NCLEX-RN Knowledge Points | NCLEX-RN Valid Guide Files

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NCLEX NCLEX-RN Exam Syllabus Topics:

Section	Weight	Objectives
Health Promotion and Maintenance	6–12%	- Antepartum, Intrapartum, Postpartum and Newborn Care - Physical Assessment Techniques - Health Promotion Programs - Developmental Stages and Transitions - Aging Process - Self-Care - Disease Prevention and Health Screening
Psychosocial Integrity	6–12%	- End-of-Life Support - Family Dynamics - Grief and Loss - Coping Mechanisms - Behavioral Interventions - Chemical Dependency and Substance Use Disorders - Mental Health Concepts - Therapeutic Communication
Physiological Integrity	43–67%	- Pharmacological and Parenteral Therapies 1. Dosage Calculation 2. IV Therapy and Blood Products 3. Pharmacological Pain Management 4. Medication Administration 5. Adverse Effects and Contraindications - Physiological Adaptation 1. Pathophysiology 2. Hemodynamics 3. Illness Management 4. Respiratory Care 5. Medical Emergencies 6. Fluid and Electrolyte Imbalances - Basic Care and Comfort 1. Elimination 2. Mobility and Immobility 3. Personal Hygiene 4. Assistive Devices 5. Nutrition and Oral Hydration 6. Non-pharmacological Comfort Interventions - Reduction of Risk Potential 1. Laboratory Values 2. Potential for Complications 3. Vital Signs 4. Therapeutic Procedures 5. Diagnostic Tests
Safe and Effective Care Environment	26–38%	- Safety and Infection Control 1. Accident Prevention 2. Standard Precautions 3. Error Prevention 4. Hazardous Materials Handling 5. Use of Restraints and Safety Devices 6. Infection Control - Management of Care 1. Client Rights 2. Quality Improvement 3. Continuity of Care 4. Legal Responsibilities 5. Advocacy 6. Case Management 7. Delegation and Prioritization 8. Ethical Practice

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NCLEX-RN Valid Guide Files - New NCLEX-RN Test Answers

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q532-Q537):

NEW QUESTION # 532
A family by court order undergoes treatment by a family therapist for child abuse. The nurse, who is the child's case manager knows that treatment has been effective when:

A. The child's father is arrested for child abuse
B. The child's parents identify the ways in which he is different from the rest of the family
C. The child's parents can identify appropriate behaviors for children in his age group
D. The child is removed from the home and placed in foster care

Answer: C

Explanation:
Section: Questions Set G
Explanation:
(A) Removing an abused child from the home and placement in a foster home are not the desired outcome of treatment. (B) Children who are perceived as "different" from the rest of the family are more likely to be abused. (C) Although legal action may be taken against abusive parents, it is not an indicator of an effective treatment program. (D) Identification of age-appropriate behaviors is essential to the role of parents, because misunderstanding children's normal developmental needs often contributes to abuse or neglect.

NEW QUESTION # 533
The most frequent cause of early postpartum hemorrhage is:

A. Coagulation disorders
B. Uterine atony
C. Hematoma
D. Retained placental fragments

Answer: B

Explanation:
Explanation
(A) Hematomas, which are the result of damage to a vessel wall without laceration of the tissue, are a cause, though not the most frequent cause. (B) Coagulation disorders are among the causes of postpartal hemorrhage, but they are less common. (C) The most frequent causes of hemorrhage in the postpartal period are related to an interference with involution of the uterus. Uterine atony is the most frequent cause, occurring in the first 24 hours after delivery. (D) Retained placental fragments are also a cause, although these bleeds usually occur
7-14 days after delivery.

NEW QUESTION # 534
The nurse would assess the client's correct understanding of the fertility awareness methods that enhance conception, if the client stated that:

A. "My sexual partner and I should have sexual intercourse on day 14 of my cycle regardless of the length of the cycle."
B. "I should douche immediately after intercourse."
C. "At ovulation, my basal body temperature should rise about 0.5F."
D. "My sexual partner and I should have intercourse when my cervical mucosa is thick and cloudy."

Answer: C

Explanation:
(A)
At ovulation, the cervical mucus is increased, stretchable, and watery clear. (B) Under the influence of progesterone, the basal body temperature increases slightly after ovulation.
(C)
To enhance fertility, measures should be taken that promote retention of sperm rather than removal. (D) Ovulation, the optimal time for conception, occurs 14+2 days before the next menses; therefore, the date of ovulation is directly related to the length of the menstrual cycle.

NEW QUESTION # 535
In client teaching, the nurse should emphasize that fetal damage occurs more frequently with ingestion of drugs during:

A. Second trimester
B. Third trimester
C. Every trimester
D. First trimester

Answer: D

Explanation:
Explanation
(A) Organogenesis occurs in the first trimester. Fetus is most susceptible to malformation during this period.
(B) Organogenesis has occurred by the second trimester. (C) Fetal development is complete by this time. (D) The dangerous period for fetal damage is the first trimester, not the entire pregnancy.

NEW QUESTION # 536
A common complication of cirrhosis of the liver is prolonged bleeding. The nurse should be prepared to administer?

A. Vitamin A
B. Vitamin K
C. Vitamin E
D. Vitamin C

Answer: B

Explanation:
Explanation
(A) Vitamin C does not directly affect clotting. (B) Vitamin K is a fat-soluble vitamin that depends on liver function for absorption. Vitamin K is essential for clotting. (C) Vitamin E does not directly affect clotting. (D) Vitamin A does not directly affect clotting.

NEW QUESTION # 537
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