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NCLEX NCLEX-RN Exam Syllabus Topics:

Section	Weight	Objectives
Health Promotion and Maintenance	6–12%
Safe and Effective Care Environment	17–33%	- Safety and Infection Control - Management of Care
Physiological Integrity	43–67%	- Physiological Adaptation - Reduction of Risk Potential - Basic Care and Comfort - Pharmacological and Parenteral Therapies
Psychosocial Integrity	6–12%

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q426-Q431):

NEW QUESTION # 426
A child becomes neutropenic and is placed on protective isolation. The purpose of protective isolation is to:

A. Protect the child from infection
B. Protect the family from curious visitors
C. Isolate the child from other clients and the nursing staff
D. Provide the child with privacy

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) The child no longer has normal white blood cells and is extremely susceptible to infection. (B) There are more appropriate ways to provide privacy, and there is no need to protect the child from healthy visitors. (C) Visitors and visiting hours may be at the client's and/or family's request without regard to the isolation precaution. (D) The child may have strong positive relationships with other clients or staff. As long as proper precautions are observed, there is no reason to isolate her from them.

NEW QUESTION # 427
A client was prescribed a major tranquilizer 2 months ago. One month ago she was placed on benztropine (Cogentin). What would indicate that benztropine therapy is effective?

A. Muscle weakness
B. Tremors
C. Smooth, coordinated voluntary movement
D. Rigidity

Answer: C

Explanation:
(A) Benztropine is prescribed to decrease or alleviate extrapyramidal side effects of major tranquilizers. Smooth, coordinated voluntary movement indicates minimal extrapyramidal side effects. (B) Tremors are an extrapyramidal side effect. (C) Rigidity is an extrapyramidal side effect. (D) Muscle weakness is an extrapyramidal side effect.

NEW QUESTION # 428
A 4-year-old child with a history of sickle cell anemia is admitted to the nursing unit with dizziness, shortness of breath, and pallor. Nursing assessment findings reveal tenderness in the abdomen. The child is most likely experiencing a/an:

A. Sequestration crisis
B. Vaso-occlusive crisis
C. Aplastic crisis
D. Dactylitis crisis

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) Aplastic anemia is characterized by a lack of reticulocytes in the blood. Platelet and white blood cell counts are usually not depressed. It is usually self-limiting, lasting 5-10 days. (B) Vaso-occlusive crisis is the most common type of crisis in sickle cell anemia. Sickled cells become clogged, leading to distal tissue hypoxia and infarction. Joints and extremities are the most commonly affected areas. (C) Dactylitis crisis, or "hand-foot syndrome," causes symmetrical infarction of the bones in the hands and feet, resulting in painful swelling in the soft tissues of the hands and feet. (D) Sequestration crisis occurs as enormous volumes of blood pool within the spleen. The spleen enlarges, causing tenderness. Signs of shock including pallor, tachypnea, and faintness result, related to the deficient intravascular volume. This type of crisis is potentially fatal.

NEW QUESTION # 429
Degenerative disorders are attributed to many factors. As a nurse assigned to a convalescent home, one must often educate families about how such conditions occur. Which of the following statements might the nurse need to explore when a daughter tries to explain to her mother what caused her degenerative disorder?

A. "I know some people who are having this problem and they were exposed to chemicals at work, Mother."
B. "Some folks believe that aging causes this, Mother."
C. "It can be caused by lots of things, toxic agents and even alcohol, Mother."
D. "Perhaps, it's the way your parents used those double- bind messages, Mother."

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) Aging is a factor in the cause of degenerative disorders. (B) Double-bind messages may be found in the histories of families of individuals who develop schizophrenia, but they are not related to degenerative disorders. (C) Chemicals (toxic agents) in work environments are predisposing factors to degenerative disorders. (D) Alcohol causes some degenerative disorders, such as Wernicke's syndrome.

NEW QUESTION # 430
A 5-year-old has just had a tonsillectomy and adenoidectomy. Which of these nursing measures should be included in the postoperative care?

A. Give warm clear liquids when fully alert.
B. Encourage the child to cough up blood if present.
C. Observe for evidence of bleeding.
D. Have child gargle and do toothbrushing to remove old blood.

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) The nurse should discourage the child from coughing, clearing the throat, or putting objects in his mouth. These may induce bleeding. (B) Cool, clear liquids may be given when child is fully alert. Warm liquids may dislodge a blood clot. The nurse should avoid red- or brown-colored liquids to distinguish fresh or old blood from ingested liquid should the child vomit. (C) Gargles and vigorous toothbrushing could initiate bleeding. (D) Postoperative hemorrhage, though unusual, may occur. The nurse should observe for bleeding by looking directly into the throat and for vomiting of bright red blood, continuous swallowing, and changes in vital signs.

NEW QUESTION # 431
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