Billings MT                 
404 North 31st St, Suite 230, Transwestern 1 Building, Billings, MT 59101
406-896-8371

Pearson Professional Centers-Helena MT
111 N. Last Chance Gulch, Arcade Building, Suite 4K, Helena, MT 59601
406-442-6775

United States – Nebraska
Pearson Professional Centers-Lincoln NE                 
300 North 44th Street, Suite 104, 44 Corporate Place Office Park, Lincoln, NE 68503
402-466-3100

Pearson Professional Centers-North Platte NE          
131 N. Dewey, Nebraskaland Bank Building, Suite 213, North Platte, NE 69101
308-534-5336

Pearson Professional Centers-Omaha NE                 
10832 Old Mill Road, Omni Corporate Park, Omaha, NE 68154
402-697-9119

United States – Nevada
Pearson Professional Centers-Las Vegas NV           
101 Convention Center Drive, Suite 690, Las Vegas, NV 89109
702-253-0345

Pearson Professional Centers-Reno NV                    
5250 S. Virginia, Corporate Point, Suite 301, Reno, NV 89502
775-825-6611

United States – New Hampshire
Pearson Professional Centers-Concord NH               
2 Capital Plaza, 4th Floor, Capital Plaza, Concord, NH 03301
603-223-0879

United States – New Jersey
Pearson Professional Centers-Atlantic City NJ          
1135 Atlantic Avenue, Suite 107, Atlantic City, NJ 08401
609-344-0064

Pearson Professional Centers-Lyndhurst NJ              
1099 Wall Street West, Suite 106, Lyndhurst, NJ 07071
201-896-1011

Pearson Professional Centers-Princeton NJ              
135 Village Blvd, Princeton Forrestal Village, Suite 302, Princeton, NJ 08540
609-452-8668

Pearson Professional Centers-Somerset NJ              
1543 State Route 27, Lower Level-Basement, Somerset, NJ 08873
732-247-6665

United States – New Mexico
Pearson Professional Centers-Albuquerque NM       
2500 Louisiana Blvd NE, Suite LL-1B, Bank of Albuquerque Building, Albuquerque, NM 87110                                       
505-888-9601

United States – New York
Pearson Professional Centers-Albany NY
1365 Washington Ave Suite 107, Albany, NY 13206
518-454-9350

Pearson Professional Centers-Brooklyn NY               
45 Main Street, Suite 706, Brooklyn, NY 11301
718-858-8143

Pearson Professional Centers-East Syracuse NY      
6700 Kirkville Road, Suite 204, East Syracuse, NY 13057
315-433-0108

Pearson Professional Centers-Endicott NY              
421-423 East Main Street, Suite 100, Endicott, NY 13760
607-658-9315

Pearson Professional Centers-New York                   
500 5th Avenue, Suite 3130, New York, NY 10110
213-354-9818

Pearson Professional Centers-NY                             
100 William Street, Suite 1300, New York, NY 10038
213-232-0324

Pearson Professional Centers-Rego Park NY           
9734 64th Road, Street Level, Rego Park, NY 11374
718-275-3024

Pearson Professional Centers-Rochester NY            
3445 Winton Place Plaza, The Design Center, Suite 238, Rochester, NY 14623
585-427-2030

Pearson Professional Centers-Staten Island NY        
1110 South Avenue, Gardens Office I, Suite 400, Staten Island, NY 10314
718-477-7182

Pearson Professional Centers-Utica NY                    
132 Business Park Drive, Suite 4, Utica, NY 13502
315-266-0478

Pearson Professional Centers-Watertown NY            
18564 US Route 11, Suite 7, Watertown, NY 13601
315-788-6621

Pearson Professional Centers-White Plains NY         
399 Knollwood Road, Cross West Office Center, Suite 218, White Plains, NY 10603
914-946-0352

Pearson Professional Centers-Williamsville (Buff)     
325 Essjay Road, Centerpointe Corporate Park, Suite 104, Williamsville, NY 14221
716-565-9379

United States – North Carolina
Pearson Professional Centers-Asheville NC              
One Town Square Boulevard, Suite 350, Asheville, NC 28803-5007
828-684-8602

Pearson Professional Centers-Charlotte NC              
4601 Charlotte Park Dr., Suite 340, Charlotte, NC 28217
704-523-2617

Pearson Professional Centers-Greenville NC             
1105 Corporate Dr, Suite B, Greenville, NC 27858
252-493-0345

Pearson Professional Centers-Raleigh NC                
8024 Glenwood Ave, CEI Building, Suite 107, Raleigh, NC 27613
919-782-2258

Pearson Professional Centers-Wilmington NC           
2709 Market St., Market Street Central, Suite 206 Wilmington, NC 28405,
910-763-8255

Pearson Professional Centers-Winston-Salem NC    
514 S. Stratford Road, Stratford Oaks, Knollwood Level, Winston-Salem, NC 27104
336-721-4803

United States – North Dakota
Pearson Professional Centers-Bismark ND              
919 S. 7th Street, Suite 400, Kirkwood Office Tower, Bismarck, ND 58504
701-223-8737

Pearson Professional Centers-West Fargo ND         
1150 Prairie Parkway, Suite 103, West Fargo, ND 58078
701-277-4599

United States – Ohio
Pearson Professional Centers-Bath (Akron) OH        
231 Springside Drive, Suite 135, Springside Center, Bath, OH 44333
330-666-4402

Pearson Professional Centers-Beachwood                
3201 Enterprise Parkway, Suite 10 Basement, Beachwood, OH 44132
216-378-1847
   
Pearson Professional Centers-Cincinnati OH            
11300 Cornell Park Drive, Suite 140, Cincinnati, OH 45242
513-469-2830

Pearson Professional Centers-Columbus OH            
355 E. Campus View Blvd, Suite 140, Columbus, OH 43235
614-781-0775

Pearson Professional Centers-Columbus OH            
700 Taylor Road, Suite 180, OffiCenter 2, Gahanna, OH 43230
614-476-4173

Pearson Professional Centers-Dayton OH                
1139 Miamisburg-Centerville Rd., Ste 203, Imperial Plaza Office Building, Dayton, OH 45449                                         
937-384-0825

Pearson Professional Centers-Maumee OH              
1789 Indian Wood Circle, Metro Woods Building, Suit 130, Maumee, OH 43537
419-897-7831

Pearson Professional Centers-Westlake OH              
2001 Crocker Road, Suite 350, Westlake, OH 44145
440-250-9851

United States – Oklahoma
Pearson Professional Centers-Oklahoma City OK     
5100 N Brookline, Suite 282, Oklahoma City, OK 73113
405-917-7325

Pearson Professional Centers-Tulsa OK                   
10830 East 45th Street, Town Center Office Park, Building C 10830, Suite 210, Tulsa, OK 74146                                    
918-663-0671

United States – Oregon
Pearson Professional Centers-Beaverton OR           
10700 SW Beaverton Hillsdale Highway, Park Plaza West - Building 3, Suite 595, Beaverton, OR 97005                        
503-644-1587

Pearson Professional Centers-Medford OR              
3560 Excel Drive, Suite 105, Medford, OR 97504
541-770-7118

Pearson Professional Centers-Salem OR                  
1660 Oak Street SE, The VA Outpatient Clinic Bldg, Suite 250, Salem, OR 97301
503-588-5861

United States – Pennsylvania
Pearson Professional Centers-Allentown PA              
5100 W Tilghman Street, Suite B-30, Commerce Corporate Center II, Allentown, PA 18104
610-398-6601

Pearson Professional Centers-Erie PA                     
3133 West 13th Street, Suite D, Edgewood Place, Erie, PA 16505
814-836-2700

Pearson Professional Centers-Harrisburg PA           
801 East Park Drive, Suite 101, Harrisburg, PA 17111
717-564-6755

Pearson Professional Centers-Horsham PA             
110 Gibraltar Road, Pennsylvania Buisiness Campus,Suite 227, Horsham, PA 19044
215-675-9348

Pearson Professional Centers-Lancaster PA            
205 Granite Run Drive, Suite 130, Lancaster, PA 17601
717-569-0056

Pearson Professional Centers-Pittsburgh PA           
1500 Ardmore Boulevard, Suite 401, Pittsburgh, PA 15221
413-371-9935

Pearson Professional Centers-Pittsburgh PA           
Penn Center Blvd & Campbell's Run Road, I Penn Center West Blvd., Suite 109, Pittsburgh, PA 15276
413-494-5146

Pearson Professional Centers-Scranton PA              
330 Montage Mountain Rd., Stadium Office Park, Suite 102, Scranton, PA 18507
570-963-5708

Pearson Professional Centers-Wayne PA               
530 E. Swedesford Road, Valley Forge Office Center, Suite 109, Wayne, PA 19087
610-995-2943

United States – Rhode Island
Pearson Professional Centers-Warwick RI               
301 Metro Center Boulevard, Metro Center Boulevard, Suite 103, Warwick, RI 02886
401-738-6974

United States – South Carolina
Pearson Professional Centers-Columbia SC            
107 Westpark Blvd. Suite 170, Westpark Center II Building, Columbia, SC 29210
803-798-3001

Pearson Professional Centers-North Charleston SC  
4975 LaCross Rd, Rivergate Center II, Suite 255, North Charleston, SC 29406
843-747-9747

Pearson Professional Centers-Greenville SC             
301 Halton Road, Commons Office, ParkSuite, D1Greenville, SC 29607-3496
864-288-0892

United States – South Dakota
Pearson Professional Centers-Sioux Falls SD             
5101 South Nevada, AvenueVanBuskirk ,Office BuildingSuite, 130Sioux Falls, SD 57108
605-362-6151

United States – Tennessee
Pearson Professional Centers-Chattanooga TN            
5726 Marlin Road, Suite 310,Franklin Building,Chattanooga, TN 37411
423-485-8524

Pearson Professional Centers-Johnson City TN         
207 Mockingbird Lane, Suite 401,Sun Trust Bank Building,Johnson City, TN 37604
423-926-9294

Pearson Professional Centers-Knoxville TN                
135 Fox Road,Keystone Center,Suite C,Knoxville, TN 37922
865-670-9035

Pearson Professional Centers-Memphis TN               
6060 Poplar Avenue,Suite LL01,Memphis, TN 38119
901-761-3372

Pearson Professional Centers-Nashville TN                 
545 Mainstream, DriveRiverview ,Office BuildingSuite, 410Nashville, TN 37228
615-255-8672

United States – Texas
Pearson Professional Centers-Abilene TX                   
500 Chestnut St,Suite 856,Abilene, TX 79602
325-675-5694

Pearson Professional Centers-Amarillo TX                   
1616 S Kentucky, Suite C305,Amarillo, TX 79102
806-463-7465

Pearson Professional Centers-Austin, TX                    
301 Congress Avenue,Suite 565,Guaranty bank building,Austin, TX 78701
513-469-0276

Pearson Professional Centers-Bellaire TX                    
6800 West Loop S,Prosperity Bank Building,Suite 405,Bellaire, TX 77401
713-838-1849

Pearson Professional Centers-Corpus Christi TX         
4646 Corona Drive, Suite 175,Corona South Building,Corpus Christi, TX 78411
361-814-5872

Pearson Professional Centers-Dallas TX                     
13801 North Central Expressway,Suite 820,Dallas, TX 75243
972-661-5035

Pearson Professional Centers-El Paso TX                   
4110 Rio Bravo Drive,Suite #222,El Paso, TX 79902
915-533-3040

Pearson Professional Centers-Houston North              
14425 Torrey Chase Blvd,Suite 240,Houston, TX 77014
877-752-7344

Pearson Professional Centers-Hurst TX                        
500 Grapevine Hwy.,Suite 401,Hurst, TX 76054-2707
817-427-0960

Pearson Professional Centers-Lubbock TX                 
1500 Broadway St,Wells Fargo Center,Suite 1113,Lubbock, TX 79401
806-744-1697

Pearson Professional Centers-Midland TX                  
3300 North A Street,Building 4,Suite 228,Midland, TX 79705-5457
432-685-0033

Pearson Professional Centers-San Antonio TX            
10000 San Pedro Ave,Suite 175,San Antonio, TX 78216
210-340-3628

Pearson Professional Centers-Tyler TX                        
909 East Southeast Loop 323,One America Cente,rSuite 625,Tyler, TX 75701
903-561-5038

Pearson Professional Centers-Waco TX                      
1105 Wooded Acres Dr,Wells Fargo Bank Building,Suite 406,Waco, TX 76710
254-751-0483

United States – Utah
Pearson Professional Centers-Draper UT                   
11734 Election Road,Draper Technology Cente,rSte 180,Draper, UT 84020
801-619-4137

Pearson Professional Centers-Ogden UT                   
1150 South Depot Drive,Business Depot Ogden,Suite 130,Ogden, UT 84404
801-394-0271

United States – Vermont
Pearson Professional Centers-South Burlington VT     
30 Kimball Ave,Suite 202,South Burlington, VT 05403
802-657-3535

United States – Virginia
Pearson Professional Centers-Lynchburg VA               
424 Graves Mill Road,Graves Mill Office Park - Suite 200-A,Lynchburg, VA 24502
434-237-8813

Pearson Professional Centers-Newport News VA       
825 Diligence Drive,Suite 130,Newport News, VA 23606
757-591-0766

Pearson Professional Centers-Richmond VA               
3900 Westerre Parkway,Suite 202,Richmond, VA 23233
804-934-0150

Pearson Professional Centers-Roanoke VA           
6701 Peters Creek Road,Northpark Business Center,Suite 108,Roanoke, VA 24019
540-265-9201

Pearson Professional Centers-Vienna VA                    
8391 Old Courthouse Road,Suite 201,Vienna, VA 22182
703-749-2770

United States – Washington
Pearson Professional Centers-Renton WA                  
1300 SW 7th Street,Oaksdale Center Building E,Ste 113,Renton, WA 98055
425-277-6690

Pearson Professional Centers-Seattle WA                  
10700 Meridian Avenue North, Suite 407, Seattle, WA 98133
206-417-9986

Pearson Professional Centers-Spokane WA               
1410 N Mullan Rd,Mullan Centre,Suite 203,Spokane Valley, WA 99206
509-924-6775

Pearson Professional Centers-Yakima WA                  
1701 Creekside Loop,Suite 110,Yakima, WA 98902
509-452-7605

United States – West Virginia
Pearson Professional Centers-Charleston WV             
300 Summers Street, Suite 430,BB&T Square,Charleston, WV 25301
304-342-4681

Pearson Professional Centers-Morgantown WV          
150 Clay Street,The Jackson & Kelly Building,Suite 420,Morgantown, WV 26505
304-284-0491

United States – Wisconsin
Pearson Professional Centers-Eau Claire WI               
3610 Oakwood Mall DriveSuite 102 Eau Claire, WI 54701
715-552-8662

Pearson Professional Centers-Brookfield                    
13555 Bishops Court, Suite L10,Bishops Woods Centre,Brookfield, WI 53005
262-784-5098

Pearson Professional Centers-Kenosha WI                 
7500 Green Bay Road,Johnson Bank Building,Suite 311,Kenosha, WI 53142
262-697-6263

Pearson Professional Centers-Madison WI                
8517 Excelsior Drive,Prairie Trail Office Suites II,Suite 105,Madison, WI 53717
608-833-3991

United States – Wyoming
Pearson Professional Centers-Casper WY                 
800 Werner Court, Suite 310,Aspen Creek,Casper, WY 82601
307-472-5675

Virgin Island
Pearson Professional Centers-St. Thomas                 
Nisky Center, Suite 730, East Wing, St Thomas, 00802
+ 340-776-4910

- See more at: http://www.nursetogether.com/list-of-nclex-testing-centers#sthash.koPLGNJy.dpuf

NCLEX - Philippines

Great news for Filipino would-be nurses! I read that Pearson VUE, a computer-based testing provider for certification and licensure exams, will be opening up a testing center in Manila. This means that nursing graduates who aspire to work in the USA need not go to Hongkong for the Nclex examinations.

From the website:

The National Council of State Boards of Nursing (NCSBN®) authorized Pearson VUE to expand testing availability for the NCLEX examination to Manila, the capital of the Philippines. Exam delivery begins at the Pearson VUE-owned and -operated Pearson Professional Center in Manila on August 23, 2007 and exam scheduling opens Friday, July 13, 2007.

I think this is the most logical thing to do, since the US is experiencing a severe shortage of nurses and young Filipinos are out to fill that gap by the thousands per year. The money they save from not having to go to Hong kong can be well spent on their travel expenses leaving for the United States. Makes sense, eh?

You may reach the new test center at:

Pearson Professional Centers
27th Floor, Trident Tower
312 Senator Gil Puyat Avenue,
Makati City,
Manila
Telephone Number: +63 2 887 2198

Directions:

From Buendia LRT Station take a Guadalupe-bound jeepney. Trident Tower is located immediately after the old Shell Maya station, just off the Ayala-Buendia stoplight. Examinees coming from EDSA (Buendia MRT or Guadalupe Tulay) should take an LRT-Taft-bound jeepney and alight just before the Ayala Avenue – Malugay intersection. Those coming in from Ayala Avenue should walk towards Buendia via Geronimo Street (RCBC Plaza and Metrobank GT Towers)

Applicants in the Asia Pacific (Philippines included) who wish to schedule an exam should call +612 9478 5400 (EXT. 3) 8:30 am-6 pm. By dialing this number, you are making a long distance call to Australia. There is no local number available yet. You must also have a credit card ready to pay the scheduling fee.

The first batch of examinees will take the NCLEX on August 23, 2007. I gather that there are still many slots available, but some scheduled their dates in September or later.

For those who are set to take the exams in Hongkong on or after August 23, you may call the number above and have them transfer your venue to the Philippines free of charge.

For examinees coming in from the provinces, there are some hotels in the vicinity you might want to consider:

Makati Palace Hotel (currently 50% off room rates)
5011 P. Burgos corner Caceres Streets
Makati City
Tel: (02) 899-0344

Century Citadel Inn
5007 P. Burgos St. and Kalayaan St.
Bel-Air
Makati City
Tel: (02) 897-2370, (02) 897-2666

Salcedo Suites ($33/night)
LPL Manor Building, 116 L.P. Leviste Street,
Salcedo Village, Makati City
Tel: (02) 893-2654 / (02) 813-6331

Regine’s
339 Gil J Puyat Ave.
Makati City
Tel: (02) 899-9594

El Cielito (kinda far, but not really)
804 Arnaiz Avenue (formerly Pasay Road)
Makati City, Philippines
Tel. No.: (02) 815-8951 to 54

It’s recommended to check in at least a night before and not on the day of exam itself. The NCLEX isn’t easy, you’ll need all the rest you can get! To save on lodging fees, share with someone else who’s taking the test on the same day as you. Good luck!

NCLEX model questions

1. A nurse is administering IV furosemide to a patient admitted with congestive heart failure. After the infusion, which of the following symptoms is NOT expected?

A. Increased urinary output.
B. Decreased edema.
C. Decreased pain.
D. Decreased blood pressure.

2. There are a number of risk factors associated with coronary artery disease. Which of the following is a modifiable risk factor?

A. Obesity.
B. Heredity.
C. Gender.
D. Age.

3. Tissue plasminogen activator (t-PA) is considered for treatment of a patient who arrives in the emergency department following onset of symptoms of myocardial infarction. Which of the following is a contraindication for treatment with t-PA?

A. Worsening chest pain that began earlier in the evening.
B. History of cerebral hemorrhage.
C. History of prior myocardial infarction.
D. Hypertension.

4. Following myocardial infarction, a hospitalized patient is encouraged to practice frequent leg exercises and ambulate in the hallway as directed by his physician. Which of the following choices reflects the purpose of exercise for this patient?

A. Increases fitness and prevents future heart attacks.
B. Prevents bedsores.
C. Prevents DVT (deep vein thrombosis).
D. Prevent constipations.

5. A patient arrives in the emergency department with symptoms of myocardial infarction, progressing to cardiogenic shock. Which of the following symptoms should the nurse expect the patient to exhibit with cardiogenic shock?

A. Hypertension.
B. Bradycardia.
C. Bounding pulse.
D. Confusion.

6. A patient with a history of congestive heart failure arrives at the clinic complaining of dyspnea. Which of the following actions is the first the nurse should perform?

A. Ask the patient to lie down on the exam table.
B. Draw blood for chemistry panel and arterial blood gas (ABG).
C. Send the patient for a chest x-ray.
D. Check blood pressure.

7. A clinic patient has recently been prescribed nitroglycerin for treatment of angina. He calls the nurse complaining of frequent headaches. Which of the following responses to the patient is correct?

A. "Stop taking the nitroglycerin and see if the headaches improve."
B. "Go to the emergency department to be checked because nitroglycerin can cause bleeding in the brain."
C. "Headaches are a frequent side effect of nitroglycerine because it causes vasodilation."
D. "The headaches are unlikely to be related to the nitroglycerin, so you should see your doctor for further investigation."

8. A patient received surgery and chemotherapy for colon cancer, completing therapy 3 months previously, and she is now in remission. At a follow-up appointment, she complains of fatigue following activity and difficulty with concentration at her weekly bridge games. Which of the following explanations could account for her symptoms?

A. The symptoms may be the result of anemia caused by chemotherapy.
B. The patient may be immunosuppressed.
C. The patient may be depressed.
D. The patient may be dehydrated.

9. A clinic patient has a hemoglobin concentration of 10.8 g/dL and reports sticking to a strict vegetarian diet. Which of the follow nutritional advice is appropriate?

A. The diet is providing adequate sources of iron and requires no changes.
B. The patient should add meat to her diet; a vegetarian diet is not advised.
C. The patient should use iron cookware to prepare foods, such as dark green, leafy vegetables and legumes, which are high in iron.
D. A cup of coffee or tea should be added to every meal.

10. A hospitalized patient is receiving packed red blood cells (PRBCs) for treatment of severe anemia. Which of the following is the most accurate statement?

A. Transfusion reaction is most likely immediately after the infusion is completed.
B. PRBCs are best infused slowly through a 20g. IV catheter.
C. PRBCs should be flushed with a 5% dextrose solution.
D. A nurse should remain in the room during the first 15 minutes of infusion.

11. A patient who has received chemotherapy for cancer treatment is given an injection of Epoetin. Which of the following should reflect the findings in a complete blood count (CBC) drawn several days later?

A. An increase in neutrophil count.
B. An increase in hematocrit.
C. An increase in platelet count.
D. An increase in serum iron.

12. A patient is admitted to the hospital with suspected polycythemia vera. Which of the following symptoms is consistent with the diagnosis?

A. Weight loss.
B. Increased clotting time.
C. Hypertension.
D. Headaches.

13. A nurse is caring for a patient with a platelet count of 20,000/microliter. Which of the following is an important intervention?

A. Observe for evidence of spontaneous bleeding.
B. Limit visitors to family only.
C. Give aspirin in case of headaches.
D. Impose immune precautions.

14. A nurse in the emergency department assesses a patient who has been taking long-term corticosteroids to treat renal disease. Which of the following is a typical side effect of corticosteroid treatment? Note: More than one answer may be correct.

A. Hypertension.
B. Cushingoid features.
C. Hyponatremia.
D. Low serum albumin.

15. A nurse is caring for patients in the oncology unit. Which of the following is the most important nursing action when caring for a neutropenic patient?

A. Change the disposable mask immediately after use.
B. Change gloves immediately after use.
C. Minimize patient contact.
D. Minimize conversation with the patient.

16. A patient is undergoing the induction stage of treatment for leukemia. The nurse teaches family members about infectious precautions. Which of the following statements by family members indicates that the family needs more education?

A. We will bring in books and magazines for entertainment.
B. We will bring in personal care items for comfort.
C. We will bring in fresh flowers to brighten the room.
D. We will bring in family pictures and get well cards.

17. A nurse is caring for a patient with acute lymphoblastic leukemia (ALL). Which of the following is the most likely age range of the patient?

A. 3-10 years.
B. 25-35 years.
C. 45-55 years.
D. over 60 years.

18. A patient is admitted to the oncology unit for diagnosis of suspected Hodgkin's disease. Which of the following symptoms is typical of Hodgkin's disease?

A. Painful cervical lymph nodes.
B. Night sweats and fatigue.
C. Nausea and vomiting.
D. Weight gain.

19. The Hodgkin's disease patient described in the question above undergoes a lymph node biopsy for definitive diagnosis. If the diagnosis of Hodgkin's disease were correct, which of the following cells would the pathologist expect to find?

A. Reed-Sternberg cells.
B. Lymphoblastic cells.
C. Gaucher's cells.
D. Rieder's cells

20. A patient is about to undergo bone marrow aspiration and biopsy and expresses fear and anxiety about the procedure. Which of the following is the most effective nursing response?

A. Warn the patient to stay very still because the smallest movement will increase her pain.
B. Encourage the family to stay in the room for the procedure.
C. Stay with the patient and focus on slow, deep breathing for relaxation.
D. Delay the procedure to allow the patient to deal with her feelings.

Answer Key

1. Answer: C

Furosemide, a loop diuretic, does not alter pain. Furosemide acts on the kidneys to increase urinary output. Fluid may move from the periphery, decreasing edema. Fluid load is reduced, lowering blood pressure.

2. Answer: A

Obesity is an important risk factor for coronary artery disease that can be modified by improved diet and weight loss. Family history of coronary artery disease, male gender, and advancing age increase risk but cannot be modified.

3. Answer: B

A history of cerebral hemorrhage is a contraindication to tPA because it may increase the risk of bleeding. TPA acts by dissolving the clot blocking the coronary artery and works best when administered within 6 hours of onset of symptoms. Prior MI is not a contraindication to tPA. Patients receiving tPA should be observed for changes in blood pressure, as tPA may cause hypotension.

4. Answer: C

Exercise is important for all hospitalized patients to prevent deep vein thrombosis. Muscular contraction promotes venous return and prevents hemostasis in the lower extremities. This exercise is not sufficiently vigorous to increase physical fitness, nor is it intended to prevent bedsores or constipation.

5. Answer: D

Cardiogenic shock severely impairs the pumping function of the heart muscle, causing diminished blood flow to the organs of the body. This results in diminished brain function and confusion, as well as hypotension, tachycardia, and weak pulse. Cardiogenic shock is a serious complication of myocardial infarction with a high mortality rate.

6. Answer: D

A patient with congestive heart failure and dyspnea may have pulmonary edema, which can cause severe hypertension. Therefore, taking the patient's blood pressure should be the first action. Lying flat on the exam table would likely worsen the dyspnea, and the patient may not tolerate it. Blood draws for chemistry and ABG will be required, but not prior to the blood pressure assessment.

7. Answer: C

Nitroglycerin is a potent vasodilator and often produces unwanted effects such as headache, dizziness, and hypotension. Patients should be counseled, and the dose titrated, to minimize these effects. In spite of the side effects, nitroglycerine is effective at reducing myocardial oxygen consumption and increasing blood flow. The patient should not stop the medication. Nitroglycerine does not cause bleeding in the brain.

8. Answer: A

Three months after surgery and chemotherapy the patient is likely to be feeling the after-effects, which often includes anemia because of bone-marrow suppression. There is no evidence that the patient is immunosuppressed, and fatigue is not a typical symptom of immunosuppression. The information given does not indicate that depression or dehydration is a cause of her symptoms.

9. Answer: 3

Normal hemoglobin values range from 11.5-15.0. This vegetarian patient is mildly anemic. When food is prepared in iron cookware its iron content is increased. In addition, dark green leafy vegetables, such as spinach and kale, and legumes are high in iron. Mild anemia does not require that animal sources of iron be added to the diet. Many non-animal sources are available. Coffee and tea increase gastrointestinal activity and inhibit absorption of iron.

10. Answer: D

Transfusion reaction is most likely during the first 15 minutes of infusion, and a nurse should be present during this period. PRBCs should be infused through a 19g or larger IV catheter to avoid slow flow, which can cause clotting. PRBCs must be flushed with 0.45% normal saline solution. Other intravenous solutions will hemolyze the cells.

11. Answer: B

Epoetin is a form of erythropoietin, which stimulates the production of red blood cells, causing an increase in hematocrit. Epoetin is given to patients who are anemic, often as a result of chemotherapy treatment. Epoetin has no effect on neutrophils, platelets, or serum iron.

12. Answer: B, C, and D

Polycythemia vera is a condition in which the bone marrow produces too many red blood cells. This causes an increase in hematocrit and viscosity of the blood. Patients can experience headaches, dizziness, and visual disturbances. Cardiovascular effects include increased blood pressure and delayed clotting time. Weight loss is not a manifestation of polycythemia vera.

13. Answer: A

Platelet counts under 30,000/microliter may cause spontaneous petechiae and bruising, particularly in the extremities. When the count falls below 15,000, spontaneous bleeding into the brain and internal organs may occur. Headaches may be a sign and should be watched for. Aspirin disables platelets and should never be used in the presence of thrombocytopenia. Thrombocytopenia does not compromise immunity, and there is no reason to limit visitors as long as any physical trauma is prevented.

14. Answer: A, B, and D

Side effects of corticosteroids include weight gain, fluid retention with hypertension, Cushingoid features, a low serum albumin, and suppressed inflammatory response. Patients are encouraged to eat a diet high in protein, vitamins, and minerals and low in sodium. Corticosteroids cause hypernatremia, not hyponatremia.

15. Answer: B

The neutropenic patient is at risk of infection. Changing gloves immediately after use protects patients from contamination with organisms picked up on hospital surfaces. This contamination can have serious consequences for an immunocompromised patient. Changing the respiratory mask is desirable, but not nearly as urgent as changing gloves. Minimizing contact and conversation are not necessary and may cause nursing staff to miss changes in the patient's symptoms or condition.

16. Answer: C

During induction chemotherapy, the leukemia patient is severely immunocompromised and at risk of serious infection. Fresh flowers, fruit, and plants can carry microbes and should be avoided. Books, pictures, and other personal items can be cleaned with antimicrobials before being brought into the room to minimize the risk of contamination.

17. Answer: A

The peak incidence of ALL is at 4 years (range 3-10). It is uncommon after the mid-teen years. The peak incidence of chronic myelogenous leukemia (CML) is 45-55 years. The peak incidence of acute myelogenous leukemia (AML) occurs at 60 years. Two-thirds of cases of chronic lymphocytic leukemia (CLL) occur after 60 years.

18. Answer: B

Symptoms of Hodgkin's disease include night sweats, fatigue, weakness, and tachycardia. The disease is characterized by painless, enlarged cervical lymph nodes. Weight loss occurs early in the disease. Nausea and vomiting are not typically symptoms of Hodgkin's disease.

19. Answer: A

A definitive diagnosis of Hodgkin's disease is made if Reed-Sternberg cells are found on pathologic examination of the excised lymph node. Lymphoblasts are immature cells found in the bone marrow of patients with acute lymphoblastic leukemia. Gaucher's cells are large storage cells found in patients with Gaucher's disease. Rieder's cells are myeloblasts found in patients with acute myelogenous leukemia.

20. Answer: C

Slow, deep breathing is the most effective method of reducing anxiety and stress. It reduces the level of carbon dioxide in the brain to increase calm and relaxation. Warning the patient to remain still will likely increase her anxiety. Encouraging family members to stay with the patient may make her worry about their anxiety as well as her own. Delaying the procedure is unlikely to allay her fears.

Sample questions NCLEX

1. A child is admitted to the hospital with a diagnosis of Wilm's tumor, stage II. Which of the following statements most accurately describes this stage?

1. The tumor is less than 3 cm. in size and requires no chemotherapy.
2. The tumor did not extend beyond the kidney and was completely resected.
3. The tumor extended beyond the kidney but was completely resected.
4. The tumor has spread into the abdominal cavity and cannot be resected.

2. A teen patient is admitted to the hospital by his physician who suspects a diagnosis of acute glomerulonephritis. Which of the following findings is consistent with this diagnosis? Note: More than one answer may be correct.

1. Urine specific gravity of 1.040.
2. Urine output of 350 ml in 24 hours.
3. Brown ("tea-colored") urine.
4. Generalized edema.

3. Which of the following conditions most commonly causes acute glomerulonephritis?

1. A congenital condition leading to renal dysfunction.
2. Prior infection with group A Streptococcus within the past 10-14 days.
3. Viral infection of the glomeruli.
4. Nephrotic syndrome.

4. An infant with hydrocele is seen in the clinic for a follow-up visit at 1 month of age. The scrotum is smaller than it was at birth, but fluid is still visible on illumination. Which of the following actions is the physician likely to recommend?

1. Massaging the groin area twice a day until the fluid is gone.
2. Referral to a surgeon for repair.
3. No treatment is necessary; the fluid is reabsorbing normally.
4. Keeping the infant in a flat, supine position until the fluid is gone.

5. A nurse is caring for a patient with peripheral vascular disease (PVD). The patient complains of burning and tingling of the hands and feet and cannot tolerate touch of any kind. Which of the following is the most likely explanation for these symptoms?

1. Inadequate tissue perfusion leading to nerve damage.
2. Fluid overload leading to compression of nerve tissue.
3. Sensation distortion due to psychiatric disturbance.
4. Inflammation of the skin on the hands and feet.

6. A patient in the cardiac unit is concerned about the risk factors associated with atherosclerosis. Which of the following are hereditary risk factors for developing atherosclerosis?

1. Family history of heart disease.
2. Overweight.
3. Smoking.
4. Age.

7. Claudication is a well-known effect of peripheral vascular disease. Which of the following facts about claudication is correct?

1. It results when oxygen demand is greater than oxygen supply.
2. It is characterized by pain that often occurs duing rest.
3. It is a result of tissue hypoxia.
4. It is characterized by cramping and weakness.

8. A nurse is providing discharge information to a patient with peripheral vascular disease. Which of the following information should be included in instructions?

1. Walk barefoot whenever possible.
2. Use a heating pad to keep feet warm.
3. Avoid crossing the legs.
4. Use antibacterial ointment to treat skin lesions at risk of infection.

9. A patient who has been diagnosed with vasospastic disorder (Raynaud's disease) complains of cold and stiffness in the fingers. Which of the following descriptions is most likely to fit the patient?

1. An adolescent male.
2. An elderly woman.
3. A young woman.
4. An elderly man.

10. A 23 year old patient in the 27th week of pregnancy has been hospitalized on complete bed rest for 6 days. She experiences sudden shortness of breath, accompanied by chest pain. Which of the following conditions is the most likely cause of her symptoms?

1. Myocardial infarction due to a history of atherosclerosis.
2. Pulmonary embolism due to deep vein thrombosis (DVT).
3. Anxiety attack due to worries about her baby's health.
4. Congestive heart failure due to fluid overload.

11. Thrombolytic therapy is frequently used in the treatment of suspected stroke. Which of the following is a significant complication associated with thrombolytic therapy?

1. Air embolus.
2. Cerebral hemorrhage.
3. Expansion of the clot.
4. Resolution of the clot.

12. An infant is brought to the clinic by his mother, who has noticed that he holds his head in an unusual position and always faces to one side. Which of the following is the most likely explanation?

1. Torticollis, with shortening of the sternocleidomastoid muscle.
2. Craniosynostosis, with premature closure of the cranial sutures.
3. Plagiocephaly, with flattening of one side of the head.
4. Hydrocephalus, with increased head size.

13. An adolescent brings a physician's note to school stating that he is not to participate in sports due to a diagnosis of Osgood-Schlatter disease. Which of the following statements about the disease is correct?

1. The condition was caused by the student's competitive swimming schedule.
2. The student will most likely require surgical intervention.
3. The student experiences pain in the inferior aspect of the knee.
4. The student is trying to avoid participation in physical education.

14. The clinic nurse asks a 13-year-old female to bend forward at the waist with arms hanging freely. Which of the following assessments is the nurse most likely conducting?

1. Spinal flexibility.
2. Leg length disparity.
3. Hypostatic blood pressure.
4. Scoliosis.

15. A clinic nurse interviews a parent who is suspected of abusing her child. Which of the following characteristics is the nurse LEAST likely to find in an abusing parent?

1. Low self-esteem.
2. Unemployment.
3. Self-blame for the injury to the child.
4. Single status.

16. A nurse is assigned to the pediatric rheumatology clinic and is assessing a child who has just been diagnosed with juvenile idiopathic arthritis. Which of the following statements about the disease is most accurate?

1. The child has a poor chance of recovery without joint deformity.
2. Most children progress to adult rheumatoid arthritis.
3. Nonsteroidal anti-inflammatory drugs are the first choice in treatment.
4. Physical activity should be minimized.

17. A child is admitted to the hospital several days after stepping on a sharp object that punctured her athletic shoe and entered the flesh of her foot. The physician is concerned about osteomyelitis and has ordered parenteral antibiotics. Which of the following actions is done immediately before the antibiotic is started?

1. The admission orders are written.
2. A blood culture is drawn.
3. A complete blood count with differential is drawn.
4. The parents arrive.

18. A two-year-old child has sustained an injury to the leg and refuses to walk. The nurse in the emergency department documents swelling of the lower affected leg. Which of the following does the nurse suspect is the cause of the child's symptoms?

1. Possible fracture of the tibia.
2. Bruising of the gastrocnemius muscle.
3. Possible fracture of the radius.
4. No anatomic injury, the child wants his mother to carry him.

19. A toddler has recently been diagnosed with cerebral palsy. Which of the following information should the nurse provide to the parents? Note: More than one answer may be correct.

1. Regular developmental screening is important to avoid secondary developmental delays.
2. Cerebral palsy is caused by injury to the upper motor neurons and results in motor dysfunction, as well as possible ocular and speech difficulties.
3. Developmental milestones may be slightly delayed but usually will require no additional intervention.
4. Parent support groups are helpful for sharing strategies and managing health care issues.

20. A child has recently been diagnosed with Duchenne's muscular dystrophy. The parents are receiving genetic counseling prior to planning another pregnancy. Which of the following statements includes the most accurate information?

1. Duchenne's is an X-linked recessive disorder, so daughters have a 50% chance of being carriers and sons a 50% chance of developing the disease.
2. Duchenne's is an X-linked recessive disorder, so both daughters and sons have a 50% chance of developing the disease.
3. Each child has a 1 in 4 (25%) chance of developing the disorder.
4. Sons only have a 1 in 4 (25%) chance of developing the disorder.

Answer Key

1. C

The staging of Wilm's tumor is confirmed at surgery as follows: Stage I, the tumor is limited to the kidney and completely resected; stage II, the tumor extends beyond the kidney but is completely resected; stage III, residual nonhematogenous tumor is confined to the abdomen; stage IV, hematogenous metastasis has occurred with spread beyond the abdomen; and stage V, bilateral renal involvement is present at diagnosis.

2. A, B, and C

Acute glomerulonephritis is characterized by high urine specific gravity related to oliguria as well as dark "tea colored" urine caused by large amounts of red blood cells. There is periorbital edema, but generalized edema is seen in nephrotic syndrome, not acute glomerulonephritis.

3. B

Acute glomerulonephritis is most commonly caused by the immune response to a prior upper respiratory infection with group A Streptococcus. Glomerular inflammation occurs about 10-14 days after the infection, resulting in scant, dark urine and retention of body fluid. Periorbital edema and hypertension are common signs at diagnosis.

4. C

A hydrocele is a collection of fluid in the scrotum that results from a patent tunica vaginalis. Illumination of the scrotum with a pocket light demonstrates the clear fluid. In most cases the fluid reabsorbs within the first few months of life and no treatment is necessary. Massaging the area or placing the infant in a supine position would have no effect. Surgery is not indicated.

5. A

Patients with peripheral vascular disease often sustain nerve damage as a result of inadequate tissue perfusion. Fluid overload is not characteristic of PVD. There is nothing to indicate psychiatric disturbance in the patient. Skin changes in PVD are secondary to decreased tissue perfusion rather than primary inflammation.

6. A

Family history of heart disease is an inherited risk factor that is not subject to life style change. Having a first degree relative with heart disease has been shown to significantly increase risk. Overweight and smoking are risk factors that are subject to life style change and can reduce risk significantly. Advancing age increases risk of atherosclerosis but is not a hereditary factor.

7. A, C, and D

Claudication describes the pain experienced by a patient with peripheral vascular disease when oxygen demand in the leg muscles exceeds the oxygen supply. This most often occurs during activity when demand increases in muscle tissue. The tissue becomes hypoxic, causing cramping, weakness, and discomfort.

8. C

Patients with peripheral vascular disease should avoid crossing the legs because this can impede blood flow. Walking barefoot is not advised, as foot protection is important to avoid trauma that may lead to serious infection. Heating pads can cause injury, which can also increase the risk of infection. Skin lesions at risk for infection should be examined and treated by a physician.

9. C

Raynaud's disease is most common in young women and is frequently associated with rheumatologic disorders, such as lupus and rheumatoid arthritis.

10. B

In a hospitalized patient on prolonged bed rest, he most likely cause of sudden onset shortness of breath and chest pain is pulmonary embolism. Pregnancy and prolonged inactivity both increase the risk of clot formation in the deep veins of the legs. These clots can then break loose and travel to the lungs. Myocardial infarction and atherosclerosis are unlikely in a 27-year-old woman, as is congestive heart failure due to fluid overload. There is no reason to suspect an anxiety disorder in this patient. Though anxiety is a possible cause of her symptoms, the seriousness of pulmonary embolism demands that it be considered first.

11. B

Cerebral hemorrhage is a significant risk when treating a stroke victim with thrombolytic therapy intended to dissolve a suspected clot. Success of the treatment demands that it be instituted as soon as possible, often before the cause of stroke has been determined. Air embolus is not a concern. Thrombolytic therapy does not lead to expansion of the clot, but to resolution, which is the intended effect.

12. A

In torticollis, the sternocleidomastoid muscle is contracted, limiting range of motion of the neck and causing the chin to point to the opposing side. In craniosynostosis one of the cranial sutures, often the sagittal, closes prematurely, causing the head to grow in an abnormal shape. Plagiocephaly refers to the flattening of one side of the head, caused by the infant being placed supine in the same position over time. Hydrocephalus is caused by a build-up of cerebrospinal fluid in the brain resulting in large head size.

13. C

Osgood-Schlatter disease occurs in adolescents in rapid growth phase when the infrapatellar ligament of the quadriceps muscle pulls on the tibial tubercle, causing pain and swelling in the inferior aspect of the knee. Osgood-Schlatter disease is commonly caused by activities that require repeated use of the quadriceps, including track and soccer. Swimming is not a likely cause. The condition is usually self-limited, responding to ice, rest, and analgesics. Continued participation will worsen the condition and the symptoms.

14. D

A check for scoliosis, a lateral deviation of the spine, is an important part of the routine adolescent exam. It is assessed by having the teen bend at the waist with arms dangling, while observing for lateral curvature and uneven rib level. Scoliosis is more common in female adolescents. Choices A, B, and C are not part of the routine adolescent exam.

15. C

The profile of a parent at risk of abusive behavior includes a tendency to blame the child or others for the injury sustained. These parents also have a high incidence of low self-esteem, unemployment, unstable financial situation, and single status.

16. 3

Nonsteroidal anti-inflammatory drugs are important first line treatment for juvenile idiopathic arthritis (formerly known as juvenile rheumatoid arthritis). NSAIDs require 3-4 weeks for the therapeutic anti-inflammatory effects to be realized. Half of children with the disorder recover without joint deformity, and about a third will continue with symptoms into adulthood. Physical activity is an integral part of therapy.

17. B

Antibiotics must be started after the blood culture is drawn, as they may interfere with the identification of the causative organism. The blood count will reveal the presence of infection but does not help identify an organism or guide antibiotic treatment. Parental presence is important for the adjustment of the child but not for the administration of medication.

18. A

The child's refusal to walk, combined with swelling of the limb is suspicious for fracture. Toddlers will often continue to walk on a muscle that is bruised or strained. The radius is found in the lower arm and is not relevant to this question. Toddlers rarely feign injury to be carried, and swelling indicates a physical injury.

19. A, B, D

Delayed developmental milestones are characteristic of cerebral palsy, so regular screening and intervention is essential. Because of injury to upper motor neurons, children may have ocular and speech difficulties. Parent support groups help families to share and cope. Physical therapy and other interventions can minimize the extent of the delay in developmental milestones.

20. A

The recessive Duchenne's gene is located on one of the two X chromosomes of a female carrier. If her son receives the X bearing the gene he will be affected. Thus, there is a 50% chance of a son being affected. Daughters are not affected, but 50% are carriers because they inherit one copy of the defective gene from the mother. The other X chromosome comes from the father, who cannot be a carrier.