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| Section | Weight | Objectives |
|---|
| Topic 1: Management of Care | 15-21% | - Management of Care
- 1. Legal Rights and Responsibilities
- 2. Assignment, Delegation and Supervision
- 3. Confidentiality and Information Security
- 4. Collaboration with Interdisciplinary Team
- 5. Client Rights
- 6. Advocacy
- 7. Continuity of Care
- 8. Case Management
- 9. Performance Improvement and Quality Assurance
- 10. Informed Consent
- 11. Advance Directives
- 12. Priority Setting
- 13. Ethical Practice
|
| Topic 2: Safety and Infection Control | 10-16% | - Safety and Infection Control
- 1. Home Safety
- 2. Infection Prevention and Control
- 3. Accident and Injury Prevention
- 4. Handling Hazardous Materials
- 5. Emergency Response Planning
- 6. Standard and Transmission-Based Precautions
- 7. Safe Use of Equipment
- 8. Security Plans
|
| Topic 3: Pharmacological and Parenteral Therapies | 13-19% | - Pharmacological and Parenteral Therapies
- 1. Expected Actions and Outcomes
- 2. Blood and Blood Products
- 3. Dosage Calculations
- 4. Parenteral Therapies
- 5. Central Venous Access Devices
- 6. Adverse Effects and Contraindications
- 7. Medication Administration
|
| Topic 4: Health Promotion and Maintenance | 6-12% | - Health Promotion and Maintenance
- 1. Health Promotion Programs
- 2. Health Screening
- 3. Disease Prevention
- 4. Prenatal, Intrapartum and Postpartum Care
- 5. Growth and Development
- 6. Aging Process
- 7. Newborn Care
|
| Topic 5: Physiological Adaptation | 11-17% | - Physiological Adaptation
- 1. Fluid and Electrolyte Imbalances
- 2. Hemodynamics
- 3. Pathophysiology
- 4. Medical Emergencies
- 5. Unexpected Response to Therapies
- 6. Alterations in Body Systems
|
| Topic 6: Psychosocial Integrity | 6-12% | - Psychosocial Integrity
- 1. Support Systems
- 2. Family Dynamics
- 3. Crisis Intervention
- 4. Coping Mechanisms
- 5. Therapeutic Communication
- 6. Substance Use Disorders
- 7. Mental Health Concepts
- 8. Behavioral Interventions
|
| Topic 7: Basic Care and Comfort | 6-12% | - Basic Care and Comfort
- 1. Personal Hygiene
- 2. Nutrition and Oral Hydration
- 3. Activities of Daily Living
- 4. Assistive Devices
- 5. Rest and Sleep
- 6. Mobility and Immobility
- 7. Elimination
|
| Topic 8: Reduction of Risk Potential | 9-15% | - Reduction of Risk Potential
- 1. Monitoring and Assessment
- 2. Therapeutic Procedures
- 3. Potential Complications
- 4. Changes in Vital Signs
- 5. Diagnostic Tests
- 6. System-Specific Assessments
|
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NCLEX NCLEX-RN Valid Braindumps Questions - Reliable NCLEX-RN Dumps Questions
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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q479-Q484):
NEW QUESTION # 479
In admitting a client to the psychiatric unit, the nurse must explain the rules and regulations of the unit. A client with antisocial personality disorder makes the following remark, "Forget all those rules. I always get along well with the nurses." Which nursing response to him would be most effective?
- A. "I'm not the other nurses. You better read the rules yourself."
- B. "I'm pleased that you get along so well with the staff.You must still know and abide by the rules."
- C. "OK, don't listen to the rules. See where you end up."
- D. "It is irrelevant whether you get along with the nurses."
Answer: B
Explanation:
Explanation/Reference:
Explanation:
(A) This answer is incorrect. A nurse should be an appropriate role model. Threats are not appropriate. No limit setting was stated. (B) This answer is correct. The nurse made a positive statement followed by a simple, clear, concise setting of limits. (C) This answer is incorrect. It appears to have a negative connotation. There was no limit setting. (D) This answer is incorrect. The nurse obviously responded in a negative manner. Learning takes place more readily when one is accepted, not rejected. No limits were set.
NEW QUESTION # 480
A postpartum client complains of rectal pressure and severe pain in her perineum; this may be indicative of:
- A. Afterbirth pains
- B. Cystitis
- C. A hematoma of the vagina or vulva
- D. Constipation
Answer: C
Explanation:
Explanation
(A) Afterbirth pains are a common complaint in the postpartum client, but they are located in the uterus. (B) Constipation may cause rectal pressure but is not usually associated with "severe pain." (C) Cystitis may cause pain, but the location is different. (D) Hematomas are frequently associated with severe pain and pressure.
Further assessments are indicated for this client.
NEW QUESTION # 481
Which of the following signs might indicate a complication during the labor process with vertex presentation?
- A. Fetal tachycardia to 170 bpm during a contraction
- B. Appearance of dark-colored amniotic fluid
- C. Contraction lasting 60 seconds
- D. Nausea and vomiting at 8-10 cm dilation
Answer: B
Explanation:
(A) Fetal tachycardia may indicate fetal hypoxia; however, 170 bpm is only mild tachycardia. (B) Nausea and vomiting occur frequently during transition and are not a complication. (C) Contractions frequently last 60-90 seconds during the transitional phase of labor and are not considered a complication as long as the uterus relaxes completely between contractions. (D) Passage of meconium in a vertex presentation is a sign of fetal distress; this may be normal in a breech presentation owing to pressure on the presenting part.
NEW QUESTION # 482
A male client has a history of diverticulosis. He has questions about the foods that he should eat. His nurse gives him the following information:
- A. He should eat a low-residue diet.
- B. He does not need to make any modifications.
- C. He should be on a high-fiber diet.
- D. He should drink minimal amounts of fluids.
Answer: C
Explanation:
Explanation/Reference:
Explanation:
(A) Clients with diverticulosis should maintain a high-fiber diet and prevent constipation with bran or bulk laxatives. (B) Lowresidue diets lead to constipation and are contraindicated in clients with diverticulosis.
(C) Clients with diverticulosis should drink at least eight glasses of water each day to prevent constipation.
(D) Clients with diverticulosis should modify their diet to include high-fiber foods and bulk laxatives.
NEW QUESTION # 483
A 19-month-old child is admitted to the hospital for surgical repair of patent ductus arteriosus. The child is being given digoxin. Prior to administering the medication, the nurse should:
- A. Monitor for visual disturbances, a side effect of digoxin
- B. Not give the digoxin if the pulse is_60
- C. Not give the digoxin if the pulse is_100
- D. Take the apical pulse for a full minute
Answer: D
Explanation:
Explanation
(A) Digoxin should not be given to adults with an apical pulse < 60 bpm. (B) Digoxin should be given to children with an apical pulse > 100 bpm. With a pulse < 100 bpm, the medication should be withheld and the physician notified. (C) Prior to digoxin administration in both children and adults, an apical pulse should be taken for 1 full minute. Aside from the rate per minute, the nurse should note any sudden increase or decrease in heart rate, irregular rhythm, or regularization of a chronic irregular heart rhythm. (D) Early indications of digoxin toxicity, such as visual disturbances, occur rarely as initial signs in children.
NEW QUESTION # 484
......
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