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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q28-Q33):

NEW QUESTION # 28
Which one of the following is considered a reliable indicator for assessing the adequacy of fluid resuscitation in a 3-year-old child who suffered partial- and fullthickness burns to 25% of her body?

A. Urine output
B. Hypertension
C. Bulging fontanelle
D. Edema

Answer: A

Explanation:
(A) Urinary output is a reliable indicator of renal perfusion, which in turn indicates that fluid resuscitation is adequate. IV fluids are adjusted based on the urinary output of the child during fluid resuscitation. (B) Edema is an indication of increased capillary permeability following a burn injury. (C) Hypertension is an indicator of fluid volume excess. (D) Fontanelles close by 18 months of age.

NEW QUESTION # 29
A client had a right below-the-knee amputation 4 days ago. He is complaining of pain in his right lower leg.
The nurse should:

A. Turn on the television to distract the client's attention from his amputated leg
B. Give the client his order of Demerol 50 mg IM prn
C. Call the physician to request a psychological consultation for the client
D. Remind the client that he no longer has that part of his leg and assure him he will be OK

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) The nurse is ignoring the client's pain. Telling the client that he will be OK will not relieve his phantom pain. (B) The client does not need a psychological consultation. Phantom pain is a normal sensation experienced by clients with amputations. (C) Using the television as a distractor will not relieve the client's phantom pain. (D) Phantom pain is a normal, very real experience for an amputee and should be treated with pain medication.

NEW QUESTION # 30
Which of the following procedures is necessary to establish a definitive diagnosis of breast cancer?

A. Thermography
B. Mammography
C. Diaphanography
D. Breast tissue biopsy

Answer: D

Explanation:
(A) Diaphanography, also known as transillumination, is a painless, noninvasive imaging technique that involves shining a light source through the breast tissue to visualize the interior. It must be used in conjunction with a mammogram and physical examination. (B) Mammography is a useful tool for screening but is not considered a means of diagnosing breast cancers. (C) Thermography is a pictorial representation of heat patterns on the surface of the breast. Breast cancers appear as a "hot spot" owing to their higher metabolic rate. (D) Biopsy either by needle aspiration or by surgical incision is the primary diagnostic technique for confirming the presence of cancer cells.

NEW QUESTION # 31
A client's membranes have just ruptured spontaneously. Which of the following nursing actions should take priority?

A. Assess fetal heart rate (FHR).
B. Assess color and odor of fluid.
C. Document on fetal monitor strip and chart.
D. Assess quantity of fluid.

Answer: A

Explanation:
(A) Assessing the quantity of amniotic fluid is important as an indication of maternal fetal well-being, but it does not take priority over assessment of FHR. (B) Greenish-brown discoloration of amniotic fluid indicates presence of meconium. Foul odor may indicate presence of infection. Both of these are important assessment data, but they do not take priority over possible lifethreatening compression of the umbilical cord. (C) Documentation is important, but it does not take priority over the possible life-threatening compression of the umbilical cord. (D) If changes in the FHR are noted, the nurse should check for umbilical cord prolapse. This intervention has priority over the other actions. The danger of a prolapsed cord is increased once membranes have ruptured, especially if the presenting part of the fetus does not fit firmly against the cervix.

NEW QUESTION # 32
The physician prescribes amitriptyline (Elavil) for a client. What does the patient need to know about this medication?

A. When the medication is effective, he will experience no anxiety.
B. Blood must be drawn weekly to test for toxicity.
C. Prolonged use of this medication will result in extrapyramidal side effects.
D. The medication should relieve his symptoms of depression.

Answer: D

Explanation:
Section: Questions Set D
Explanation:
(A) Phenothiazines cause extrapyramidal symptoms. (B) No amount of medication can relieve all anxiety in all cases. (C) The purpose of amitriptyline is to relieve the symptoms of depression because it is an antidepressant. It increases the action of norepinephrine and serotonin on nerve cells. (D) Periodic blood tests are done when lithium is prescribed.

NEW QUESTION # 33
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