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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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Latest National Council Licensure Examination(NCLEX-RN) exam dumps & NCLEX-RN braindumps2go vce

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q188-Q193):

NEW QUESTION # 188
The nurse is caring for a 3-month-old girl with meningitis. She has a positive Kernig's sign. The nurse expects her to react to discomfort if she:

A. Dorsiflexes her ankle
B. Plantiflexes her wrist
C. Flexes her spine
D. Turns her head to the side

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) Discomfort with ankle dorsiflexion is not expected with meningitis. (B) Spinal flexion, flexing the neck or the hips with legs extended, causes discomfort if the meninges are irritated. (C) Discomfort with wrist flexion is not expected with meningitis. (D) Rotating the cervical spine may cause discomfort with meningitis, but pain with flexion is more indicative of meningeal irritation.

NEW QUESTION # 189
A 4-year-old boy is brought to the emergency room with bruises on his head, face, arms, and legs. His mother states that he fell down some steps. The nurse suspects that he may have been physically abused. In accordance with the law, the nurse must:

A. Confront the child's mother
B. Report her suspicions to the authorities
C. Tell the physician her concerns
D. Talk to the child's father

Answer: B

Explanation:
Explanation
(A) Although the nurse probably would talk to the physician about these concerns, the nurse is not required by law to do so. (B) All healthcare workers are required by the Federal Child Abuse Prevention and Treatment Act of 1974 to report suspected and actual cases of child abuse and/or neglect. (C) Talking to the child's father may or may not help the child, and the nurse is not required by law to do so. (D) Confrontation may not be indicated; the nurse is not required by law to confront the child's mother with these suspicions.

NEW QUESTION # 190
Which of the following signs and symptoms indicates a tension pneumothorax as compared to an open pneumothorax?

A. Hypoxemia and respiratory acidosis
B. Ventilation-perfusion (V./Q.) mismatch
C. Mediastinal tissue and organ shifting
D. Decreased tidal volume and tachypnea

Answer: C

Explanation:
Section: Questions Set A
Explanation:
(A, B, D) These occur in both tension pneumothorax and open pneumothorax. (C) The tension pneumothorax acts like a one-way valve so that the pneumothorax increases with each breath. Eventually, it occupies enough space to shift mediastinal tissue toward the unaffected side away from the midline. Tracheal deviation, movement of point of maximum impulse, and decreased cardiac output will occur. The other three options will occur in both types of pneumothorax.

NEW QUESTION # 191
A client diagnosed with severe anemia is to receive 2 U of packed red blood cells. Prior to starting the blood transfusion, the nurse must:

A. Have the registered nurse in charge assume responsibility for verifying the client and blood product information
B. Take a baseline set of vital signs
C. Hang Ringer's lactate as the companion fluid
D. Use microdrip tubing for the blood administration

Answer: B

Explanation:
Section: Questions Set D
Explanation:
(A) A baseline set of vital signs is necessary to determine if any transfusion reactions occur as the blood product is being administered. (B) The only companion fluid to be used during a blood transfusion is normal saline. The calcium in Ringer's lactate can cause clotting. (C) Only a blood administration set should be used.
A microdrip tube would cause lysis of the red blood cells. (D) Proper identification of the recipient and the blood product must be validated by at least two people.

NEW QUESTION # 192
Which one of the following is considered a reliable indicator for assessing the adequacy of fluid resuscitation in a 3-year-old child who suffered partial- and fullthickness burns to 25% of her body?

A. Hypertension
B. Edema
C. Bulging fontanelle
D. Urine output

Answer: D

Explanation:
Explanation
(A) Urinary output is a reliable indicator of renal perfusion, which in turn indicates that fluid resuscitation is adequate. IV fluids are adjusted based on the urinary output of the child during fluid resuscitation. (B) Edema is an indication of increased capillary permeability following a burn injury. (C) Hypertension is an indicator of fluid volume excess. (D) Fontanelles close by 18 months of age.

NEW QUESTION # 193
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