Pdf NCLEX-RN Format - New NCLEX-RN Test Sample

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| Section | Weight | Objectives |
|---|
| Management of Care | 15-21% | - Management of Care
- 1. Legal Rights and Responsibilities
- 2. Assignment, Delegation and Supervision
- 3. Performance Improvement and Quality Assurance
- 4. Client Rights
- 5. Collaboration with Interdisciplinary Team
- 6. Informed Consent
- 7. Advance Directives
- 8. Case Management
- 9. Advocacy
- 10. Ethical Practice
- 11. Priority Setting
- 12. Continuity of Care
- 13. Confidentiality and Information Security
|
| Pharmacological and Parenteral Therapies | 13-19% | - Pharmacological and Parenteral Therapies
- 1. Dosage Calculations
- 2. Expected Actions and Outcomes
- 3. Adverse Effects and Contraindications
- 4. Central Venous Access Devices
- 5. Parenteral Therapies
- 6. Medication Administration
- 7. Blood and Blood Products
|
| Basic Care and Comfort | 6-12% | - Basic Care and Comfort
- 1. Nutrition and Oral Hydration
- 2. Assistive Devices
- 3. Elimination
- 4. Mobility and Immobility
- 5. Activities of Daily Living
- 6. Personal Hygiene
- 7. Rest and Sleep
|
| Reduction of Risk Potential | 9-15% | - Reduction of Risk Potential
- 1. System-Specific Assessments
- 2. Changes in Vital Signs
- 3. Monitoring and Assessment
- 4. Diagnostic Tests
- 5. Potential Complications
- 6. Therapeutic Procedures
|
| Safety and Infection Control | 10-16% | - Safety and Infection Control
- 1. Accident and Injury Prevention
- 2. Handling Hazardous Materials
- 3. Infection Prevention and Control
- 4. Home Safety
- 5. Security Plans
- 6. Standard and Transmission-Based Precautions
- 7. Safe Use of Equipment
- 8. Emergency Response Planning
|
| Psychosocial Integrity | 6-12% | - Psychosocial Integrity
- 1. Behavioral Interventions
- 2. Therapeutic Communication
- 3. Family Dynamics
- 4. Coping Mechanisms
- 5. Mental Health Concepts
- 6. Support Systems
- 7. Crisis Intervention
- 8. Substance Use Disorders
|
| Health Promotion and Maintenance | 6-12% | - Health Promotion and Maintenance
- 1. Disease Prevention
- 2. Aging Process
- 3. Newborn Care
- 4. Growth and Development
- 5. Prenatal, Intrapartum and Postpartum Care
- 6. Health Screening
- 7. Health Promotion Programs
|
| Physiological Adaptation | 11-17% | - Physiological Adaptation
- 1. Medical Emergencies
- 2. Alterations in Body Systems
- 3. Pathophysiology
- 4. Unexpected Response to Therapies
- 5. Fluid and Electrolyte Imbalances
- 6. Hemodynamics
|
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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q708-Q713):
NEW QUESTION # 708
A 70-year-old female client is admitted to the medical intensive care unit with a diagnosis of cerebrovascular accident (CVA). She is semicomatose, responding to pain and change in position. She is unable to speak or cough. In planning her nursing care for the first 24 hours following a CVA, which nursing diagnosis should receive the highest priority?
- A. Altered cerebral tissue perfusion related to pathophysiological changes that decrease blood flow
- B. Impaired verbal communication related to aphasia
- C. Potential for injury related to impaired mobility and seizures
- D. Ineffective airway clearance related to immobility, ineffective cough, and decreased level of consciousness
Answer: D
Explanation:
Explanation
(A) An effective airway is necessary to prevent hypoxia and subsequent cardiac arrest. (B) Cerebral tissue perfusion is necessary to preserve remaining cerebral tissue, but this goal is secondary to maintenance of an effective airway. (C) While prevention of injury is important, it is secondary to maintaining an effective airway and cerebral tissue perfusion. (D) Impaired verbal communication is not life threatening in the acute phase of recovery. It is the lowest priority of the nursing diagnoses listed.
NEW QUESTION # 709
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?
- A. Pain related to stimulation of nerve endings associated with obstruction of the pancreatic tract
- B. Knowledge deficit related to treatment regimen
- C. Fluid volume deficit related to vomiting and nasogastric tube drainage
- D. Altered nutrition: less than body requirements, related to inadequate intake associated with current anorexia, nausea, vomiting, and digestive enzyme loss
Answer: A
Explanation:
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 # 710
The nurse observes a client crying quietly. She has just experienced a spontaneous abortion at nine weeks' gestation. An appropriate response by the nurse would be:
- A. "This must be a difficult time for you. Would you like to talk about it?"
- B. "I'm sure your other children will be a comfort for you."
- C. "Don't worry, you're still young. If I were you I'd just try again."
- D. "It must be God's will and probably is for the best."
Answer: A
Explanation:
Section: Questions Set E
Explanation:
(A) This response is nontherapeutic because it belittles the client's response and gives a meaningless rationalization. (B) This response acknowledges the client's feelings and demonstrates the therapeutic offering of self by the nurse. (C) This response is nontherapeutic because it does not focus on the client's feelings and offers false reassurance. (D) This response is nontherapeutic because it belittles the client's feelings and offers her advice.
NEW QUESTION # 711
A laboratory technique specific for diagnosing Lyme disease is:
- A. Polymerase chain reaction
- B. Heterophil antibody test
- C. Increased serum potassium level
- D. Decreased serum calcium level
Answer: A
Explanation:
Section: Questions Set A
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 # 712
A common complication of cirrhosis of the liver is prolonged bleeding. The nurse should be prepared to administer?
- A. Vitamin K
- B. Vitamin A
- C. Vitamin E
- D. Vitamin C
Answer: A
Explanation:
Explanation/Reference:
Explanation:
(A) Vitamin C does not directly affect clotting. (B) Vitamin K is a fat-soluble vitamin that depends on liver function for absorption. Vitamin K is essential for clotting. (C) Vitamin E does not directly affect clotting. (D) Vitamin A does not directly affect clotting.
NEW QUESTION # 713
......
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