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NCLEX NCLEX-RN Exam Syllabus Topics:

Section	Weight	Objectives
Physiological Integrity	43–67%	- Pharmacological and Parenteral Therapies 1. Pharmacological Pain Management 2. Adverse Effects and Contraindications 3. Dosage Calculation 4. Medication Administration 5. IV Therapy and Blood Products - Physiological Adaptation 1. Pathophysiology 2. Hemodynamics 3. Illness Management 4. Respiratory Care 5. Fluid and Electrolyte Imbalances 6. Medical Emergencies - Reduction of Risk Potential 1. Laboratory Values 2. Potential for Complications 3. Vital Signs 4. Therapeutic Procedures 5. Diagnostic Tests - Basic Care and Comfort 1. Personal Hygiene 2. Non-pharmacological Comfort Interventions 3. Elimination 4. Assistive Devices 5. Mobility and Immobility 6. Nutrition and Oral Hydration
Health Promotion and Maintenance	6–12%	- Self-Care - Developmental Stages and Transitions - Disease Prevention and Health Screening - Physical Assessment Techniques - Aging Process - Antepartum, Intrapartum, Postpartum and Newborn Care - Health Promotion Programs
Psychosocial Integrity	6–12%	- End-of-Life Support - Mental Health Concepts - Grief and Loss - Therapeutic Communication - Chemical Dependency and Substance Use Disorders - Behavioral Interventions - Coping Mechanisms - Family Dynamics
Safe and Effective Care Environment	26–38%	- Management of Care 1. Ethical Practice 2. Quality Improvement 3. Advocacy 4. Delegation and Prioritization 5. Case Management 6. Continuity of Care 7. Legal Responsibilities 8. Client Rights - Safety and Infection Control 1. Standard Precautions 2. Error Prevention 3. Use of Restraints and Safety Devices 4. Accident Prevention 5. Hazardous Materials Handling 6. Infection Control

>> NCLEX-RN受験資格 <<

実際的NCLEX-RN｜ユニークなNCLEX-RN受験資格試験｜試験の準備方法National Council Licensure Examination(NCLEX-RN)基礎訓練

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NCLEX National Council Licensure Examination(NCLEX-RN) 認定 NCLEX-RN 試験問題 (Q807-Q812):

質問 # 807
A female client has been hospitalized for several months following major abdominal surgery for a ruptured colon. A colostomy was created, and the large abdominal wound was left open and allowed to heal through granulation. She is receiving gentamicin IV for treatment of wound infection. Knowing this drug is ototoxic, the nurse would implement which of the following measures?

A. Order audiometric testing in order to determine if hearing loss is caused by an ototoxic drug or other cause.
B. Instruct the client in Valsalva's maneuver to equalize middle ear pressure and to prevent hearing loss.
C. Instruct the client to report any signs of tinnitus, dizziness or difficulty hearing.
D. Advise the client to discontinue the drug at the first sign of dizziness.

正解：C

解説：
Explanation/Reference:
Explanation:
(A) The first nursing measure is to instruct the client in which drug side effects to report. (B) Discontinuing the drug is not an independent nursing intervention and may compromise client care. (C) Audiometric testing will detect hearing loss, but it does not indicate a potential cause. (D) Equalizing middle ear pressure will not prevent hearing loss.

質問 # 808
A 5-year-old child was recently diagnosed as having acute lymphoid leukemia. She is hospitalized for additional tests and to begin a course of chemotherapy designed to induce a remission. She is scheduled to have a bone marrow aspiration tomorrow. She has had a bone marrow test previously and is apprehensive about having another. Which of the following interventions will be most effective in relieving her anxiety?

A. Remind her that she has had this procedure before and that it is nothing to be afraid of.
B. Give her a big hug and tell her that she is a big girl now and that she will do just fine.
C. Tell her not to worry about it, that it will be over soon and she can join her friends in the playroom.
D. Explain what will take place and what she will see, feel, and hear.

正解：D

解説：
Explanation
(A) Even though the child has had the procedure before, she will probably need additional explanations and emotional support. (B) The fact that the child has had the procedure before and possibly found it painful or uncomfortable may increase, not relieve, her stress. (C) This intervention does nothing to reassure the child and may well prevent her from expressing her feelings. (D) This does not prepare the child for the test and burdens her with the expectation that she act bigger and braver than she is.

質問 # 809
A six-month-old infant is receiving ribavirin for the treatment of respiratory syncytial virus. Ribavirin is administered via which one of the following routes?

A. IM
B. Aerosol
C. Oral
D. IV

正解：B

解説：
Explanation/Reference:
Explanation:
(A) Ribavirin is not supplied in an oral form. (B) Ribavirin is administered by aerosol in order to decrease the duration of viral shedding within the infected tissue. (C) Ribavirin is not approved for IV use to treat respiratory syncytial virus. (D) Ribavirin is a synthetic antiviral agent supplied as a crystalline powder that is reconstituted with sterile water. A Small Aerosol Particle Generator unit aerosolizes the medication for delivery by oxygen hood, croup tent, or aerosol mask.

質問 # 810
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. 40 mg/dL and 130 mg/dL
B. 70 mg/dL and 120 mg/dL
C. 100 mg/dL and 200 mg/dL
D. 90 mg/dL and 200 mg/dL

正解：B

解説：
(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.

質問 # 811
On admission, the client has signs and symptoms of pulmonary edema. The nurse places the client in the most appropriate position for a client in pulmonary edema, which is:

A. High Fowler
B. Sitting in a chair
C. Lying on the left side
D. Supine with feet elevated

正解：A

解説：
Section: Questions Set C
Explanation:
(A) High Fowler position decreases venous return to the heart and permits greater lung expansion so that oxygenation is maximized. (B) Lying on the left side may improve perfusion to the left lung but does not promote lung expansion. (C) Sitting in a chair will decrease venous return and promote maximal lung expansion. However, clients with pulmonary edema can deteriorate quickly and require intubation and mechanical ventilation. If a client is sitting in achair when this deterioration happens, it will be difficult to intervene quickly. (D) The supine with feet elevated position increases venous return and will worsen pulmonary edema.

質問 # 812
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