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NCLEX NCLEX-RN Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Psychosocial Integrity6–12%
Topic 2: Health Promotion and Maintenance6–12%
Topic 3: Safe and Effective Care Environment17–33%- Safety and Infection Control
- Management of Care
Topic 4: Physiological Integrity43–67%- Physiological Adaptation
- Pharmacological and Parenteral Therapies
- Basic Care and Comfort
- Reduction of Risk Potential

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最新的 NCLEX Certification NCLEX-RN 免費考試真題 (Q498-Q503):

問題 #498
A 4 year old has an imaginary playmate, which concerns the mother. The nurse's best response would be:

答案：C

解題說明：
(A) This is normal for a preschooler, and a referral is not appropriate. (B) Telling a parent not to worry is unhelpful. This response does not address the mother's concern. (C) This response is incorrect. The behavior is normal and will usually disappear by the time the child enters school. (D) This behavior is normal development for a preschooler.


問題 #499
A female client plans to bottle-feed her newborn. Her physician has ordered bromocriptine (Parlodel) to suppress lactation. Which of the following instructions about bromocriptine should be given by the nurse?

答案：D

解題說明：
Explanation
(A) Bromocriptine inhibits the secretion of prolactin. (B) Hypotension is a side effect of this drug; hypertension is not. (C) Bromocriptine is generally taken for 14 days. (D) The administration of bromocriptine is delayed at least 4 hours postpartum and given only when the client's blood pressure is stable, because it can cause hypotension and syncope.


問題 #500
Discharge teaching was effective if the parents of a child with atopic dermatitis could state the importance of:

答案：B

解題說明：
Explanation
(A) Maintaining a low-humidified environment. (B) Avoiding furry, soft stuffed animals for play, which may increase symptoms of allergy. (C) Avoiding showering, which irritates the dermatitis, and encouraging bathing
4 times a day in colloid bath for temporary relief. (D) Wrapping hands in soft cotton gloves to prevent skin damage during scratching.


問題 #501
A client with a C-3-4 fracture has just arrived in the emergency room. The primary nursing intervention is:

答案：C

解題說明：
Section: Questions Set A
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.


問題 #502
In a client with chest trauma, the nurse needs to evaluate mediastinal position. This can best be done by:

答案：C

解題說明：
Section: Questions Set A
Explanation:
(A) No change in the breath sounds occurs as a direct result of the mediastinal shift. (B) Crepitus can occur owing to the primary disorder, not to the mediastinal shift. (C) Mediastinal shift occurs primarily with tension pneumothorax, but it can occur with very large hemothorax or pneumothorax. Mediastinal shift causes trachial deviation and deviation of the heart's point of maximum impulse. (D) No change in the heart sounds occurs as a result of the mediastinal shift.


問題 #503
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