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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q842-Q847):

NEW QUESTION # 842
After the RN is finished the initial assessment of a newborn baby and after the initial bonding between the newborn and the mother has taken place in the delivery room, the RN will bring the newborn to the well-baby nursery. Before the newborn is taken from the delivery room and brought to the well-baby nursery, the RN makes sure that which of the following interventions was completed?

A. The nurse instills prophylactic ointment in the conjunctival sacs of the newborn's eyes.
B. The physician verifies the exact time of birth.
C. The nurse counts the instruments and sponges with the scrub nurse.
D. The nurse makes sure the mother and her newborn have been tagged with identical bands.

Answer: D

Explanation:
(A) The delivery room personnel are responsible for verifying time of birth. (B) The scrub and circulating nurses count sponges and instruments. (C) This intervention is done in the nursery. (D) Tagging the mother and infant with identical bands is of utmost importance. The mother wears one band, and the newborn wears two. Identical numbers on the three bands provide identification for the newborn and the birth mother. Every time the newborn is brought to the mother after delivery, those bands are checked to be sure that the numbers are identical.

NEW QUESTION # 843
A client is being discharged with albuterol (Proventil) and beclomethasone dipropionate (Vanceril) to be administered via inhalation three times a day and at bedtime. Client teaching regarding the sequential order in which the drugs should be administered includes:

A. Bronchodilator followed by the glucocorticoid
B. Glucocorticoid followed by the bronchodilator
C. Alternate successive administrations
D. According to the client's preference

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) The client would not receive therapeutic effects of the glucocorticoid when it is inhaled through constricted airways. (B) Bronchodilating the airways first allows for the glucocorticoid to be inhaled through open airways and increases the penetration of the steroid for maximum effectiveness of the drug. (C) Inac- Inaccurate use of the inhalers will lead to decreased effectiveness of the treatment. (D) Client teaching regarding the use and effects of inhalers will promote client understanding and compliance.

NEW QUESTION # 844
A 15-year-old client was diagnosed as having cystic fibrosis at 8 months of age. He is in the hospital for a course of IV antibiotic therapy and vigorous chest physiotherapy. He has a poor appetite. The nurse can best help him to meet the desired outcome of consuming a prescribed number of calories by:

A. Constantly providing him with chips, dips, and candies, because the number of calories consumed is more important than the quality of foods
B. Including the client in planning sessions to select the type of meal plan and foods for his diet
C. Selecting foods for the client's diet that are high in calories and instituting a strict calorie count
D. Working with the nutritionist to devise a diet with significantly increased calories

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) The adolescent knows what he likes and will be more likely to eat if he has some control over his diet.
(B) The nurses and nutritionist can plan an excellent diet, but it will not help the adolescent unless he eats it. (C) Eating is already a chore for this client. Adding a strict calorie count could make it even more burdensome. (D) Fats are particularly difficult for the cystic fibrosis client to digest. He does need a healthful diet, not just more calories.

NEW QUESTION # 845
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 drink 10 to 12 glasses of fluids each day, that will help to prevent any clot formation in my urine."
C. "I do not plan to do any heavy lifting until I visit my doctor again."
D. "If I feel as though I have developed a fever, I will take a rectal temperature, which is the most accurate."

Answer: D

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 # 846
The cardiac client who exhibits the symptoms of disorientation, lethargy, and seizures may be exhibiting a toxic reaction to:

A. Nitroglycerin IV (Tridil)
B. Quinidine gluconate or sulfate (Quinaglute,Quinidex)
C. Lidocaine (Xylocaine)
D. Digoxin (Lanoxin)

Answer: C

Explanation:
Section: Questions Set A
Explanation:
(A) Side effects of digoxin include headache, hypotension, AV block, blurred vision, and yellow-green halos. (B) Side effects of lidocaine include heart block, headache, dizziness, confusion, tremor, lethargy, and convulsions.
(C) Side effects of quinidine include heart block, hepatotoxicity, thrombocytopenia, and respiratory depression.
(D) Side effects of nitroglycerin include postural hypotension, headache, dizziness, and flushing.

NEW QUESTION # 847
......

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