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NCLEX NCLEX-RN Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Physiological Integrity43–67%- Basic Care and Comfort
  • 1. Assistive Devices
    • 2. Nutrition and Oral Hydration
      • 3. Mobility and Immobility
        • 4. Non-pharmacological Comfort Interventions
          • 5. Personal Hygiene
            • 6. Elimination
              - Pharmacological and Parenteral Therapies
              • 1. Dosage Calculation
                • 2. Adverse Effects and Contraindications
                  • 3. Medication Administration
                    • 4. IV Therapy and Blood Products
                      • 5. Pharmacological Pain Management
                        - Physiological Adaptation
                        • 1. Hemodynamics
                          • 2. Pathophysiology
                            • 3. Medical Emergencies
                              • 4. Fluid and Electrolyte Imbalances
                                • 5. Illness Management
                                  • 6. Respiratory Care
                                    - Reduction of Risk Potential
                                    • 1. Potential for Complications
                                      • 2. Vital Signs
                                        • 3. Therapeutic Procedures
                                          • 4. Diagnostic Tests
                                            • 5. Laboratory Values
                                              Topic 2: Health Promotion and Maintenance6–12%- Health Promotion Programs
                                              - Developmental Stages and Transitions
                                              - Self-Care
                                              - Aging Process
                                              - Antepartum, Intrapartum, Postpartum and Newborn Care
                                              - Physical Assessment Techniques
                                              - Disease Prevention and Health Screening
                                              Topic 3: Safe and Effective Care Environment26–38%- Management of Care
                                              • 1. Continuity of Care
                                                • 2. Quality Improvement
                                                  • 3. Client Rights
                                                    • 4. Case Management
                                                      • 5. Legal Responsibilities
                                                        • 6. Advocacy
                                                          • 7. Ethical Practice
                                                            • 8. Delegation and Prioritization
                                                              - Safety and Infection Control
                                                              • 1. Infection Control
                                                                • 2. Use of Restraints and Safety Devices
                                                                  • 3. Hazardous Materials Handling
                                                                    • 4. Standard Precautions
                                                                      • 5. Accident Prevention
                                                                        • 6. Error Prevention
                                                                          Topic 4: Psychosocial Integrity6–12%- Family Dynamics
                                                                          - End-of-Life Support
                                                                          - Behavioral Interventions
                                                                          - Therapeutic Communication
                                                                          - Mental Health Concepts
                                                                          - Grief and Loss
                                                                          - Chemical Dependency and Substance Use Disorders
                                                                          - Coping Mechanisms

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                                                                          NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q177-Q182):

                                                                          NEW QUESTION # 177
                                                                          A client develops complications following a hysterectomy. Blood cultures reveal Pseudomonas aeruginosa. The nurse expects that the physician would order an appropriate antibiotic to treat
                                                                          P. aeruginosa such as:

                                                                          Answer: C

                                                                          Explanation:
                                                                          Section: Questions Set G
                                                                          Explanation:
                                                                          (A) Cefoperazone is indicated in the treatment of infection with Pseudomonas aeruginosa.(B) Clindamycin is not indicated in the treatment of infection withP. aeruginosa.(C) Dicloxacillin is not indicated in the treatment of infection with
                                                                          P. aeruginosa.(D) Erythromycin is not indicated in the treatment of infection with
                                                                          P. aeruginosa.


                                                                          NEW QUESTION # 178
                                                                          The nurse has been caring for a 16-year-old female who recently experienced date rape. After having had crisis intervention and been hospitalized for 2 weeks, the nurse knows that the client is effectively coping with the rape when she tells the nurse:

                                                                          Answer: C

                                                                          Explanation:
                                                                          Explanation
                                                                          (A) This response does not show any insight; the client falsely assumes that she is responsible for the rape. (B) The client continues to falsely assume responsibility for the rapist's behavior. (C) The client believes falsely that rape is an act of passion, rather than one of violence, control, and domination. (D) The client has insight into the rape; she does not believe it was her fault and shows good judgment in deciding to continue with counseling after discharge.


                                                                          NEW QUESTION # 179
                                                                          When interviewing parents who are suspected of child abuse, the nurse would use which of the following interview techniques?

                                                                          Answer: C

                                                                          Explanation:
                                                                          Explanation
                                                                          (A) The nurse must be honest, direct, professional, and attentive in her interview to gain the parent's trust. (B) The nurse should approach the parents in private, away from the child. (C) Asking them to relive and evaluate the situation may be looked at as placing blame on the parents for the child's "accident." At this point, the parents may get defensive and stop communicating. (D) Although you may call child protective services, the nurse should inform the parents of their responsibility to do this and explain the process to them.


                                                                          NEW QUESTION # 180
                                                                          When planning care for the passive-aggressive client, the nurse includes the following goal:

                                                                          Answer: A

                                                                          Explanation:
                                                                          (A) Ceasing to use humor and sarcasm is a more appropriate goal, because this client uses these behaviors covertly to express aggression instead of being open with anger. (B) Use of "I" messages demonstrates proper use of assertive behavior to express anger instead of passive-aggressive behavior. (C) Client is expected to complete share of work in therapeutic community because he has often obstructed other's efforts by failing to do his share. (D) Client has used conveniently forgetting or withholding information as a passive-aggressive behavior, which is not acceptable.


                                                                          NEW QUESTION # 181
                                                                          A 32-year-old female client is being treated for Guillain- Barré syndrome. She complains of gradually increasing muscle weakness over the past several days. She has noticed an increased difficulty in ambulating and fell yesterday. When conducting a nursing assessment, which finding would indicate a need for immediate further evaluation?

                                                                          Answer: D

                                                                          Explanation:
                                                                          Explanation/Reference:
                                                                          Explanation:
                                                                          (A) Headaches are not associated with Guillain-Barré syndrome. (B) Loss of superficial and deep tendon reflexes is expected with this diagnosis. (C) Complaints of shortness of breath must be further evaluated.
                                                                          Forty percent of all clients have some detectable respiratory weakness and should be prepared for a possible tracheostomy. Pneumonia is also a common complication of this syndrome. (D) Facial paralysis is expected and is not considered abnormal.


                                                                          NEW QUESTION # 182
                                                                          ......

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