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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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2026 NCLEX Exam NCLEX-RN Sample - National Council Licensure Examination(NCLEX-RN) Realistic Latest Test Prep 100% Pass

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q371-Q376):

NEW QUESTION # 371
A 67-year-old client will be undergoing a coronary arteriography in the morning. Client teaching about postprocedure nursing care should include that:

A. He will be kept NPO for 8-12 hours
B. Bed rest with bathroom privileges will be ordered
C. Some oozing of blood at the arterial puncture site is normal
D. The leg used for arterial puncture should be keptstraight for 8-12 hours

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) Bed rest will be ordered for 8-12 hours postprocedure. Flexing of the leg at the arterial puncture site will occur if the client gets out of bed, and this is contraindicated after arteriography. (B) The client will be able to eat as soon as he is alert enough to swallow safely and that will depend on what medications areused for sedation during the procedure. (C) Oozing at the arterial puncture site is not normal and should be closely evaluated. (D) The leg where the arterial puncture occurred must be kept straight for 8-
12 hours to minimize the risk of bleeding.

NEW QUESTION # 372
A 9-month-old infant is being examined in the general pediatric clinic for a routine well-child checkup. His immunizations are up to date, and his mother reports that he has had no significant illnesses or injuries. Which of the following signs would lead the nurse to believe that he has had a cerebral injury?

A. Hyperextension of the neck with evidence of pain on flexion
B. Holding the head to one side and pointing the chin toward the other side
C. Holding the head erect and in the midline when in a vertical position
D. Significant head lag when raised to a sitting position

Answer: D

Explanation:
Section: Questions Set D
Explanation:
(A) This position is indicative of a possible meningeal irritation or infection such as meningitis. (B) This position is seen most frequently in infants who have had an injury to the sternocleidomastoid muscle. (C) Most infants aged 4 months and older are able to maintain this position. (D) Infants older than 6 months of age should not have significant head lag. This is a sign of cerebral injury and should be referred for further evaluation.

NEW QUESTION # 373
Which of the following changes in blood pressure readings should be of greatest concern to the nurse when assessing a prenatal client?

A. 136/90 to 148/100
B. 118/70 to 130/88
C. 150/96 to 160/104
D. 130/88 to 144/92

Answer: B

Explanation:
(A, B, C) The individual's systolic and diastolic changes are more significant than the relatively high initial blood pressure readings. (D) The systolic pressure went up 12 mm Hg and the diastolic pressure 18 mm Hg. This is a more significant rise than the increases in A-C choices, and client should receive more frequent evaluations and care.

NEW QUESTION # 374
A postoperative prostatectomy client is preparing for discharge from the hospital the next morning. The nurse realizes that additional instructions are necessary when he states:

A. "The isometric exercises will help to strengthen my perineal muscles and help me control my urine."
B. "If I feel as though I have developed a fever, I will take a rectal temperature, which is the most accurate."
C. "I do not plan to do any heavy lifting until I visit my doctor again."
D. "If I drink 10 to 12 glasses of fluids each day, that will help to prevent any clot formation in my urine."

Answer: B

Explanation:
Explanation
(A) This is correct health teaching. Drinking 10-12 glasses of clear liquid will help increase urine volumes and prevent clot formation. (B) This is correct health teaching. These types of exercises are prescribed by physicians to assist postprostatectomy clients to strengthen their perineal muscles. (C) This action is not recommended post-TURP because of the close proximity of the prostate and rectum. (D) This is correct healthcare teaching. The client should limit walking long distances, lifting heavy objects, or driving a car until these activities are cleared by the physician at the first office visit.

NEW QUESTION # 375
In healthcare settings, nurses must be familiar with primary, secondary, and tertiary levels of care. As a nurse in the community, which of the following interventions might be a primary prevention strategy?

A. Teaching fifth-grade children the harmful effects of substance abuse
B. Referring a client who has been on a detoxification unit to a rehabilitation center
C. Crisis intervention with an intoxicated teenager whose mother just committed suicide
D. Counseling a client with post-traumatic stress disorder

Answer: A

Explanation:
Explanation
(A) The teenager is already coping ineffectively and requires early detection and treatment, which is secondary prevention. (B) The client must be sent to a rehabilitation unit, which requires tertiary prevention. (C) Reducing the incidence of disease through education supports primary prevention. (D) A client with identified symptoms of post-traumatic stress disorder requires intervention by treatment.

NEW QUESTION # 376
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