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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q749-Q754):

NEW QUESTION # 749
A 48-year-old male client is hospitalized with mild ascites, bruising, and jaundice. He has a 20-year history of alcohol abuse. The client is diagnosed with cirrhosis. His serum ammonia level is high, indicating hepatic encephalopathy. He has esophageal varices. Which of the following may cause the varices to rupture?

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) Lifting heavy objects will increase intrathoracic pressure, thus placing the client at risk for rupturing esophageal varices. (B, C, D) This activity will not cause an increase in intrathoracic pressure.


NEW QUESTION # 750
A male client received a heart-lung transplant 1 month ago at a local transplant center. While visiting the nursing center to have his blood pressure taken, he complains of recent weakness and fatigue. He also tells the nurse that he is considering stopping his cyclosporine because it is expensive and is causing his face to become round. He fears he will catch viruses and be more susceptible to infections. The nurse responds to this last statement by explaining that cyclosporine:

Answer: A

Explanation:
Explanation
(A) Cyclosporine is the immunosuppressive drug of choice. It provides immunosuppression but does not lower the white blood cell count; therefore, the client is less susceptible to infection. (B) Cyclosporine is available at discount pharmacies. The cost may be absorbed by health insurance, or Medicare, if the client is eligible.
However, this statement does not address the entire problem verbalized by the client. (C) Immunosuppressive agents will be taken for the client's entire life because rejection can occur at any time. (D) These side effects do not necessarily resolve in time; however, the client may adapt.


NEW QUESTION # 751
A 25-year-old client believes she may be pregnant with her first child. She schedules an obstetric examination with the nurse practitioner to determine the status of her possible pregnancy. Her last menstrual period began May 20, and her estimated date of confinement using Nägele's rule is:

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A)March 27 is a miscalculation. (B) February 1 is a miscalculation. (C) February 27 is the correct answer.
To calculate the estimated date of confinement using Nagele's rule, subtract 3 months from the date that the last menstrual cycle began and then add 7 days to the result. (D) January 3 is a miscalculation.


NEW QUESTION # 752
A client hospitalized with a medical diagnosis of adjustment disorder versus personality disorder states,
"Nobody cares about the clients." The nurse's most effective response would be:

Answer: B

Explanation:
Section: Questions Set G
Explanation:
(A) This statement is a defensive response that places the nurse in a vulnerable countertransference position, and at the same time, fails to challenge the client's "splitting" behavior. (B) This statement is a defensive response by the nurse. In addition, this type of nontherapeutic statement requests that the client explains the reasons for her behavior, a difficult task for an individual with limited insight. (C) This statement is a nontherapeutic response that both ignores the intensity of the client's emotions and the dynamics underlying
"splitting" behavior. (D) By simultaneously acknowledging the client's emotional intensity and gently challenging her "splitting" behavior, the nurse addresses the client's current distortions and prepares for further interventions with angry or ambivalent feelings.


NEW QUESTION # 753
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:

Answer: D

Explanation:
Explanation/Reference:
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 # 754
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