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NCLEX NCLEX-RN Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Psychosocial Integrity6-12%- Psychosocial Integrity
  • 1. Crisis Intervention
  • 2. Mental Health Concepts
  • 3. Behavioral Interventions
  • 4. Substance Use Disorders
  • 5. Therapeutic Communication
  • 6. Coping Mechanisms
  • 7. Family Dynamics
  • 8. Support Systems
Topic 2: Pharmacological and Parenteral Therapies13-19%- Pharmacological and Parenteral Therapies
  • 1. Dosage Calculations
  • 2. Adverse Effects and Contraindications
  • 3. Medication Administration
  • 4. Parenteral Therapies
  • 5. Blood and Blood Products
  • 6. Expected Actions and Outcomes
  • 7. Central Venous Access Devices
Topic 3: Safety and Infection Control10-16%- Safety and Infection Control
  • 1. Infection Prevention and Control
  • 2. Standard and Transmission-Based Precautions
  • 3. Security Plans
  • 4. Emergency Response Planning
  • 5. Handling Hazardous Materials
  • 6. Safe Use of Equipment
  • 7. Home Safety
  • 8. Accident and Injury Prevention
Topic 4: Management of Care15-21%- Management of Care
  • 1. Advance Directives
  • 2. Assignment, Delegation and Supervision
  • 3. Ethical Practice
  • 4. Performance Improvement and Quality Assurance
  • 5. Collaboration with Interdisciplinary Team
  • 6. Case Management
  • 7. Advocacy
  • 8. Informed Consent
  • 9. Client Rights
  • 10. Priority Setting
  • 11. Legal Rights and Responsibilities
  • 12. Confidentiality and Information Security
  • 13. Continuity of Care
Topic 5: Physiological Adaptation11-17%- Physiological Adaptation
  • 1. Fluid and Electrolyte Imbalances
  • 2. Alterations in Body Systems
  • 3. Unexpected Response to Therapies
  • 4. Pathophysiology
  • 5. Hemodynamics
  • 6. Medical Emergencies
Topic 6: Reduction of Risk Potential9-15%- Reduction of Risk Potential
  • 1. System-Specific Assessments
  • 2. Changes in Vital Signs
  • 3. Monitoring and Assessment
  • 4. Diagnostic Tests
  • 5. Potential Complications
  • 6. Therapeutic Procedures
Topic 7: Basic Care and Comfort6-12%- Basic Care and Comfort
  • 1. Rest and Sleep
  • 2. Assistive Devices
  • 3. Nutrition and Oral Hydration
  • 4. Mobility and Immobility
  • 5. Personal Hygiene
  • 6. Elimination
  • 7. Activities of Daily Living
Topic 8: Health Promotion and Maintenance6-12%- Health Promotion and Maintenance
  • 1. Health Promotion Programs
  • 2. Prenatal, Intrapartum and Postpartum Care
  • 3. Health Screening
  • 4. Newborn Care
  • 5. Disease Prevention
  • 6. Aging Process
  • 7. Growth and Development

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q169-Q174):

NEW QUESTION # 169
The predominant purpose of the first Apgar scoring of a newborn is to:

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) Apgar scores are not related to the infant's care, but to the infant's physical condition. (B) Apgar scores assess the current physical condition of the infant and are not related to future environmental adaptation.
(C) The purpose of the Apgar system is to evaluate the physical condition of the newborn at birth and to determine if there is an immediate need for resuscitation. (D) Congenital malformations are not one of the areas assessed with Apgar scores.


NEW QUESTION # 170
A 2-day-old infant boy has been diagnosed with an atrial septal defect due to a persistent patent foramen ovale.
When explaining the diagnosis to the mother, the nurse includes in the discussion the function of the foramen ovale. In fetal circulation, the foramen ovale allows a portion of the blood to bypass the:

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) The foramen ovale permits a percentage of the blood to shunt from the right atrium to the left atrium.
The blood then goes to the left ventricle, permitting systemic fetal circulation with blood containing a higher O2 saturation. (B) As the blood shunts from the right atrium to the left atrium, the pulmonary system is bypassed. The fetus receives O2 from the maternal circulation, thereby permitting the partial bypass of the pulmonary system. (C) The foramen ovale is locatedin the atrial septum of the heart and does not affect the liver. (D) The superior vena cava returns blood to the heart, bringing blood to the location of the foramen ovale.


NEW QUESTION # 171
A pregnant client experiences spontaneous rupture of membranes. The first nursing action is to:

Answer: D

Explanation:
(A) Immediately following membrane rupture, the fetus is at risk for complications, not necessarily the mother. (B) The physician is notified after the nurse completes an assessment of the mother's and fetus's conditions. (C) Rupture of membranes facilitates fetal descent. A potential complication is cord prolapse, which is assessed by auscultating fetal heart rate. (D) Rupture of membranes does not necessarily indicate readiness to deliver.


NEW QUESTION # 172
To ensure proper client education, the nurse should teach the client taking SL nitroglycerin to expect which of the following responses with administration?

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) Stinging or burning when nitroglycerin is placed under the tongue is to be expected. This effect indicates that the medication is potent and effective for use. Failure to have this response means that the client needs to get a new bottle of nitroglycerin. (B, C, D) The other responses are not expected in this situation and are not even side effects.


NEW QUESTION # 173
A 30-year-old client is exhibiting auditory hallucinations. In working with this client, the nurse would be most effective if the nurse:

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) This answer is incorrect. Encouraging discussion of the voices will reinforce the delusion. (B) This answer is correct. The nurse should appropriately present reality. (C) This answer is incorrect. Showing interest would reinforce the delusional system. (D) This answer is incorrect. The statement only indicates that the client is hearing voices. It does not state that the client is acting out.


NEW QUESTION # 174
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