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Series 7 Exam For Dummies Cheat Sheet

4 Main Categories of Client Needs on

the NCLEX-RN

10 Myths About the NCLEX-RN

Follow Maslow’s Hierarchy of Needs

for the NCLEX-RN
59

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! " Test Prep " Series 7 Exam For Dummies Cheat Sheet
Case Files for Med Students

Cheat Sheet

Series 7 Exam For

RELATED BOOK
Series 7 Exam For

Dummies Cheat Sheet

Dummies, 4th Edition
with Online Practice

By Steven M. Rice

Taking the Series 7 exam, whether for the !rst time or the fourteenth, is a huge challenge and
requires many hours of preparation. Put your time to good use by taking a look at the following
articles so you can be ready before the exam even begins, and you can be successful when it’s
completed.

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Establishing a Strong Study Routine for the

Series 7 Exam
Passing the Series 7 exam is a rite of passage for stockbrokers. If you put the time and e"ort
into studying for the exam, you’ll be rewarded. If not, you’ll have to take it over and over again
until you pass. You have to use your time e#ciently, and to accomplish this, you need to grab
every spare moment and channel it into study time. Follow the tips listed here and you’ll be well
on your way to earning a passing grade.

Get into a consistent study routine on a daily basis; never separate yourself from your
textbooks for more than one day.

Stay focused. If you get stuck on a multipart question, break down the question into
segments; if you run into trouble with a math question, draw diagrams.

Take short, ten-minute breaks throughout the day to give your brain a chance to process
information.

Reinforce your knowledge every day by reviewing old information while learning new
material.

Make yourself some $ash cards to use as study aids.

Record your notes onto a tape recorder and play them back at night while you’re falling
asleep.

Take several practice exams before you tackle the real deal. You should consistently score
80 to 85 percent on the sample tests to ensure that you’re ready.

Tackling Series 7 Exam Questions

To be successful on the Series 7 exam, you have to master the concepts that form the basis of
the questions and, equally importantly, you need to develop your test-taking skills. Examining
the di"erent types of questions on the exam and how to answer them is a smart way to achieve
your goal of passing the Series 7.

Read the question carefully.

Underline or highlight key words to avoid tricky detractors (except, unless, not).

Identify the facts you need to answer the question and ignore the information you don’t
need.

Use scrap paper to write down formulas and key points from the question, perform
calculations, and draw diagrams.

When you’re unsure of the correct answer, eliminate as many wrong answers as possible.

Work with the facts presented in the question and don’t make the question more di#cult
than it is.

If you don’t know the answer, don’t obsess. Take your best guess and mark it for review to
return to later. As you go through the exam, another question may trigger your memory. If
you still aren’t sure of the answer when you return, remember these tips:

Select a more precise answer more often than a less precise answer.

Select a longer answer over a shorter answer.

When answering multiple choice questions, if you see two opposing answer choices,
one must be right.

Cannot be determined is almost never the correct answer on the Series 7 exam.

In complex (two-tiered) questions, an answer choice of none of the above is almost

always wrong; you can usually eliminate it.

Keep track of time.

Memorizing Important Formulas for the Series 7

Exam
You can’t bring your notes into the Series 7 exam center, so be sure to stow the following info
away in your brain and write it on the scrap paper provided after the test begins:

Determine the outstanding shares

Outstanding shares = issued shares – treasury stock

Long margin account formula

Long market value (LMV) – debit record (DR) = equity (EQ)

Short margin account formula

Short market value (SMV) + equity (EQ) = credit record (CR)

Calculate the time value of an option

Premium (P) = intrinsic value (I) + time value (T)

Balance sheet formula

Assets = liabilities + stockholder’s equity

Calculate working capital

Working capital = current assets – current liabilities

Calculate the time value of an option

Premium (P) = intrinsic value (I) + time value (T)

What to Do the Day before You Take the Series 7

Exam
You’ve studied for the Series 7 exam, you know the content backward and forward. You are
ready! So, don’t let your nerves overtake you the day of the exam. Follow these steps to ready
yourself for test-taking day and you’ll be prepared to walk in and conquer the Series 7:

Review your notes until noon.

Get away from the books: Go out to dinner (skip the spicy foods and alcohol) or go to a
movie — do whatever you want to rest your mind.

Gather the items to bring with you to the exam site:

Your ID

Exam site directions

Layered clothing

Earplugs (if allowed)

A clock or watch

A snack/lunch

Your cellphone for emergencies (leave it in

the car)

Study material and notes (leave them in the car)

Set two alarm clocks. Leave enough time to get to the exam site an hour and a half early —
one hour for more review and one half-hour for checking in.

Get to bed early.

Interactive medical learning

Learn More

About the Book Author

Steven M. Rice earned an exceptionally high score on the Series 7 exam and soon began
tutoring others in the broker dealership where he worked as a stockbroker. He developed and
designed the online Empire Stockbroker Training Institute and has coauthored a complete
library of securities training materials.

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! " Test Prep " 4 Main Categories of Client Needs on the NCLEX-RN

4 Main Categories of RELATED BOOK

NCLEX-RN For
Client Needs on the Dummies, 2nd Edition

NCLEX-RN

By Patrick R. Coonan, Rhoda Sommer

The people who make up the NCLEX-RN exam like everything to be neatly organized, so they
take a list of topics to be covered on the test and break each topic down into categories and
subcategories. The test consists of four categories of topics with subcategories: safe and
e"ective care, health promotion and maintenance, psychosocial integrity, and physiological
integrity.

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Each of these categories and subcategories is classi!ed as a “client need.” The idea is that all
your patients’ needs !t into one of the categories listed in the following sections, whether it’s a
need for pain medication or a need for a chocolate milkshake. Understanding the categories
gives you a good idea of how this test is constructed and what areas questions come from. You
de!nitely will see questions from each of these general areas on the exam.

As if categories and subcategories weren’t enough, the following processes are integrated
throughout:

Caring

Communication

Documentation

Teaching

The client needs categories exist to cover and test you on just about any nursing problem,
action, or intervention from the cradle to the grave. The following sections break down the
categories, with the most common topics related to each listed below the subcategory titles.

© Tyler Olson / Shutterstock.com

Not sure what to focus on? On the content side, the four categories
and their subcategories comprise certain percentages of questions
addressing each topic on the exam. They’re all pretty close
percentage-wise, but a few sections are a bit more heavily weighted,
so you may want to spend more time reviewing them. The breakdown
appears in the following table.

Percentage Breakdown of NCLEX-RN Content

Client Need Category Percentage of Test

Safe and e!ective care Management of care 17–23%

Safe and e!ective care Safety and infection control 9–15%

Health promotion and N/A 6–12%

maintenance

Psychosocial integrity N/A 6–12%

Physiological integrity Basic care and comfort 6–12%

Physiological integrity Pharmacological and 12–18%

parenteral therapy

Physiological integrity Reduction of risk potential 9–15%

Physiological integrity Physiological adaptation 11–17%

Client need #1: Safe and e!ective care

The !rst client need, safe and e"ective care, includes nursing care that addresses anything that
falls under management of care and safety and infection control.

Management of care covers

Advance directives/self-determination and life planning

Advocacy

Assignment, delegations, and supervision

Case management

Client rights

Collaboration with the multidisciplinary team

Concepts of management

Con!dentiality/information security

Continuity of care

Establishing priorities

Ethical practice

Informed consent

Information technology

Legal rights and responsibilities

Performance improvement

Referrals

Safety and infection control covers

Accident prevention/error/injury prevention

Emergency response plan

Ergonomic principles

Handling hazardous and infectious materials

Home safety

Reporting of the incident event/irregular occurrence/variance

Safe use of equipment

Security plan

Standard precautions/transmission-based precautions/surgical asepsis

Use of restraints and safety devices

Here’s an example question that falls under this !rst client need category:

Practice question
The nurse is making an assignment for the nursing assistant who has been $oated to the unit
for the shift. Which of the following assignments would be appropriate for a nursing assistant?

(1) A 62-year-old with a fractured hip, four days post-op

(2) A 75-year-old admitted three hours ago with intermittent chest pain

(3) A 49-year-old, one day post-op bowel resection, NPO with a nasogastric tube

(4) A 50-year-old who is being discharged

The correct answer is Choice (1). Keywords are assignment, for nursing assistant, !oated, and
appropriate assignment. What do you remember about delegation? What are the rules of how to
delegate patient assignments? The nursing assistant can perform all activities of daily living,
which include bathing, feeding, mobilizing, toileting, and basic comfort. The LPN can provide all
the activities of daily living as well as skills that require sterile techniques, medication
administration, invasive procedures, and treatments. The RN can do all the activities of daily
living, all the skills, and all the assessments and teaching. Knowing about delegation makes it
really easy to determine the correct answer. The nursing assistant can’t be assigned any patient
who requires skilled care, assessment, or teaching. Therefore, the most appropriate patient to
assign to the nursing assistant is the most stable patient who doesn’t need any medications,
assessment, treatments, or teaching.

Any patient who’s being admitted or discharged must always be

assigned to the RN.

Client need #2: Health promotion and

maintenance
The second client need, health promotion and maintenance, includes all things pertaining to
the health in a person’s life — prevention and care out of the hospital and all things concerning
a normal pregnancy and delivery, among other things.

Health promotion and maintenance covers

Aging process

Ante/intra/postpartum and newborn care

Developmental stages and transitions

Health promotion/disease prevention

Health screening

Family Planning

High-risk behaviors

Human sexuality

Immunizations

Lifestyle choices

Principles of teaching and learning

Self-care

Techniques of physical assessment

Questions in this category may be worded like so:

Practice question
The mother of a 2-month-old brings her baby to the well-baby clinic for his !rst health
assessment. Which of the following would be appropriate anticipatory guidance for the nurse
to present to the mother?

(1) “Start using your car seat as soon as he can hold his head steady.”

(2) “Begin adding cereal to his formula.”

(3) “Expect him to begin to go for longer periods in between feedings.”

(4) “Consider taking him to play groups for additional stimulation.”

The correct answer is Choice (3). The keywords here are 2-month-old, well baby clinic, "rst health
assessment, and appropriate anticipatory guidance for mother. By 2 months of age, babies’
stomachs have grown enough to accommodate larger feedings, which allow them to go for
longer stretches before needing refueling. A 2-month-old should already be using a car seat.
Cereal isn’t added until the child is at least 4 months old (around the same time that teeth
erupt), and a 2-month-old is only interested in his primary caregivers.

Client need #3: Psychosocial integrity

The psychosocial integrity category tests your knowledge of culture, health practices, mental
health disorders, addictions, crisis theory, and the foundations of mental health nursing. This
section is all about feelings and emotions and how to get the client to express them to be
therapeutic.

Psychosocial integrity covers

Abuse/neglect

Behavioral interventions

Coping mechanisms

Crisis intervention

Cultural awareness/cultural in$uences on health

End of life care

Family dynamics

Grief and loss

Mental health concepts

Religious and spiritual in$uences on health

Sensory/perceptual alterations

Stress management

Substance use and dependencies

Support systems
 Therapeutic communications

Therapeutic environment

The following is an example of a question addressing this client need:

Practice question
A nurse is providing information to the family of an alcoholic patient. The nurse encourages the
wife of the patient to attend an Al-Anon support group. The wife states that it’s di#cult for her
to face other people because she is embarrassed by her husband’s behavior. What would the
nurse most appropriately tell a wife to help alleviate some of her concern?

(1) She doesn’t need to tell anybody her name or other identifying information.

(2) She won’t know any members of the support group.

(3) The members of the group have all experienced the same problem.

(4) The group is always led by a nurse, physician, or other healthcare provider.

The correct answer is Choice (3). Keywords to look at are wife of alcoholic patient, attending Al-
Anon meetings, embarrassed by husband’s behavior, and most appropriate to alleviate some of her
concerns. This question relates to supporting the client’s wife during an embarrassing event. Al-
Anon is a support group for spouses and friends of alcoholics or addicts of any kind. Support
groups are based on the premise that people who have experienced a problem are able to
help others with the same problem. Choice (2) is wrong because the nurse can’t be sure that
the spouse won’t know anybody in the group. Although Choice (1) may be correct, it’s not the
most appropriate response to give to the wife of this patient. Choice (4) is incorrect because,
although a nurse or other healthcare professional may be asked to speak at a group meeting,
the members of the support group usually lead it themselves.

Client need #4: Physiological integrity

The last client need, physiological integrity, includes four di"erent subcategory client needs:
basic care and comfort, pharmacological and parenteral therapies, reduction of risk potential,
and physiological adaptation. Basic care and comfort addresses the knowledge, skills, and ability
required to provide comfort and assistance to the client in the performance of activities of daily
living. Pharmacological and parenteral therapies address the knowledge, skills, and ability
required to administer medication and other intravenous therapies. Reduction of risk potential
addresses the knowledge, skills, and ability required to prevent complications or health
problems related to the client’s condition or any other prescribed treatment or procedures.
Physiological adaptation addresses the ability to provide care to clients with acute, chronic, or
life-threatening conditions.

In the category of physiological integrity, you’ll encounter questions from the following
subcategories:

Basic care and comfort covers

Assistive devices

Elimination

Mobility/immobility

Non-pharmacological comfort interventions

Nutrition and oral hydration

Personal hygiene

Rest and sleep

Pharmacological and parenteral therapies covers

Adverse e"ects/contraindications and side e"ects

Blood and blood products

Central venous access devices

Dosage calculation

Expected outcomes/e"ects

Intravenous therapy

Medication administration

Parenteral/intravenous $uids

Pharmacological pain management

Total parenteral nutrition

Reduction of risk potential covers

Changes/abnormalities in vital signs

Diagnostic tests

Laboratory values

Monitoring conscious sedation

Potential for alterations in body systems

Potential for complications of diagnostic tests/treatments/procedures

Potential for complications from surgical procedures and health alterations

System speci!c assessments

Therapeutic procedures

Physiological adaptation covers

Alterations in body systems

Fluid and electrolyte imbalances

Hemodynamics

Illness management

Medical emergencies

Pathophysiology

Unexpected response to therapies

The following is an example question addressing the physiological integrity client need:

Practice question
Which of the following would the nurse expect to be interventions for a client with acute kidney
disease? Select all that apply

(1) I & 0 every two hours for color and characteristics

(2) Sodium bicarbonate to be used if acidosis occurs

(3) Monitor for wheezing, rhonchi, and edema, which is an indication of $uid retention and
overload

(4) Daily weight

(5) Monitor urinalysis for hematuria, casts, speci!c gravity, and glucose levels

The correct answers are Choices (2), (3), and (4). Keywords are nurse expect, interventions, and
acute kidney disease. This question addresses the subcategory of physiological adaptation.
Because it asks which interventions would be expected for acute kidney disease, Choice (1) is
incorrect; it has the nurse monitoring I & 0 every two hours, when the monitoring should
actually occur every hour. Choice (2) is correct because you’d monitor for acidosis and treat
with sodium bicarbonate. Choice (3) is correct because wheezing, rhonchi, and edema are all
signs of $uid overload. Choice (4) is correct because taking daily weights to check for weight
gain — a sign of $uid overload if greater than 2 pounds in 24 hours — is appropriate for this
condition. Choice (5) is incorrect. You’d monitor urinalysis for all but the glucose in acute kidney
disease.

About the Book Author

Rhoda L. Sommer, RN, MSN Ed, spent 28 years in patient care before beginning a second
career teaching and serving as a private tutor for nursing students preparing for the NCLEX-RN.
Patrick R. Coonan, EdD, RN, CNAA, is the former Dean of the College of Nursing and Public
Health at Adelphi University.

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