Book excerpt: Thoroughly updated for its Second Edition, this review guide gives students practice and confidence in answering the five types of "alternate-format" questions used on the current NCLEX-PN®—multiple-response multiple-choice questions, fill-in-the-blank items, chart/exhibit items, drag and drop, and questions based on illustrations. The book contains 250 alternate-format questions covering all the major topics on the exam—fundamentals, medical-surgical, maternal-neonatal, pediatric, and psychiatric nursing. Questions appear in the left-hand column and answers appear in the right-hand column. Answers include rationales for correct and incorrect responses, as well as the applicable nursing process step, client needs category and subcategory, and cognitive level. Test-taking tips are also included.