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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q140-Q145):

NEW QUESTION # 140
A behavioral modification program is recommended by the multidisciplinary team working with a 15-year- old client with anorexia nervosa. A nursing plan of care based on this modality would include:

A. Restriction to the unit until she has gained 2 lb
B. Encouraging her to verbalize her feelings concerning food and food intake
C. Provision for a high-calorie, high-protein snack between meals
D. Role playing the client's eating behaviors

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) This answer is incorrect. Role playing is based on learning but is not based on the behavioral modification model. (B) This answer is correct. The behavioral modification model is based on negative and positive reinforcers to change behavior. (C) This answer is incorrect. Verbal catharsis is not an intervention based on behavioral modification. (D) This answer is incorrect. Although an acceptable nursing intervention, it is not based on behavioral modification.

NEW QUESTION # 141
A baby is circumcised. Immediate postoperative care should include:

A. Taking the baby to his mother for cuddling
B. Applying a loose diaper
C. Keeping the baby NPO for 4 hours to avoid vomiting
D. Changing the dressing frequently using dry, sterile gauze

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) A pressure diaper should be applied to discourage hemorrhage. (B) The baby can be fed by his mother soon after the procedure, once it is assessed that he is not in any distress and is stable. (C) Dressing changes should not be dry. Dry dressing will stick. (D) Cuddling after the procedure will hopefully quiet the baby. Feeding is also important if his feeding was withheld prior to the procedure or it is time for a feeding.

NEW QUESTION # 142
Which of the following findings would necessitate discontinuing an IV potassium infusion in an adult with ketoacidosis?

A. Serum potassium level of 3.7
B. Urine output 22 mL/hr for 2 hours
C. Small T wave of ECG
D. Serum glucose level of 180

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) Adequate renal flow of 30 mL/hr is a necessity with potassium infusions because potassium is excreted renally. (B) Because potassium level will decrease during correction of diabetic ketoacidosis, potassium will be infused even if plasma levels of potassium are normal. (C) A small T wave is normal and desired on the electrocardiogram. A tall, peaked T-wave could indicate overinfusion of potassium and hyperkalemia.
(D) Glucose levels of <200 are desirable.

NEW QUESTION # 143
A 9-month-old infant is being examined in the general pediatric clinic for a routine well-child checkup. His immunizations are up to date, and his mother reports that he has had no significant illnesses or injuries. Which of the following signs would lead the nurse to believe that he has had a cerebral injury?

A. Hyperextension of the neck with evidence of pain on flexion
B. Significant head lag when raised to a sitting position
C. Holding the head to one side and pointing the chin toward the other side
D. Holding the head erect and in the midline when in a vertical position

Answer: B

Explanation:
Explanation
(A) This position is indicative of a possible meningeal irritation or infection such as meningitis. (B) This position is seen most frequently in infants who have had an injury to the sternocleidomastoid muscle. (C) Most infants aged 4 months and older are able to maintain this position. (D) Infants older than 6 months of age should not have significant head lag. This is a sign of cerebral injury and should be referred for further evaluation.

NEW QUESTION # 144
A 24-hours' postpartum client complains of discomfort at the episiotomy site. On assessment, the nurse notes the episiotomy is without signs of infection. To relieve the discomfort, the nurse should first:

A. Assist her with a sitz bath
B. Administer the prescribed medication for pain
C. Teach her Kegel exercises
D. Apply an ice pack

Answer: A

Explanation:
(A) Warm, moist heat will promote circulation and provide comfort. A sitz bath should be tried before medication is given. (B) Pain medication can be given when other comfort measures such as a sitz bath and topical applications are ineffective. (C) Kegel exercises facilitate sitting by decreasing tension on the episiotomy. They will not be effective for pain control or sustained comfort level. (D) Ice packs are appropriate to apply in the first 12 hours postdelivery to produce vasoconstriction and to reduce edema to the area.

NEW QUESTION # 145
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