Quiz 2026 Perfect NCLEX NCLEX-RN: National Council Licensure Examination(NCLEX-RN) Valid Test Review

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NCLEX NCLEX-RN Exam Syllabus Topics:

SectionWeightObjectives
Health Promotion and Maintenance6-12%- Health Promotion and Maintenance
  • 1. Prenatal, Intrapartum and Postpartum Care
  • 2. Health Screening
  • 3. Newborn Care
  • 4. Growth and Development
  • 5. Health Promotion Programs
  • 6. Aging Process
  • 7. Disease Prevention
Psychosocial Integrity6-12%- Psychosocial Integrity
  • 1. Behavioral Interventions
  • 2. Support Systems
  • 3. Family Dynamics
  • 4. Coping Mechanisms
  • 5. Therapeutic Communication
  • 6. Substance Use Disorders
  • 7. Crisis Intervention
  • 8. Mental Health Concepts
Physiological Adaptation11-17%- Physiological Adaptation
  • 1. Medical Emergencies
  • 2. Hemodynamics
  • 3. Unexpected Response to Therapies
  • 4. Fluid and Electrolyte Imbalances
  • 5. Pathophysiology
  • 6. Alterations in Body Systems
Reduction of Risk Potential9-15%- Reduction of Risk Potential
  • 1. Diagnostic Tests
  • 2. Potential Complications
  • 3. Therapeutic Procedures
  • 4. Monitoring and Assessment
  • 5. Changes in Vital Signs
  • 6. System-Specific Assessments
Pharmacological and Parenteral Therapies13-19%- Pharmacological and Parenteral Therapies
  • 1. Expected Actions and Outcomes
  • 2. Blood and Blood Products
  • 3. Medication Administration
  • 4. Dosage Calculations
  • 5. Parenteral Therapies
  • 6. Central Venous Access Devices
  • 7. Adverse Effects and Contraindications
Management of Care15-21%- Management of Care
  • 1. Priority Setting
  • 2. Ethical Practice
  • 3. Client Rights
  • 4. Confidentiality and Information Security
  • 5. Advocacy
  • 6. Informed Consent
  • 7. Assignment, Delegation and Supervision
  • 8. Case Management
  • 9. Advance Directives
  • 10. Performance Improvement and Quality Assurance
  • 11. Continuity of Care
  • 12. Collaboration with Interdisciplinary Team
  • 13. Legal Rights and Responsibilities
Basic Care and Comfort6-12%- Basic Care and Comfort
  • 1. Personal Hygiene
  • 2. Nutrition and Oral Hydration
  • 3. Activities of Daily Living
  • 4. Mobility and Immobility
  • 5. Elimination
  • 6. Rest and Sleep
  • 7. Assistive Devices
Safety and Infection Control10-16%- Safety and Infection Control
  • 1. Handling Hazardous Materials
  • 2. Infection Prevention and Control
  • 3. Home Safety
  • 4. Safe Use of Equipment
  • 5. Accident and Injury Prevention
  • 6. Standard and Transmission-Based Precautions
  • 7. Security Plans
  • 8. Emergency Response Planning

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q242-Q247):

NEW QUESTION # 242
A nasogastric (NG) tube inserted preoperatively is attached to low, intermittent suctions. A client with an NG tube exhibits these symptoms: He is restless; serum electrolytes are Na 138, K 4.0, blood pH 7.53. This client is most likely experiencing:

Answer: A

Explanation:
Explanation
(A) Sodium level is within normal limits. (B) Sodium level is within normal limits. (C) pH level is consistent with alkalosis. (D) With an NG tube attached to low, intermittent suction, acids are removed and a client will develop metabolic alkalosis.


NEW QUESTION # 243
Parents of children receiving chemotherapy should be warned that alopecia is a side effect and that:

Answer: A

Explanation:
Explanation
(A) Children may become depressed with a changed appearance and not want to look at themselves or have others see them. (B) The hair will fall out in clumps, causing patchy baldness that is quite noticeable and traumatic to children and their families. (C) Having a wig that looks like a girl's own hair can be a psychological boost to children and is helpful in fostering later adjustments to hair loss. (D) Families may become accustomed to seeing their children without hair, but the loss is traumatic to them and will continue to bother them.


NEW QUESTION # 244
A normal 3-year-old child is suspected of having meningitis. The doctor has ordered a lumbar puncture. In light of this procedure and developmental characteristics of this age group, which nursing measure is most appropriate?

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) The nurse should emphasize what is required to elicit cooperation and help to develop a sense of autonomy. (B) The child may express discomfort verbally and should be encouraged to express his feelings. (C) Selecting nonthreatening words to explain a procedure will prevent misinterpretation. (D) When explaining the procedure to the parent with the child present, the nurse should use words that the child can understand to avoid misunderstanding.


NEW QUESTION # 245
A 56-year-old psychiatric inpatient has had recurring episodes of depression and chronic low self-esteem. She feels that her family does not want her around, experiences a sense of helplessness, and has a negative view of herself. To assist the client in focusing on her strengths and positive traits, a strategy used by the nurse would be to:

Answer: C

Explanation:
(A) The nurse should encourage activities gradually, as client's energy level and tolerance for shared activities improve. (B) Activities that focus on strengths and accomplishments, with uncomplicated tasks, minimize failure and increase self-worth. (C) Asking a client to set a goal to make all decisions about attending group activities is unrealistic, and such decisions are not always under the client's control; this sets up the client for further failure and possibly decreased self-worth. (D) Encouragement toward independence does promote increased feelings of selfworth; however, clients may need assistance with decision making and problem solving for various situations and on an individual basis.


NEW QUESTION # 246
A schizophrenic client has made sexual overtures toward her physician on numerous occasions. During lunch, the client tells the nurse, "My doctor is in love with me and wants to marry me." This client is using which of the following defense mechanisms?

Answer: D

Explanation:
Explanation
(A) Displacement involves transferring feelings to a more acceptable object. (B) Projection involves attributing one's thoughts or feelings to another person. (C) Reaction formation involves transforming an unacceptable impulse into the opposite behavior. (D) Suppression involves the intentional exclusion of unpleasant thoughts or experiences.


NEW QUESTION # 247
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