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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) NCLEX-RN Prüfungsfragen mit Lösungen (Q484-Q489):

484. Frage
A pregnant client is at the clinic for a third trimester prenatal visit. During this examination, it has been determined that her fetus is in a vertex presentation with the occiput located in her right anterior quadrant. On her chart this would be noted as:

A. Right sacroanterior
B. Right occipitoposterior
C. Right occipitoanterior
D. LOA

Antwort: C

Begründung:
Explanation
(A) The fetus in the right occipitoposterior position would be presenting with the occiput in the maternal right posterior quadrant. (B) Fetal position is defined by the location of the fetal presenting part in the four quadrants of the maternal pelvis. The right occipitoanterior is a fetus presenting with the occiput in mother's right anterior quadrant. (C) The fetus in right sacroanterior position would be presenting a sacrum, not an occiput. (D) The fetus in left occipitoanterior position would be presenting with the occiput in the mother's left anterior quadrant.

485. Frage
Diabetes mellitus is a disorder that affects 3.1 out of every 1000 children younger than 20 years old. It is characterized by an absence of, or marked decrease in, circulating insulin. When teaching a newly diagnosed diabetes client, the nurse includes information on the functions of insulin:

A. Glycogenolysis and facilitation of glucose use for energy
B. Glycogenolysis and catabolism
C. Transport of glucose into body cells and storage of glycogen in the liver
D. Catabolism and hyperglycemia

Antwort: C

Begründung:
Section: Questions Set G
Explanation:
(A) Lack of insulin causes glycogenolysis, catabolism, and hyperglycemia. (B) Insulin promotes the conversion of glucose to glycogen for storage and regulates the rate at which carbohydrates are used by cells for energy.
(C) Insulin is anabolic in nature. (D) Glucose stimulates protein synthesis within the tissue and inhibits the breakdown of protein into amino acids.

486. Frage
When teaching a mother of a 4-month-old with diarrhea about the importance of preventing dehydration, the nurse would inform the mother about the importance of feeding her child:

A. Diluted carbonated drinks
B. Regular formulas mixed with electrolyte solutions
C. Fruit juices
D. Soy-based, lactose-free formula

Antwort: D

Begründung:
Explanation/Reference:
Explanation:
(A) Diluted fruit juices are not recommended for rehydration because they tend to aggravate the diarrhea.
(B) Diluted soft drinks have a high-carbohydrate content, which aggravates the diarrhea. (C) Soy-based, lactose-free formula reduces stool output and duration of diarrhea in most infants. (D) Regular formulas contain lactose, which can increase diarrhea.

487. Frage
A 16-year-old diabetic girl has been selected as a cheerleader at her school. She asks the nurse whether she should increase her insulin when she is planning to attend cheerleading practice sessions lasting from 8 to 11 AM. The most appropriate answer would be:

A. "No, do not increase your insulin, but eating a snack prior to practice exercise will make insulin more effective and move more glucose into the cells."
B. "No, do not increase your insulin. Exercise will not affect your insulin needs."
C. "You should ask your doctor about this."
D. "Yes, increase your insulin by 1 U for each hour of practice because exercise causes the body to need more insulin."

Antwort: A

Begründung:
Section: Questions Set G
Explanation:
(A) A nurse can give this information to a client. (B) Exercise makes insulin more efficient in moving more glucose into the cells. No more insulin is needed. (C) Exercise makes insulin more efficient unless the diabetes is poorly controlled. (D) Exercise makes insulin more efficient in moving more glucose into the cells.

488. Frage
One afternoon 3 weeks into his alcohol treatment program, a client says to the nurse, "It's really not all my fault that I have a drinking problem. Alcoholism runs in my family. Both my grandfather and father were heavy drinkers." The nurse's best response would be:

A. "Your grandfather and father were both alcoholics?"
B. "It sounds like you're intellectualizing your drinking problem."
C. "That might be a problem. Tell me more about them."
D. "Risk factors can often be controlled by self-responsibility."

Antwort: D

Begründung:
Explanation/Reference:
Explanation:
(A) Focusing is an effective therapeutic strategy. This response, however, allows the client to "defocus" off the topic of learning how to accept responsibility for his behavior and future growth. (B) The nurse can educate the client about both the "genetic risk" for the development of alcoholism and ways to make long- term healthy lifestyle changes. (C) This response is inappropriately confrontational and condescending to the client. (D) Reflection of content can be an effective verbal therapeutic technique. It is used inappropriately here.

489. Frage
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