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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q673-Q678):

NEW QUESTION # 673
A client's renal calculi are identified as consisting of calcium phosphate. Which of the following diets would be appropriate?

A. Two-gram sodium diet
B. High calcium, low phosphorus
C. Low calcium, high phosphorus
D. Low calcium and phosphorus, acid ash

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) The stones consist of calcium and phosphorus; therefore, these minerals should be avoided. A high- calcium diet is contraindicated. (B) A high-phosphorus diet is contraindicated. (C) A 2-g sodium diet is a cardiac diet. (D) A low-calcium and phosphorus diet will reduce further calculi formation.

NEW QUESTION # 674
Children often experience visual impairments. Refractive errors affect the child's visual activity. The main refractive error seen in children is myopia. The nurse explains to the child's parents that myopia may also be described as:

A. Cataracts
B. Lazy eye
C. Farsightedness
D. Nearsightedness

Answer: D

Explanation:
(A) Cataracts are not considered refractive errors. Cataracts canbe described as opacity of the lens. (B)Hyperopiais the term forfarsightedness. One can see objects at a distance more clearlythan close objects. (C)Myopiais the term for nearsightedness.Objects that are close in distance are more clearly seen. (D) Lazyeye refers to strabismus or misalignment of the eyes.

NEW QUESTION # 675
Diabetes during pregnancy requires tight metabolic control of glucose levels to prevent perinatal mortality.
When evaluating the pregnant client, the nurse knows the recommended serum glucose range during pregnancy is:

A. 100 mg/dL and 200 mg/dL
B. 70 mg/dL and 120 mg/dL
C. 90 mg/dL and 200 mg/dL
D. 40 mg/dL and 130 mg/dL

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) The recommended range is 70-120 mg/dL to reduce the risk of perinatal mortality. (B, C, D) These levels are not recommended. The higher the blood glucose, the worse the prognosis for the fetus.
Hypoglycemia can also have detrimental effects on the fetus.

NEW QUESTION # 676
A client presents to the psychiatric unit crying hysterically. She is diagnosed with severe anxiety disorder. The first nursing action is to:

A. Stand or sit next to her
B. Ask what is the problem
C. Give her something to do
D. Demand that she relax

Answer: A

Explanation:
Explanation
(A) This nursing action is too controlling and authoritative. It could increase the client's anxiety level. (B) In her anxiety state, the client cannot rationally identify a problem. (C) This nursing action conveys a message of caring and security. (D) Giving the client a task would increase her anxiety. This would be a late nursing action.

NEW QUESTION # 677
A client is being discharged from the hospital tomorrow following a colon resection with a left colostomy. The nurse knows that the client understands the discharge teaching about care of her colostomy when she says:

A. "I know that I am not supposed to irrigate my colostomy."
B. "My stoma should be red and slightly raised."
C. "The skin around my stoma may become irritated from the enzymes in my stool."
D. "My stool will be soft like paste."

Answer: B

Explanation:
Explanation
(A) A left colostomy indicates an ascending colon resection. This type of colostomy can be irrigated. (B) The stool from an ascending colon resection should be formed. (C) The healthy stoma should be red and slightly raised. If it begins to turn dark or blue, the client should see the physician immediately. (D) The stool in the ascending colon does not usually have many enzymes in it. Stool from an ileostomy has more enzymes and is more irritating to the skin.

NEW QUESTION # 678
......

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