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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q56-Q61):

NEW QUESTION # 56
A 35-year-old client is admitted to the hospital for elective tubal ligation. While the nurse is doing preoperative teaching, the client says, "The anesthesiologist said she was going to give me balanced anesthesia. What exactly is that?" The best explanation for the nurse to give the client would be that balanced anesthesia:

A. Is a combination of several anesthetic agents or drugs producing a smooth induction and minimal complications
B. Is a type of regional anesthesia
C. Uses equal amounts of inhalation agents and liquid agents
D. Does not depress the central nervous system

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) Regional anesthesia does not produce loss of consciousness and is indicated for excision of moles, cysts, and endoscopic surgeries. (B) Varying amounts of anesthetic agents are used when employing balanced anesthesia. Amounts depend on age, weight, condition of the client, and surgical procedure. (C) General anesthesia is a drug-induced depression of the central nervous system that produces loss of consciousness and decreased muscle activity. (D) Balanced anesthesia is a combination of a number of anesthetic agents that produce a smooth induction, appropriate depth of anesthesia, and appropriate muscle relaxation with minimal complications.

NEW QUESTION # 57
A 74-year-old obese man who has undergone open reduction and internal fixation of the right hip is 8 days postoperative. He has a history of arthritis and atrial fibrillation. He admits to right lower leg pain, described as
"a cramp in my leg." An appropriate nursing action is to:

A. Assess for pain with plantiflexion
B. Elevate right lower extremity with pillows propped under the knee
C. Assess for edema and heat of the right leg
D. Instruct him to rub the cramp out of his leg

Answer: C

Explanation:
Explanation
(A) Calf pain with dorsiflexion of the foot (Homans' sign) can be a sign of a deep venous thrombosis; however, it is not diagnostic of the condition. (B) Swelling and warmth along the affected vein are commonly observed clinical manifestations of a deep venous thrombosis as a result of inflammation of the vessel wall.
(C) Rubbing or massaging of the affected leg is contraindicated because of the risk of the clot breaking loose and becoming an embolus. (D) A pillow behind the knee can be constricting and further impair blood flow.

NEW QUESTION # 58
The FHR pattern in a laboring client begins to show early decelerations. The nurse would best respond by:

A. Administering O2 at 8 L/min via face mask
B. Changing the client to the left lateral position
C. Continuing to monitor the FHR closely
D. Notifying the physician

Answer: C

Explanation:
Explanation
(A) Early decelerations are reassuring and do not warrant notification of the physician. (B) Because early decelerations is a reassuring pattern, it would not be necessary to change the client's position. (C) Early decelerations warrant the continuation of close FHR monitoring to distinguish them from more ominous signs.
(D) O2 is not warranted in this situation, but it is warranted in situations involving variable and/or late decelerations.

NEW QUESTION # 59
The nurse needs to be aware that the most common early complication of a myocardial infarction is:

A. Anaphylactic shock
B. Cardiac dysrhythmia
C. Diabetes mellitus
D. Cardiac hypertrophy

Answer: B

Explanation:
Explanation
(A) Diabetes mellitus is not a common complication of myocardial infarction. (B) Anaphylactic shock is an allergic reaction. (C) Cardiac hypertrophy is a late potential complication. It is a common complication of congestive heart failure. (D) Myocardial infarction causes tissue damage, which may interrupt electrical impulses. Myocardial irritability results from lack of oxygenated tissue.

NEW QUESTION # 60
A 10-month-old infant's mother says that he takes fresh whole milk eagerly, but that when she offered him baby foods at 6 months of age, he pushed them out of his mouth. Because he has gained weight appropriately, she has quit trying to get him to eat other foods. The nurse's response is based on the knowledge that:

A. Milk intake should be limited to no more than four 8-oz bottles per day and should be followed by iron- enriched cereal or other solid foods or juices
B. Milk is an excellent food and will meet his nutritional needs adequately until he is ready to eat solid foods
C. It is acceptable to continue to give him whole milk and to delay giving solid foods as long as he takes a vitamin supplement daily
D. He should be started on iron-enriched cereal, meat, vegetables, fruits, and juices prior to bottle feeds. Milk intake should be limited to 1 qt/day

Answer: D

Explanation:
Section: Questions Set D
Explanation:
(A) If the infant is given the bottle first, he will be less likely to be hungry enough to eat the solid foods. (B) Milk is deficient in iron, vitamin C, zinc, and fluoride. It does not provide an adequate diet. (C) The vitamin supplement will help, but the infant needs an iron supplement. (D) Giving the solid food when the infant is hungriest will increase the likelihood that he will eat. The more solid food he takes, the less milk he will desire.

NEW QUESTION # 61
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