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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q851-Q856):

NEW QUESTION # 851
On admission to the inpatient unit, a 34-year-old client is able to follow simple directions, but with great difficulty.
He is worried about how he can keep clean in such a public place and repeatedly dusts his bureau, straightens his bed, and adjusts the clothes in his closet. The client is experiencing a severe level of anxiety. Which response by the nurse would be most therapeutic in initially attempting to reduce his anxiety?

Answer: A

Explanation:
Section: Questions Set D
Explanation:
(A) This statement is punitive. (B) Acknowledging the anxiety and channeling it into some positive activity is therapeutic. (C) The client cannot say "why"; this statement puts the client on the defensive. (D) A rational approach, especially a judgmental one, is non-therapeutic.


NEW QUESTION # 852
Other drugs may be ordered to manage a client's ulcerative colitis. Which of the following medications, if ordered, would the nurse question?

Answer: B

Explanation:
Explanation
(A) Methylprednisolone sodium succinate is used for its anti-inflammatory effects. (B) Loperamide would be used to control diarrhea. (C) Psyllium may improve consistency of stools by providing bulk. (D) An immunosuppressant such as 6-mercaptopurine is used for chronic unrelenting Crohn's disease.


NEW QUESTION # 853
A client is admitted to the hospital with a diagnosis of aplastic anemia and placed on isolation. The nurse notices a family member entering the room without applying the appropriate apparel. The nurse will approach the family member using the following information as a basis for discussion:

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) Although clients with a compromised immune system may acquire infections, the primary emphasis is on protecting the client. (B, D) Most people are aware of the guidelines once they see posted signs, so quoting regulations is not likely to result in consistent adherence to regulations. (C) Clients with aplastic anemia have white cell counts of 2000 or lower, making them more vulnerable to infections from others.


NEW QUESTION # 854
Loss of appetite for a child with leukemia is a major recurrent problem. The plan of care should be designed to:

Answer: B

Explanation:
Explanation
(A) Ignoring refusals to eat and rewarding eating attempts are the most successful means of increasing intake.
(B) This goal is not specific enough or related to the loss of appetite. (C) This goal is not possible at this time based on his illness. (D) This goal is helpful, but alone will not address his loss of appetite.


NEW QUESTION # 855
A client is having episodes of hyperventilation related to her surgery that is scheduled tomorrow. Appropriate nursing actions to help control hyperventilating include:

Answer: C

Explanation:
(A) An adult diazepam dosage for treatment of anxiety is 2-10 mg PO 2-4 times daily. The
order as written would place a client at risk for overdose. (B) A high room temperature could increase hyperventilating episodes by stimulating the respiratory system. (C) Breath holding and breathing into a paper bag may be useful in controlling hyperventilation. Both measures increase CO2 retention. (D) Distraction will not prevent or control hyperventilation caused by anxiety or fear.


NEW QUESTION # 856
......

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