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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX-RN合格体験記、NCLEX-RN模擬試験最新版

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NCLEX National Council Licensure Examination(NCLEX-RN) 認定 NCLEX-RN 試験問題 (Q564-Q569):

質問 # 564
Which of the following signs might indicate a complication during the labor process with vertex presentation?

A. Fetal tachycardia to 170 bpm during a contraction
B. Appearance of dark-colored amniotic fluid
C. Contraction lasting 60 seconds
D. Nausea and vomiting at 8-10 cm dilation

正解：B

解説：
Explanation/Reference:
Explanation:
(A) Fetal tachycardia may indicate fetal hypoxia; however, 170 bpm is only mild tachycardia. (B) Nausea and vomiting occur frequently during transition and are not a complication. (C) Contractions frequently last
60-90 seconds during the transitional phase of labor and are not considered a complication as long as the uterus relaxes completely between contractions. (D) Passage of meconium in a vertex presentation is a sign of fetal distress; this may be normal in a breech presentation owing to pressure on the presenting part.

質問 # 565
A client with a C-3-4 fracture has just arrived in the emergency room. The primary nursing intervention is:

A. Confirmation of spinal cord injury
B. Stabilization of the cervical spine
C. Normalization of intravascular volume
D. Airway assessment and stabilization

正解：D

解説：
Explanation/Reference:
Explanation:
(A) If cervical spine injury is suspected, the airway should be maintained using the jaw thrust method that also protects the cervical spine. (B) Primary intervention is protection of the airway and adequate ventilation. (C, D) All other interventions are secondary to adequate ventilation.

質問 # 566
A client has returned to the unit following a left femoral popliteal bypass graft. Six hours later, his dorsalis pedis pulse cannot be palpated, and his foot is cool and dusky. The nurse should:

A. Continue to monitor the foot
B. Notify the physician immediately
C. Assure the client that his foot is fine
D. Reposition and reassess the foot

正解：B

解説：
Explanation
(A) The client is losing blood supply to his left foot. Continuing to monitor the foot will not help restore the blood supply to the foot. (B) The physician should be notified immediately because the client is losing blood supply to his left foot and is in danger of losing the foot and/or leg. (C) The presenting symptoms are of an emergency nature and require immediate intervention. (D) This action would be giving the client false assurance.

質問 # 567
Endotracheal tube cuff pressure should never exceed:

A. 60 mm Hg
B. 20 mm Hg
C. 45 mm Hg
D. 10 mm Hg

正解：B

解説：
(A) Pressure<10 mm Hg places the client at risk for aspiration. (B) Pressure in the endotracheal tube cuff should never exceed 20 mm Hg, because higher pressure places the client at risk for tracheal erosion. (C) A pressure of 45 mm Hg is an extremely high pressure in the endotracheal tube cuff. This places the client at great risk for tracheal erosion. (D) A pressure of 60 mm Hg is an extremely high pressure in the endotracheal tube cuff. This places the client at great risk for tracheal erosion.

質問 # 568
A 30-year-old client in the third trimester of her pregnancy asks the nurse for advice about upper respiratory discomforts. She complains of nasal stuffiness and epistaxis, most noticeable on the left side. Which reply by the nurse is correct?

A. "This is most unusual. I'm sure your obstetrician will want you to see an ENT (ear, nose, throat) specialist."
B. "A good vaporizer will help; avoid the cool air kind. Also, try saline nose drops, and spend less time on your left side."
C. "These discomforts are all a result of increased blood supply; one of the pregnancy hormones, estrogen, causes them."
D. "It sounds as though you are coming down with a bad cold. I'll ask the doctor to prescribe a decongestant for relief of symptoms."

正解：C

解説：
Section: Questions Set F
Explanation:
(A) Decongestants may exaggerate the nasal stuffiness associated with pregnancy. Judicious use of decongestants and nasal sprays is advocated during pregnancy. (B) Cool air vaporizers and saline drops may help to relieve the nasal stuffiness. Positioning on either lateral side does not decrease nasal stuffiness or prevent epistaxis. (C) Increased estrogen levels result in nasal mucosa edema with subsequent nasal stuffiness. Estrogen also promotes vasodilation, which contributes to epistaxis. The nurse may recommend cool air vaporizers and saline drops to help with the nasal stuffiness. (D) Increased estrogen levels result in nasal mucosa edema with subsequent nasal stuffiness. Estrogen also promotes vasodilation discomforts associated with pregnancy.

質問 # 569
......

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