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NCLEX NCLEX-RN Exam Syllabus Topics:

Section	Weight	Objectives
Topic 1: Health Promotion and Maintenance	6–12%	- Disease Prevention and Health Screening - Aging Process - Self-Care - Developmental Stages and Transitions - Antepartum, Intrapartum, Postpartum and Newborn Care - Physical Assessment Techniques - Health Promotion Programs
Topic 2: Physiological Integrity	43–67%	- Physiological Adaptation 1. Hemodynamics 2. Fluid and Electrolyte Imbalances 3. Illness Management 4. Medical Emergencies 5. Pathophysiology 6. Respiratory Care - Pharmacological and Parenteral Therapies 1. Adverse Effects and Contraindications 2. Dosage Calculation 3. Medication Administration 4. Pharmacological Pain Management 5. IV Therapy and Blood Products - Basic Care and Comfort 1. Assistive Devices 2. Elimination 3. Nutrition and Oral Hydration 4. Personal Hygiene 5. Non-pharmacological Comfort Interventions 6. Mobility and Immobility - Reduction of Risk Potential 1. Potential for Complications 2. Diagnostic Tests 3. Therapeutic Procedures 4. Vital Signs 5. Laboratory Values
Topic 3: Psychosocial Integrity	6–12%	- Behavioral Interventions - Coping Mechanisms - Therapeutic Communication - Mental Health Concepts - Grief and Loss - End-of-Life Support - Family Dynamics - Chemical Dependency and Substance Use Disorders
Topic 4: Safe and Effective Care Environment	26–38%	- Management of Care 1. Legal Responsibilities 2. Continuity of Care 3. Client Rights 4. Advocacy 5. Delegation and Prioritization 6. Case Management 7. Quality Improvement 8. Ethical Practice - Safety and Infection Control 1. Hazardous Materials Handling 2. Standard Precautions 3. Accident Prevention 4. Use of Restraints and Safety Devices 5. Infection Control 6. Error Prevention

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NCLEX - NCLEX-RN - National Council Licensure Examination(NCLEX-RN) Pass-Sure Examcollection Questions Answers

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q65-Q70):

NEW QUESTION # 65
An 80-year-old male client with a history of arteriosclerosis is experiencing severe pain in his left leg that started approximately 20 minutes ago. When performing the admission assessment, the nurse would expect to observe which of the following:

A. Both lower extremities cyanotic when placed in a dependent position
B. The left leg warmer to touch than the right leg
C. Both lower extremities warm to touch with 2_pedal pulses
D. Decreased or absent pedal pulse in the left leg

Answer: D

Explanation:
(A) This statement describes a normal assessment finding of the lower extremities. (B) This
assessment finding reflects problems caused by venous insufficiency. (C) Decreased or absentpedal pulses reflect a problem caused by arterial insufficiency. (D) The leg that is experiencing arterial insufficiency would be cool to touch due to the decreased circulation.

NEW QUESTION # 66
A child receiving chemotherapeutic drugs experiences a loss of appetite directly related to the therapy. Which of the following strategies should be most effective in encouraging the child to eat?

A. Offer the child smaller meals more frequently than usual, and include as many of her favorite foods as possible.
B. Schedule procedures immediately after eating so that the child will not be tired or in pain at mealtime.
C. Provide a well-balanced diet at usual times, and restrict dessert if the child fails to eat well.
D. Offer the child a diet with a wider variety of foods and with more seasoning than her usual diet.

Answer: A

Explanation:
Explanation
(A) Because the child's appetite is capricious at best, regular servings may be overwhelming. Praise the child for what is eaten. (B) The child will soon learn that procedures follow meals and may play with food rather than eat it to avoid or delay the procedure. (C) Young children usually do not like highly seasoned foods and may need the security of usual foods. Such a change may actually increase anorexia. (D) Small servings appear more achievable to the child, and the inclusion of favorite foods can add a sense of security.

NEW QUESTION # 67
A child is admitted with severe headache, fever, vomiting, photophobia, drowsiness, and stiff neck associated with viral meningitis. She will be more comfortable if the nurse:

A. Encourages her to breathe slowly and deeply
B. Places a large, soft pillow under her head
C. Offers sips of warm liquids
D. Dims the lights in her room

Answer: D

Explanation:
Section: Questions Set G
Explanation:
(A) The discomfort of photophobia is alleviated by dimming the lights. (B) Helping the child to breathe slowly and deeply may help to reduce anxiety, but it will not alleviate other discomforts of viral meningitis. (C) It is important to maintain fluid balance, but sips of warm liquids do not alleviate the discomforts of meningitis. (D) A large, soft pillow under her head causing neck flexion is likely to increase her discomfort owing to stretching of the meninges.

NEW QUESTION # 68
The nurse caring for a client who has pneumonia, which is caused by a gram-positive bacteria, inspects her sputum. Because the client's pneumonia is caused by a gram-positive bacteria, the nurse experts to find the sputum to be:

A. Bright red with streaks
B. Green colored
C. Rust colored
D. Pink-tinged and frothy

Answer: C

Explanation:
Explanation
(A) Bright red sputum with streaks is associated with pneumonia caused by gram-negative bacteria, such asKlebsiellapneumonia. (B) Pneumococcal pneumonia, caused by gram-positive bacteria, has a characteristic productive cough with green or rust-colored sputum. (C) Green-colored sputum is more characteristic ofPseudomonasthan of gram-positive bacterial pneumonia. (D) Pink-tinged and frothy sputum is more characteristic of pulmonary edema than of gram-positive bacterial pneumonia.

NEW QUESTION # 69
A 19-year-old primigravida is admitted to the labor and delivery suite of the hospital. Her husband is accompanying her. The couple tells the nurse that this is the first hospital admission for her. The client's vaginal exam indicates she is 3 cm dilated, 80% effaced, and at _0 station. Based on the vaginal exam, she is in:

A. Stage 1, latent phase
B. Stage 1, active phase
C. Stage 2, latent phase
D. Stage 3, transition phase

Answer: A

Explanation:
(A) The second stage of labor is from full cervical dilation through birth of the baby. The three phases of this stage include latency or resting, descent, and final transition. The client is less than fully dilated so she is not in stage 2. (B) The first stage of labor begins with regular uterine contractions and continues until the woman is 10 cm dilated. The three phases of this stage include the early or latent phase (0-3 cm), the active phase (4-7 cm), and the transitional phase (7-10 cm). The client is <4 cm dilated so she is in the latent phase of the first stage of labor. (C) The third stage of labor is from the birth of the baby until the delivery of the placenta. The client is less than fully dilated. (D) The first stage of labor begins with regular uterine contractions and continues until the woman is 10 cm dilated. The three phases of this stage include the early orlatent phase (0-3 cm), the active phase (4-7 cm), and the transitional phase (7-10 cm). The client is <4 cm dilated so she is in the latent phase of the first stage of labor.

NEW QUESTION # 70
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