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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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최신 NCLEX Certification NCLEX-RN 무료샘플문제 (Q791-Q796):

질문 # 791
When teaching a sex education class, the nurse identifies the most common STDs in the United States as:

A. Herpes genitalis
B. Chlamydia
C. Gonorrhea
D. Syphilis

정답：B

설명：
Explanation
(A) Chlamydia trachomatis infection is the most common STD in the United States. The Centers for Disease Control and Prevention recommend screening of all high-risk women, such as adolescents and women with multiple sex partners. (B) Herpes simplex genitalia is estimated to be found in 5-20 million people in the United States and is rising in occurrence yearly. (C) Syphilis is a chronic infection caused by Treponema pallidum. Over the last several years the number of people infected has begun to increase. (D) Gonorrhea is a bacterial infection caused by the organism Neisseria gonorrhoeae. Although gonorrhea is common, chlamydia is still the most common STD.

질문 # 792
The nurse is teaching a 10-year-old insulin-dependent diabetic how to administer insulin. Which one of the following steps must be taught for insulin administration?

A. Pinch the skin up to form a subcutaneous pocket.
B. Never use abdominal site for a rotation site.
C. Avoid applying pressure after injection.
D. Change needles after injection.

정답：A

설명：
Section: Questions Set B
Explanation:
(A) Sites for injection need to be rotated, including abdominal sites, to enhance insulin absorption. (B) The pinch technique is the most effective method for obtaining skin tightness to allow easy entrance of the needle to subcutaneous tissues. (C) Massaging the site of injection facilitates absorption of the insulin. (D) Changing the needle will break the sterility of the system. It has become acceptable practice to reuse disposable needles and syringes for 3-7 days.

질문 # 793
A 20-year-old male client is being treated for protein deficiency. If he likes all of the following foods, which one would the nurse recommend to increase in the diet?

A. Cantaloupe
B. Rice
C. Green beans
D. Chicken

정답：D

설명：
Explanation
(A) Cantaloupe is a good source of carbohydrates, vitamin C, and vitamin A.
(B) Rice contains about 4 g of protein per 200 g.
(C) Chicken contains 35 g protein per breast. Chicken is a rich source of vitamin B6 (pyridoxine), which is needed for adequate protein synthesis. As protein intake increases, vitamin B6 intake must also be increased. Vitamin B6 is a coenzyme in amino acid metabolism.
(D) Green beans only contain 2 g of protein per cup.

질문 # 794
Primary nursing diagnoses for the antisocial client are:

A. Alteration in perception and altered self-concept
B. Altered communication processes and altered recreational patterns
C. Impaired social interaction, ineffective individual coping, and altered self-concept
D. Altered body image and altered thought processes

정답：C

설명：
Explanation
(A) This answer is incorrect. Perception is not altered because the client is not psychotic. (B) This answer is correct. The antisocial client lacks responsibility, accountability, and social commitment; has impaired problem-solving ability; tends to overuse defense mechanisms; lies and steals; and is often grandiose concerning self. (C) This answer is incorrect. Altered communication processes do not characterize this client.
The antisocial person communicates well and tends to have a charming personality. (D) This answer is incorrect. Altered thought processes refer to delusional thinking, which is bizarre and fixed, and do not characterize this client.

질문 # 795
A 68-year-old woman is admitted to the hospital with chronic obstructive pulmonary disease (COPD). She is started on an aminophylline infusion. Three days later she is breathing easier. A serum theophylline level is drawn. Which of the following values represents a therapeutic level?

A. 4 u g/mL
B. 14 u g/mL
C. 25 u g/mL
D. 30 u g/mL

정답：B

설명：
(A) The therapeutic blood level range of theophylline is 10-20 mg/mL. Therapeutic drug monitoring determines effective drug dosages and prevents toxicity. (B, D) This value is a toxic level of the drug. (C) This value is a nontherapeutic level of the drug.

질문 # 796
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