Content errors in Saunders NCLEX-RN book?

Nursing Students NCLEX

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Asthma is listed as a COPD. Is it? (many sources only include chronic bronchitis and emphysema)

Tuberculin test positive only for more than 15 mm. (many sources say 10mm is enough to be considered positive for a normal person)

There were some more but I never bothered to write them down. Did anybody find any other conflicting info in the book?

I had a problem with Saunder's CD where it said I was wrong, but the rationale supported my answer. It was a priority question of 3 tasks... the nurse would assess who first:

Pt on mechanical vent

pt with newly DX'd DM scheduled for disch. teaching

Pt. to go to cardiac cath at 10am

of course, the mechanical vent is FIRST, then the other schedule for cath and the teaching last.

It said I was wrong! But, the rationale supported my answer (and not the answer it originally said it was)

That is what it sounds like it's doing for you.

Specializes in Community Health, Med-Surg, Home Health.
Well, I don't think there's a reason to hate the book. I mean, there's so much information in it, it's no wonder that there are few mistakes here and there. Mistakes can be seen in most of the books. I don't think that because of few of them you should not trust the whole book.

The purpose of this thread is not to slash it, but to reveal mistakes and clear any confusion they might cause.

I do not believe that I was slashing anything, and (not trying to sound confrontational in the least bit), but I do believe that we should feel free to express how we feel about a subject and in this case, I was discussing the content of the book...that was all. While studying for an exam that can change your life forever, and seeing content that may be misleading can place panic, fear, or even a bit of anger in the potential test taker. Saunders was great (for me) during school, but afterwards, it was a bit overwhelming. I was disgusted, and it forced me to make a change to a book that better suited my needs for the exam. Some people (such as myself) pick each thing apart and try to get meaning from it, and some of the questions were really confusing, with no clarity at all. If it helped the majority of people, that is great. I do believe, though, in hindsight, that we have to choose what works for ourselves.

I do not believe that I was slashing anything, and (not trying to sound confrontational in the least bit), but I do believe that we should feel free to express how we feel about a subject and in this case, I was discussing the content of the book...that was all. While studying for an exam that can change your life forever, and seeing content that may be misleading can place panic, fear, or even a bit of anger in the potential test taker. Saunders was great (for me) during school, but afterwards, it was a bit overwhelming. I was disgusted, and it forced me to make a change to a book that better suited my needs for the exam. Some people (such as myself) pick each thing apart and try to get meaning from it, and some of the questions were really confusing, with no clarity at all. If it helped the majority of people, that is great. I do believe, though, in hindsight, that we have to choose what works for ourselves.

I know what you mean. I too find some Saunders questions poorly written which makes it hard or impossible to understand what the question asks (is it about current problem, or future one etc). Of course not everyone has to use the same book, people are all different and some might prefer this book, while others might find other books to be more helpful for productive studying.

Specializes in Community Health, Med-Surg, Home Health.
I know what you mean. I too find some Saunders questions poorly written which makes it hard or impossible to understand what the question asks (is it about current problem, or future one etc). Of course not everyone has to use the same book, people are all different and some might prefer this book, while others might find other books to be more helpful for productive studying.

Basically, after NCLEX was over and I passed, I was just glad to put that experience behind me. I have some friends that graduated from my program a year after I did, and are experiencing the same thing, about different books. They are in a complete frenzy! And, I can understand why. If you are a precise person trying to emulate a resource, you may mistakenly follow that incorrect rationale while taking the actual exam.

There was a thread somewhere around here about a stupid question that came out of Delmar's Comprehensive Exam that sort of went in the same direction that we were discussing here with Saunders. I eventually chose Delmar's myself, as a primary source, but also saw a bit of what they were discussing as well. I drew the conclusion that I had to choose the book that was easier for my eye, had enough diagrams to see difficult content, and Delmar's (to me) really broke down pharmacology very well, leaving nice hints to remember the drugs.

I found another weird question (GI section). It's about signs of portal hypertension.

CD says the symptoms are similar to those of heart failure (lung crackles, distended neck veins). It doesn't make any sense to me... the blood is supposedly pooling in the lower part of the body, and there should be reduced venous blood return to the heart, so it's more likely that neck veins will be flat and the patient will be hypotensive. All articles on the internet only mention GI bleeding, spleen congestion, ascites... I think CD is totally wrong...

Another possibly wrong Q from CD:

According to it during removal of the nasogastric tube the client should take a deep breath and then exhale... Yet the book says the client should HOLD breath... (i found a few interenet resources that also say "take a deep breath and hold it")

Specializes in Community Health, Med-Surg, Home Health.

At this point, I would certainly consider another book. I saw quite a few, but, it seems that there were more than I even caught myself. Don't fret, this is showing that you are placing all that you can in this exam by researching for yourself, and using critical thinking...similar to what NCLEX seems to want, anyway. Best of luck to you...I think you will pass on sheer determination alone!

Question for those of you who use the Saunder's CD.

I am schedule to take NCLEX next week have done a bunch of questions on the CD. It seems to do a few questions at a time on certain context then move on to the next (i.e. maternity, then onto pediatrics, etc) and will cycle/repeat.

The bank is up to 4040 questions total, and I KNOW I will not get that high. Will I be missing any important content if I don't go through them all?

Thanks in advance for your reply!

Specializes in Community Health, Med-Surg, Home Health.
Question for those of you who use the Saunder's CD.

I am schedule to take NCLEX next week have done a bunch of questions on the CD. It seems to do a few questions at a time on certain context then move on to the next (i.e. maternity, then onto pediatrics, etc) and will cycle/repeat.

The bank is up to 4040 questions total, and I KNOW I will not get that high. Will I be missing any important content if I don't go through them all?

Thanks in advance for your reply!

Hard to say. How much time did you take to study for the exam? Did you do other CDs? NCLEX is a weird demon, because I did over 7000 questions from various sources, yet, did not see much that I recognized on the exam. But, I did a great deal of both, reading and questions, so, I guess something kicked in for me to pass with minimum. If you have one more week to go, try and be sure that you have covered the 4 dormains of questions; med/surg, psych, maternal child and pediatrics. I have not heard of many people being bombarded with psych questions, so, that may not be a problem. Most people try and do at least 100 per day, making a variety. Good luck.

yeh I have done at LEAST 100 a day, and have done about 1500 so far since graduating (but did about 1000 before graduating), and plan to have over 3000 (which is what they recommended to us) before taking the test.

My school has a 100% pass rate x three years, so I'm hoping not to break it!

Thanks for the advice I'll definitely keep it in mind!

ok, another probable minor error.

The CD says that during caloric testing, the cold water will produce eye movement towards the ear being irrigated in normal result.

I found a couple of internet sites that describe normal results as when eye move towards opposite side with cold water, and towards same side with warm water.

Book states normal ammonia level is 35-65 mcg/dl

CD and internet: 15-45 mcg/dl

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