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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q462-Q467):

NEW QUESTION # 462
Following a fracture of the left femur, a client develops symptoms of osteomyelitis. During the acute phase of osteomyelitis, nursing care is directed toward:

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) Any movement of his affected limb will cause discomfort to the child. (B) No weight bearing will be allowed until healing is well underway to avoid pathological fractures. (C) The child will be anorexic and may experience vomiting. Diet should be simple and high caloric until appetite returns and symptoms subside. (D) Physical therapy is instituted only after infection subsides.


NEW QUESTION # 463
A laboratory technique specific for diagnosing Lyme disease is:

Answer: B

Explanation:
(A) Polymerase chain reaction is the laboratory technique specific for Lyme disease. (B) Heterophil antibody test is used to diagnose mononucleosis. (C) Lyme disease does not decrease the serum calcium level. (D) Lyme disease does not increase the serum potassium level.


NEW QUESTION # 464
A male client is admitted to the medical-surgical unit from the emergency room with a diagnosis of acute pancreatitis. The nurse performs the admission nursing assessment. He is NPO with IV fluids infusing at 100 mL/hour. He is experiencing excruciating abdominal pain. Based on an analysis of these data, which nursing diagnosis would receive the highest priority?

Answer: A

Explanation:
Section: Questions Set E
Explanation:
(A) Relief of pain is the primary goal of nursing intervention because this client is experiencing acute pain. (B) Fluid volume deficit is being treated with IV fluid replacement. (C) Knowledge deficit will not be addressed at this time because a client in acute pain is not ready to learn. (D) Alteration in nutrition is the third priority after relief of pain and fluid volume deficit.


NEW QUESTION # 465
A mother is unsure about the type of toys for her 17-month-old child. Based on knowledge of growth and development, what toy would the nurse suggest?

Answer: C

Explanation:
(A)
Increased locomotive skills make push-pull toys appropriate for the energetic toddler.
(B)
Infants progress from reflex activity through simple repetitive behaviors to imitative behavior. Hand-eye coordination forms the foundation of other movements. (C) At age 8 months, infants begin to have pincer grasp. Toys that help infants develop the pincer grasp are recommended for this age group. (D) Various large colored blocks are suggested toys for infants 6-12 months of age to help visual stimulation.


NEW QUESTION # 466
A 60-year-old male client was hospitalized 3 days ago with the diagnosis of acute anterior wall myocardial infarction. Today he has been complaining of increasing weakness and shortness of breath. Crackles in both lung bases are audible on auscultation. He is developing:

Answer: B

Explanation:
(A) Extensions of his myocardial infarction would be chest pain unrelieved with nitroglycerin, cardiac enzyme elevations, and electrocardiographic changes. (B) Persons with pneumonia may complain of weakness and shortness of breath and have crackles in their lung bases. However, they would also have sputum production and leukocytosis. (C) Persons who have had myocardial infarctions (especially anterior wall) are at risk of developing left ventricular heart failure, which is a major cause of pulmonary edema. Pulmonary edema is manifest by shortness of breath, weakness, and crackles on auscultation of the lung fields. (D) Pulmonary emboli may be accompanied by shortness of breath, weakness, and crackles. However, the pulmonary hypertension that accompanies pulmonary emboli results in signs of increased systemic venous pressure as well.


NEW QUESTION # 467
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