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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Physiological Integrity | 43–67% | - Basic Care and Comfort
|
| Topic 2: Psychosocial Integrity | 6–12% | - Chemical Dependency and Substance Use Disorders - Behavioral Interventions - Mental Health Concepts - Grief and Loss - Therapeutic Communication - End-of-Life Support - Family Dynamics - Coping Mechanisms |
| Topic 3: Health Promotion and Maintenance | 6–12% | - Self-Care - Disease Prevention and Health Screening - Physical Assessment Techniques - Antepartum, Intrapartum, Postpartum and Newborn Care - Health Promotion Programs - Developmental Stages and Transitions - Aging Process |
| Topic 4: Safe and Effective Care Environment | 26–38% | - Management of Care
|
>> Latest NCLEX-RN Test Objectives <<
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NEW QUESTION # 331
Diagnostic assessment findings for an infant with possible coarctation of the aorta would include:
Answer: D
Explanation:
Explanation/Reference:
Explanation:
(A) S1 and S2 in an infant with coarctation of the aorta are usually normal. S3 and S4 do not exist with this diagnosis. (B) Either no murmur will be heard or a systolic murmur from an associated cardiac defect will be heard along the left upper sternal border. A diastolic murmur is not associated with coarctation of the aorta. (C) Pulse pressure differences of>20 mm Hg exist between the upper extremities and the lower extremities. It is important to evaluate the upper and lower extremities with the appropriate- sized cuffs. (D) Femoral and pedal pulses will be diminished or absent in infants with coarctation of the aorta.
NEW QUESTION # 332
A 3-month-old infant has had a unilateral cleft lip repair. He has resumed feedings of oral formula. The nurse should feed the infant with:
Answer: A
Explanation:
Explanation/Reference:
Explanation:
(A) A gavage tube may damage suture line. It is the most invasive and should be the last measure. (B) A nipple and bottle require sucking, which may damage sutures. (C) A 3-month-old infant is not able to drink from a straw. (D) A syringe allows for the formula to be placed to the side and back of the mouth. This minimizes the amount of sucking needed.
NEW QUESTION # 333
A 24-year-old client presents to the emergency department protesting "I am God." The nurse identifies this as a:
Answer: B
Explanation:
Explanation/Reference:
Explanation:
(A) Delusion is a false belief. (B) Illusion is the misrepresentation of a real, external sensory experience.
(C) Hallucination is a false sensory perception involving any of the senses. (D) Conversion is the expression of intrapsychic conflict through sensory or motor manifestations.
NEW QUESTION # 334
When interviewing parents who are suspected of child abuse, the nurse would use which of the following interview techniques?
Answer: A
Explanation:
Section: Questions Set E
Explanation/Reference:
Explanation:
(A) The nurse must be honest, direct, professional, and attentive in her interview to gain the parent's trust. (B) The nurse should approach the parents in private, away from the child. (C) Asking them to relive and evaluate the situation may be looked at as placing blame on the parents for the child's "accident." At this point, the parents may get defensive and stop communicating. (D) Although you may call child protective services, the nurse should inform the parents of their responsibility to do this and explain the process to them.
NEW QUESTION # 335
A client presented herself to the mental health center, describing the following symptoms: a weight loss of 20 lb in the past 2 months, difficulty concentrating, repeated absences from work due to "fatigue," and not wanting to get dressed in the morning. She leaves her recorded message on her telephone and has lost interest in answering the phone or doorbell. The nurse's assessment of her behavior would most likely be:
Answer: B
Explanation:
Explanation
(A) A client in deep depression would have been brought to the mental health center and would not be physically able to seek help for herself. (B) She is not manifesting psychotic symptoms in her behaviors. (C) The client's symptoms are more indicative of depression than anxiety. (D) Although the client was able to bring herself to the mental health center, the extent of her weight loss and the interference of symptoms with activities of daily living indicate that she is severely depressed.
NEW QUESTION # 336
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