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NCLEX NCLEX-RN Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Safe and Effective Care Environment26–38%- Safety and Infection Control
  • 1. Hazardous Materials Handling
    • 2. Accident Prevention
      • 3. Standard Precautions
        • 4. Infection Control
          • 5. Use of Restraints and Safety Devices
            • 6. Error Prevention
              - Management of Care
              • 1. Continuity of Care
                • 2. Quality Improvement
                  • 3. Client Rights
                    • 4. Case Management
                      • 5. Delegation and Prioritization
                        • 6. Ethical Practice
                          • 7. Advocacy
                            • 8. Legal Responsibilities
                              Topic 2: Health Promotion and Maintenance6–12%- Health Promotion Programs
                              - Antepartum, Intrapartum, Postpartum and Newborn Care
                              - Developmental Stages and Transitions
                              - Self-Care
                              - Physical Assessment Techniques
                              - Disease Prevention and Health Screening
                              - Aging Process
                              Topic 3: Psychosocial Integrity6–12%- Chemical Dependency and Substance Use Disorders
                              - Mental Health Concepts
                              - End-of-Life Support
                              - Grief and Loss
                              - Coping Mechanisms
                              - Therapeutic Communication
                              - Family Dynamics
                              - Behavioral Interventions
                              Topic 4: Physiological Integrity43–67%- Pharmacological and Parenteral Therapies
                              • 1. Medication Administration
                                • 2. Dosage Calculation
                                  • 3. Pharmacological Pain Management
                                    • 4. Adverse Effects and Contraindications
                                      • 5. IV Therapy and Blood Products
                                        - Reduction of Risk Potential
                                        • 1. Vital Signs
                                          • 2. Therapeutic Procedures
                                            • 3. Potential for Complications
                                              • 4. Diagnostic Tests
                                                • 5. Laboratory Values
                                                  - Basic Care and Comfort
                                                  • 1. Personal Hygiene
                                                    • 2. Non-pharmacological Comfort Interventions
                                                      • 3. Elimination
                                                        • 4. Assistive Devices
                                                          • 5. Mobility and Immobility
                                                            • 6. Nutrition and Oral Hydration
                                                              - Physiological Adaptation
                                                              • 1. Fluid and Electrolyte Imbalances
                                                                • 2. Medical Emergencies
                                                                  • 3. Respiratory Care
                                                                    • 4. Pathophysiology
                                                                      • 5. Hemodynamics
                                                                        • 6. Illness Management

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                                                                          Free PDF Newest NCLEX - NCLEX-RN - National Council Licensure Examination(NCLEX-RN) New Question

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                                                                          NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q234-Q239):

                                                                          NEW QUESTION # 234
                                                                          A client is being treated for congestive heart failure. His medical regimen consists of digoxin (Lanoxin) 0.25 mg po daily and furosemide 20 mg po bid. Which laboratory test should the nurse monitor?

                                                                          Answer: C

                                                                          Explanation:
                                                                          (A) Intake and output are not laboratory tests. (B) Serum calcium levels are not affected by digoxin or furosemide. (C) Furosemide is a non-potassium-sparing loop diuretic. Hypokalemia is a common side effect of furosemide and may enhance digoxin toxicity. (D) Serum magnesium levels are not affected by digoxin or furosemide.


                                                                          NEW QUESTION # 235
                                                                          The nurse teaches a pregnant client that a high-risk symptom occurring at any time during pregnancy that needs to be reported immediately to a healthcare provider is:

                                                                          Answer: D

                                                                          Explanation:
                                                                          Explanation/Reference:
                                                                          Explanation:
                                                                          (A) Constipation is a result of decreased peristalsis due to smooth muscle relaxation related to changing progesterone levels that occur during pregnancy. (B) Urinary frequency is a common result of the increasing size of the uterus and the resulting pressure it places on the bladder. (C) With the increased vascularity and hypertrophy of the mammary alveoli due to estrogen and progesterone level changes, the breasts will increase in size and may become tender. (D) Abdominal pain may be an indication of early spontaneous abortion, preterm delivery, or a placental abruption.


                                                                          NEW QUESTION # 236
                                                                          Which stage of labor lasts from delivery of the baby to delivery of the placenta?

                                                                          Answer: B

                                                                          Explanation:
                                                                          (A) This stage is from complete dilatation of the cervix to delivery of the fetus. (B) This is the correct stage for the definition. (C) This stage lasts for about 2 hours after the delivery of the placenta. (D) There is no fifth stage of labor.


                                                                          NEW QUESTION # 237
                                                                          Which of the following nursing orders should be included in the plan of care for a client with hepatitis C?

                                                                          Answer: A

                                                                          Explanation:
                                                                          Section: Questions Set A
                                                                          Explanation:
                                                                          (A) The source of infection with hepatitis C is contaminated blood products. (B) Modified bed rest should be maintained while the client is symptomatic. Routine activities can be slowly resumed once the client is asymptomatic. (C) Nausea and vomiting occur frequently with hepatitis
                                                                          C. A high Fowler position may decrease the tendency to vomit. (D) The buildup of bilirubin in the client's skin may cause pruritus. Alcohol is a drying agent.


                                                                          NEW QUESTION # 238
                                                                          A 26-year-old male client is brought by his wife to the emergency department (ED) unconscious. Blood is drawn for a stat blood count (CBC), fasting blood sugar level, and electrolytes. An indwelling urinary catheter is inserted. He has a history of type 1 diabetes (insulindependent diabetes mellitus [IDDM]). A diagnosis of ketoacidosis is made. Stat lab values reveal a blood sugar level of 520 mg/dL. Which of the following should the nurse expect to administer in the ER?

                                                                          Answer: D

                                                                          Explanation:
                                                                          Explanation
                                                                          (A) This action would further increase the client's blood sugar. (B) NPH insulin is an intermediate-acting insulin, with an average of 4-6 hours before onset of action. The client needs insulin that will act immediately.
                                                                          During a ketoacidotic state, the client is dehydrated, so any insulin administered SC will be poorly absorbed.
                                                                          (C) Regular insulin is the fastest acting-insulin; when given IV, it will immediately act to decrease blood sugar. Regular insulin is given to decrease blood glucose levels by promoting metabolism of glucose, inhibiting lipolysis and formation of ketone bodies. (D) This action would further increase the client's blood sugar.


                                                                          NEW QUESTION # 239
                                                                          ......

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