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| Section | Weight | Objectives |
|---|
| Topic 1: Safety and Infection Control | 10-16% | - Safety and Infection Control
- 1. Safe Use of Equipment
- 2. Accident and Injury Prevention
- 3. Standard and Transmission-Based Precautions
- 4. Infection Prevention and Control
- 5. Home Safety
- 6. Handling Hazardous Materials
- 7. Emergency Response Planning
- 8. Security Plans
|
| Topic 2: Pharmacological and Parenteral Therapies | 13-19% | - Pharmacological and Parenteral Therapies
- 1. Parenteral Therapies
- 2. Blood and Blood Products
- 3. Central Venous Access Devices
- 4. Dosage Calculations
- 5. Expected Actions and Outcomes
- 6. Adverse Effects and Contraindications
- 7. Medication Administration
|
| Topic 3: Physiological Adaptation | 11-17% | - Physiological Adaptation
- 1. Unexpected Response to Therapies
- 2. Hemodynamics
- 3. Fluid and Electrolyte Imbalances
- 4. Pathophysiology
- 5. Alterations in Body Systems
- 6. Medical Emergencies
|
| Topic 4: Health Promotion and Maintenance | 6-12% | - Health Promotion and Maintenance
- 1. Disease Prevention
- 2. Prenatal, Intrapartum and Postpartum Care
- 3. Health Screening
- 4. Aging Process
- 5. Newborn Care
- 6. Health Promotion Programs
- 7. Growth and Development
|
| Topic 5: Basic Care and Comfort | 6-12% | - Basic Care and Comfort
- 1. Personal Hygiene
- 2. Mobility and Immobility
- 3. Rest and Sleep
- 4. Nutrition and Oral Hydration
- 5. Assistive Devices
- 6. Elimination
- 7. Activities of Daily Living
|
| Topic 6: Management of Care | 15-21% | - Management of Care
- 1. Collaboration with Interdisciplinary Team
- 2. Priority Setting
- 3. Legal Rights and Responsibilities
- 4. Advance Directives
- 5. Ethical Practice
- 6. Client Rights
- 7. Informed Consent
- 8. Confidentiality and Information Security
- 9. Case Management
- 10. Advocacy
- 11. Performance Improvement and Quality Assurance
- 12. Assignment, Delegation and Supervision
- 13. Continuity of Care
|
| Topic 7: Reduction of Risk Potential | 9-15% | - Reduction of Risk Potential
- 1. Monitoring and Assessment
- 2. Changes in Vital Signs
- 3. System-Specific Assessments
- 4. Therapeutic Procedures
- 5. Diagnostic Tests
- 6. Potential Complications
|
| Topic 8: Psychosocial Integrity | 6-12% | - Psychosocial Integrity
- 1. Mental Health Concepts
- 2. Therapeutic Communication
- 3. Behavioral Interventions
- 4. Crisis Intervention
- 5. Substance Use Disorders
- 6. Family Dynamics
- 7. Coping Mechanisms
- 8. Support Systems
|
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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q786-Q791):
NEW QUESTION # 786
The nurse should facilitate bonding during the postpartum period. What should the nurse expect to observe in the taking-hold phase?
- A. Mother is concerned about her weight gain.
- B. Mother is concerned about her recovery.
- C. Mother calls infant by name.
- D. Mother lightly touches infant.
Answer: C
Explanation:
Explanation
(A) This observation can be made during the taking-in phase when the mother's needs are more important. (B) This observation can be made during the taking-hold phase when the mother is actively involved with herself and the infant. (C, D) This observation can be made during the taking-in phase.
NEW QUESTION # 787
A client is hyperactive and not sleeping. She will not remain at the table during mealtime. She is getting very limited calories and is using a lot of energy in her hyperactive state. The most therapeutic nursing action is to:
- A. Order a high-calorie diet with supplements.
- B. Insist that she remain at the table and eat a balanced diet.
- C. Offer to go to the dining room with her and allow her to open the food and inspect what she eats.
- D. Provide nutritious finger foods several times a day.
Answer: D
Explanation:
(A)
The client is not able to sit for long periods. Forcing her to remain at the table will increase her anxiety and cause her to become hostile. (B) This action will not ensure that the client eats what is ordered. Dietary orders are not within the nurse's scope of practice.
(C)
Providing finger foods increases the likelihood of eating for hyperactive persons. They may be eating "on the run." (D) These clients are not suspicious of the food or insecure in moving about the unit alone.
NEW QUESTION # 788
A female client is concerned that she is in a "high-risk" group for the development of acquired immunodeficiency syndrome (AIDS). She wants to know about the advisability of donating blood. Which of the following responses is correct?
- A. "It is not a good idea for you to donate. If you have AIDS, the information is made public and could destroy your personal life."
- B. "You should not donate since it takes time to develop antibodies to the AIDS virus. If you donate blood before you develop the antibody, you could pass it on in the blood."
- C. "It's OK for you to donate because the blood bank has a test that is 100% effective."
- D. "Individuals who donate blood are at risk of getting the AIDS virus. You should not donate."
Answer: B
Explanation:
Explanation
(A) The AIDS virus cannot be transmitted to the donor through the blood donation procedure. (B) The test for the AIDS virus is not absolutely foolproof; therefore, it is not wise for a person with known risk factors to donate blood. (C) It takes time for antibodies to the AIDS virus to develop. An infected individual could donate contaminated blood without it testing positive for the virus. (D) For reasons of confidentiality, information about individuals infected with AIDS is not made public.
NEW QUESTION # 789
A 3-year-old female client is brought into the pediatric clinic because she limps. She has not been to the clinic since she was 9 months old. The nurse practitioner describes the limp as a "Trendelenburg gait." This gait is characteristic of:
- A. Dislocated hip
- B. Scoliosis
- C. Fractured femur
- D. Fractured pelvis
Answer: A
Explanation:
Explanation/Reference:
Explanation:
(A, C, D) A Trendelenburg gait is not characteristic of any of these disorders. (B) The downward slant of one hip is a positive sign of dislocation in the weight-bearing hip. If one hip is dislocated, the child walks with a characteristic limp known as the Trendelenburg gait.
NEW QUESTION # 790
The nurse is preparing a 6-year-old child for an IV insertion. Which one of the following statements by the nurse is appropriate when preparing a child for a potentially painful procedure?
- A. "This is going to hurt a lot; close your eyes and hold my hand."
- B. "This is a terrible procedure, so don't look."
- C. "Some say this feels like a pinch or a bug bite. You tell me what it feels like."
- D. "This will hurt only a little; try to be a big boy."
Answer: C
Explanation:
Explanation/Reference:
Explanation:
(A) Educating the child about the pain may lessen anxiety. The child should be prepared for a potentially painful procedure but avoid suggesting pain. The nurse should allow the child his own sensory perception and evaluation of the procedure. (B) The nurse should avoid absolute descriptive statements and allow the child his own perception of the procedure. (C) The nurse should avoid evaluative statements or descriptions and give the child control in describing his reactions. (D) False statements regarding a painful procedure will cause a loss of trust between the child and the nurse.
NEW QUESTION # 791
......
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