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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q687-Q692):

NEW QUESTION # 687
A 52-year-old female client is admitted to the hospital in acute renal failure. She has been on hemodialysis for the past 2 years. Stat arterial blood gases are drawn on the client yielding the following results: pH
7.30, PCO2 51 mm Hg, HCO3, 18 mEq/L, PaO2, 84 mm Hg. The nurse would interpret these results as:

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) Compensated metabolic alkalosis would be reflected by the following: pH within normal limit (7.35-
7.45), PCO2 > 45 mm Hg, HCO3 >26 mEq/L. (B) Respiratory acidosis would be reflected by the following:
pH < 7.35, PCO2 > 45 mm Hg, HCO3 within normal limits (22-26 mEq/L). (C) Partially compensated metabolic alkalosis would be reflected by the following: pH > 7.45, PCO2 > 45 mm Hg, HCO3 > 26 mEq/L.
(D) Combined respiratory and metabolicacidosis would be reflected by the following: pH < 7.35, PCO2 >
45 mm Hg, HCO3 < 22 mEq/L.


NEW QUESTION # 688
A client who is a breast-feeding mother develops mastitis. The clinical signs and symptoms of mastitis include:

Answer: D

Explanation:
(A)
Mastitis is a bacterial inflammation of the breast tissue found primarily in breast-feeding mothers. The bacteria usually enter the breast through a cracked nipple, or the infection results from stasis of milk behind a blocked duct. (B) With breast engorgement during breast-feeding, there may be marked breast pain. This is not necessarily a sign of infection.
(C)
Women may become ill during breast-feeding with other bacterial or viral infections that are not related to mastitis. (D) Improper care of the nipples or improper positioning of the infant during breastfeeding may result in cracked or sore nipples.


NEW QUESTION # 689
Prenatal clients are routinely monitored for early signs of pregnancy-induced hypertension (PIH). For the prenatal client, which of the following blood pressure changes from baseline would be most significant for the nurse to report as indicative of PIH?

Answer: C

Explanation:
Section: Questions Set B
Explanation:
(A) These blood pressure changes reflect only an 8 mm Hg systolic and a 5 mm Hg diastolic increase, which is insufficient for blood pressure changes indicating PIH. (B) These blood pressure changes reflect a decrease in systolic pressure of 8 mm Hg and diastolic pressure of 2 mm Hg; these values are not indicative of blood pressure increases reflecting PIH. (C) The definition of PIH is an increase in systolic blood pressure of 30 mm Hg and/or diastolic blood pressure of 15 mm Hg. These blood pressures reflect a change of 26 mm Hg systolically and 18mm Hg diastolically. (D) These blood pressures reflect a change of only 8 mm Hg systolically and 8 mm Hg diastolically, which is insufficient for blood pressure changes indicating PIH.


NEW QUESTION # 690
Which classification of drugs is contraindicated for the client with hypertrophic cardiomyopathy?

Answer: C

Explanation:
(A) Positive inotropic agents should not be administered owing to their action of increasing myocardial contractility. Increased ventricular contractility would increase outflow tract obstruction in the client with hypertrophic cardiomyopathy. (B) Vasodilators are not typically prescribed but are not contraindicated. (C) Diuretics are used with caution to avoid causing hypovolemia. (D) Antidysrhythmics are typically needed to treat both atrial and ventricular dysrhythmias.


NEW QUESTION # 691
A client has received digoxin 0.25 mg po daily for 2 weeks. Which of the following digoxin levels indicates toxicity?

Answer: C

Explanation:
Explanation
(A) 0.5 ng/mL of digoxin is a subtherapeutic level, not a toxic one. (B) 1.0 ng/mL is a therapeutic level. (C)
2.0 ng/mL is a therapeutic level. (D) Digoxin's therapeutic level is 0.8-2.0 ng/mL. Digoxin's toxic level is
>2.0 ng/mL.


NEW QUESTION # 692
......

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