Detailed Review and Analysis of LaCharity's Prioritization, Delegation, and Assignment

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Why It's the Best Q&A NCLEX Book

LaCharity Prioritization, Delegation, and Assignment was my pick as the best question and answer NCLEX book for these reasons:

Pro: As I will show you, the question quality is the best out of all the Q&A Books.

Pro: Its NCLEX questions are also the most difficult out of all three of my top picks.

Pro: The case studies, or "testlets," offer increased difficulty and high quality practice.

It does have drawbacks:

Con: This book only offers a fraction of the number of NCLEX questions that other Q&A books offer.

Con: The introduction is dense and not really helpful, and the rationales are very simple.

Verdict: With its high quality practice questions and focus on critical thinking, LaCharity's Prioritization, Delegation and Assignment is the best Q&A book in its category.

I would recommend this book no matter what your nursing school background is.

However, I wouldn't recommend it as your only source of practice unless you're pretty confident.

It lacks any focus on strategy that Kaplan Prep Plus provides, for instance.

For weaker students, Saunders Comprehensive would provide a much needed content foundation.

But, pair this book with one or both of those, you'd have a winning combination of strategy, content, and high-quality practice.

NCLEX Introduction, Study and Strategy

I'm going to be direct:

I don't like the introduction of this book...

...so I'm not going to spend a lot of time talking about it.

Plus, it's only 8 pages long.

Here's why I don't like the introduction:

  • It's hard to read. The text is tiny, the paragraphs are long, and it feels like a long-winded textbook.
  • It's not really NCLEX-focused. Yeah, it talks about the NCSBN's definitions of prioritization, delegation, assignment, etc., but it doesn't really tell you how to navigate NCLEX questions about these subjects.
  • It's actually very practice-focused. There are a lot of tips that sound like workplace training for nurse leaders rather than what it should be: something to help you pass the NCLEX.

See for yourself. Here's a picture of a random page from the intro.

Now that that's over with, let's talk about the reasons I do like this book!

Quality of the NCLEX Practice Questions

NCLEX Question Difficulty

Difficulty of NCLEX Questions: (Higher % = Higher Difficulty)
Percent I got Wrong 36%

When I sampled 100 questions from this book, I got 36% of them wrong, and the rest correct.

This is a actually one of the most difficult books that still had a good balance of NCLEX question focus (full comparison here).

There's one more reason this book really shines in this category:

The hardest questions are in the second half, where 21 case studies, each with about 20 questions, are presented.

Here's what one of these "testlets" look like:

You see, I sampled the first two questions of each case study.

But as I practiced further into the last case study, I discovered that the questions were getting harder and harder!

I did include all 24 questions of the last case study in my analysis - but it doesn't completely get the full picture.

Bottom line is...

I think that LaCharity's book is actually a bit more difficult than my number suggests - which is great!

Key Takeaway: With high quality difficulty, LaCharity's P.D.A. offers a really rigorous practice set of questions to make you a better NCLEX passer.

NCLEX Question Focus

NCLEX Question Focus:
Nursing Content 20%
Nursing Judgment 36%
Both 45%
Question Focus Rating

LaCharity's question focus was excellent!

With a total of 81% of its questions testing judgment and critical thinking in some way, and a whopping 45% testing both content and judgment, this book beats all others.

It's even better than Kaplan NCLEX-RN Prep Plus, my overall top pick.

Lippincott Q&A came close, but that book's questions are overall too easy.

Here's the tip I've heard from most students who've taken the NCLEX:

The actual questions on the NCLEX are actually very short. They don't usually tell a long story.

They give you a situation, or a few facts, and you take it from there with the answer choices.

You have to have some basic knowledge, then use your critical thinking.

That's why I put so much focus on books that have "both" content and judgment.

It's important!

Key Takeaway: Prioritization, Delegation, and Assignment has the most well-rounded NCLEX questions out of every book I reviewed.

As a reminder, my definition of each focus type are as follows:

  • Nursing Content: Requires knowledge of physiology, laboratory, pharmacology, pathophysiology, nursing procedural knowledge, cultural knowledge, or any other medical/nursing factual knowledge/comprehension (above and beyond layman’s knowledge) to answer the question correctly. Good for studying, but can lack dimension and won’t really improve critical thinking or nursing principles.
  • Nursing Judgment: Requires critical thinking, test strategy, or application of nursing principles (least invasive intervention, prioritization, nursing process, health promotion, compliance, ABC’s, delegation principles, legal principles, safety and infection control, therapeutic communication, cultural principles) to answer the question correctly. Good for practice and honing nursing judgment, though will not help with highlighting content weaknesses.
  • Both: Requires both of the above to answer the question correctly. Highly desirable!

NCLEX Question Cognitive Level

Cognitive Level of NCLEX Questions:
Bad Questions 4%
Knowledge 4%
Comprehension 5%
Application or Above 88%
Cognitive Level Rating

LaCharity's questions were generally good in terms of cognitive level.

They were better than Lippincott's, but not as good as Kaplan's.

However, this is one area where LaCharity's book reflected poorly:

4% of the questions I tested were "bad" questions.

These are questions that I'd throw away due to mistakes, being really off-topic, or just didn't make sense.

Unfortunately, this book had the most out of all the books I tested.

Key Takeaway: In my opinion, there are some dud questions in this book, but the cognitive levels were still decent.

As a reminder, here are Bloom's Taxonomy's cognitive levels, plus one I added:

  • Bad Question: This is actually not a Bloom's Taxonomy level. It's when I run across an NCLEX question that's so bad, I have to deduct points from the book somehow. Sometimes its just a wacky topic that no nursing student should expect to know. Other times it's conflicting answers and rationales, or something that's just plain wrong.
  • Knowledge: This is an NCLEX question that only requires you to remember a fact to get it correct. Low cognitive level.
  • Comprehension: This is an NCLEX question that requires you to understand the definition of something or be able to describe something. Also a low cognitive level.
  • Application: These questions require you to use you existing knowledge in NEW situations. These are the winners!

Rationales

The rationales in this book are simple.

They tell you why the right answer is correct, and describe the proper things to do in the situation.

They're usually a single paragraph long, like this:

Nursing Content Coverage

LaCharity's book doesn't follow the NCSBN's NCLEX Test Plan.

Instead, they divide the questions into common health categories (eg. Pain, Cancer, Immunologic Problems, etc).

Unfortunately, this is not how the NCLEX forms its questions. The NCLEX uses 523 specific task statements.

Kaplan's NCLEX-RN Prep Plus is the only book to follow the NCLEX Test Plan. You can read my review to learn more about this subject.

Online Materials

LaCharity's online materials are very simple.

They give you an online version of the book's NCLEX questions

There is also the ability to sort by focus, QSEN competency, and concept, as seen below.

Unfortunately, the NCLEX doesn't divide its categories by any of those filters, so it's just not that useful.

Key Takeaway: I'd say this book's online area is not essential. If you want to buy used vs new, go ahead and buy used.

Specifications and Analysis Overview

Overall, LaCharity's Prioritization, Delegation, and Assignment is a book that seems to excel at one thing: offering quality NCLEX questions.

Everything else, like strategy and critical thinking techniques and basic nursing content, is ignored.

Which is not a bad thing. You can get strategy from Kaplan's Prep Plus and a great content review from Saunders Comprehensive.

But if you feel like you just want to add some practice to your plan, and you want the best you can get, this book is a must have.

To recap, here's why:

  • Its questions have the most focus on judgment and critical thinking than any other book.
  • At the same time, it's the most difficult NCLEX study book.

I hope this review helped you!

LaCharity's Prioritization, Delegation, and Assignment
Verdict: Best Q&A Book
Kevin's Overall Rating (4.0)
Thickness
Number of Pages 346 pages
Number of NCLEX Questions Included...
...in Book 1337
...Online 0
Difficulty of NCLEX Questions: (Higher % = Higher Difficulty)
Percent I got Wrong 36%
NCLEX Question Focus:
Nursing Content 20%
Nursing Judgment 36%
Both 45%
Question Focus Rating
Cognitive Level of NCLEX Questions:
Bad Questions 4%
Knowledge 4%
Comprehension 5%
Application or Above 88%
Cognitive Level Rating
NCLEX Content Coverage
Follows NCLEX-RN Detailed Test Plan, Educator's Version No
Pricing
Avg New $36.90
Avg Used $33.70

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