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A student-focused approach to mastering the knowledge and clinical reasoning required for safe and effective nursing care. Designed specifically for LPN/LVN students, this resource combines clear, concise content with a structured Learn–Apply–Assess approach that helps learners build critical-thinking and clinical judgment skills while preparing for the Next Generation NCLEX® and clinical practice.
The Textbook
A student-centered presentation helps LPN/LVN students develop the knowledge, critical-thinking abilities, and clinical judgment necessary to provide safe, effective patient care. Clear organization, concise explanations, and an easy-to-follow format make complex medical-surgical nursing concepts accessible and practical.
Learn–Apply–Assess Approach
The integrated learning model guides students through a progressive educational experience that reinforces understanding, strengthens clinical reasoning, and supports knowledge assessment.
LEARN — Personalized Learning
Personalized learning activities reinforce comprehension of key concepts through engaging instructional content, animated explanations, and interactive exercises that help bring nursing concepts to life.
Content is structured to strengthen understanding of foundational principles and improve long-term retention.
APPLY — Clinical Judgment
Progressive case studies help students develop clinical reasoning and decision-making skills using realistic patient scenarios.
Emphasis on the NCSBN Clinical Judgment Measurement Model supports the development of safe, evidence-based patient care and preparation for the Next Generation NCLEX®.
Real-world clinical situations encourage learners to apply knowledge, make informed decisions, and evaluate patient outcomes.
ASSESS — Knowledge Evaluation
Thousands of NCLEX-style practice questions, including Next Generation NCLEX® item formats, reinforce learning and identify areas for improvement.
Adaptive, question-based assessments provide opportunities to strengthen understanding, master course content, and build confidence for nursing examinations.

Love it!! “Perfect for really learning what test is what. What it means to have high levels and low levels. I love this book.”—Laurie F.
 
Great for nursing school, you will use it constantly.“Best nursing lab book I’ve encountered. Definitely worth the money.”—Online Reviewer
 
Accuracy.“Very useful in clinical settings. Easy to read! Love this book!”—Katrina, Online Reviewer
 
Supports nursing practice and clinical judgment better than any other manual! Written by a laboratory scientist and a nurse educator, this easy-to-read, full-color manual delivers all the information you need to understand how tests work, interpret their results, and provide quality patient care—pre-test, intra-test, and post-test.
 
With a nursing focus and an emphasis on clinical judgment, this manual provides interpretive guidance on the reasons for the studies and explains why they are important, and what it means for nurses and the care they provide to their patients. Tests and procedures are listed in alphabetical order by their complete name for quick reference. The integrated index allows fast searches by abbreviation, synonym, disease/disorder, specimen type, or test classification.
 
New & Updated! The most current information as well as new diagnostic tests, terminology, changes in health care and how the content relates to nursing
New & Updated! Tab-like labels to quickly identify core lab and diagnostic studies frequently seen in practice and the addition of a list of core studies to the Critical Findings appendices as well as labels for the “Point of Care” studies
New & Updated! Online instructor test bank organized by body system with page number references

Focus on Clinical Judgment with “Nursing Implications, Nursing Process, Clinical Judgment” sections, plus a clinical judgment icon in each “Nursing Implications” section, and a “Clinical Judgment” statement at the end of every entry
“Student Decision Making Model” to help learners visualize critical thinking and clinical judgment
“Core Lab Study” labels identifying 35 need-to-know, clinically significant laboratory studies
“Potential Nursing Problems” tables that present problems, signs and symptoms, and interventions related to the study
Reference Ranges in both conventional and SI units (with the SI unit conversion factor) that include age- and gender-specific variations when indicated and normal variations due to cultural considerations
Interfering Factors, including food, natural products, timing of test, handling of specimens, underlying patient conditions, and drugs that may interfere with the results of the test