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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q453-Q458):

NEW QUESTION # 453
A 32-year-old male client is a marketing representative. His job requires him to have a tremendous amount of energy during the day. He frequently uses cocaine to sustain his energy level. Lately he has increased his use of cocaine and even experimented with crack cocaine. Realizing he can no longer continue this destructive behavior, he is seeking treatment for cocaine addiction. In planning nursing care for the client's inpatient stay, which expected outcome is most appropriate?

A. He will meet with his family in counseling sessions and discuss his feelings.
B. He will name activities that he would most likely be involved in posttreatment.
C. He will attend four consecutive group educational sessions on substance abuse.
D. He will be able to deal with his feelings through participation in group therapy sessions.

Answer: D

Explanation:
Explanation
(A) This expected outcome is specific as related to attendance, but not specific as related to outcome criteria.
(B) Stating activities does not guarantee involvement. (C) This goal may help the recovery process, but postcounseling behavior is not addressed. (D) This statement best describes the expected outcome. The client will be attending group therapy sessions and through them he will deal with his feelings.

NEW QUESTION # 454
The following nursing diagnosis is written for a comatose client with cirrhosis of the liver and secondary splenomegaly-High risk for injury: Increased susceptibility to bleeding related to:

A. Increased absorption of vitamin K
B. Diminished function of the Kupffer cells
C. Increased synthesis of the clotting factors
D. Thrombocytopenia due to hypersplenism

Answer: D

Explanation:
(A) There is a decreased absorption of vitamin K with cirrhosis of the liver. This decrease impairs blood coagulation and the formation of prothrombin. (B) Thrombocytopenia, an increased destruction of platelets, occurs secondary to hypersplenism. (C) A diminished function of the Kupffer cells occurs with cirrhosis of the liver, causing the client to become more susceptible to infections. (D) A decrease in the synthesis of fibrinogen and clotting factors VII, IX, and X occurs with cirrhosis of the liver and increases the susceptibility to bleeding.

NEW QUESTION # 455
The nurse assesses a client on the second postpartum day and finds a dark red discharge on the peripad. The stain appears to be about 5 inches long. Which of the following correctly describes the character and amount of lochia?

A. Lochia alba, light
B. Lochia granulosa, heavy
C. Lochia serosa, heavy
D. Lochia rubra, moderate

Answer: D

Explanation:
Section: Questions Set D
Explanation/Reference:
Explanation:
(A) Lochia alba occurs approximately 10 days after birth and is yellow to white. A discharge is classified as light when less than a 4-inch stain exists. (B) Lochia serosa is pink to brown and occurs 3-4 days after delivery. A stain is classified as heavy when a peripad is saturated in 1 hour. (C) Lochia granulosa is not a proper classification. (D) Lochia rubra is red, consisting mainly of blood, debris, and bacteria, and lasts from the time of delivery to 3-4 days afterward. A stain is classified as moderate when less than a 6-inch stain exists.

NEW QUESTION # 456
A client has been admitted to the nursing unit with the diagnosis of severe anemia. She is slightly short of breath, has episodes of dizziness, and complains her heart sometimes feels like it will "beat out of her chest." The physician has ordered her to receive 2 U of packed red blood cells. The most important nursing action to be taken is:

A. Having the consent form on the chart
B. Administering the correct blood product to the correctclient
C. Starting an 18-gauge IV infusion
D. Transfusing the blood in a 2-hour time frame

Answer: B

Explanation:
Explanation
(A) An 18-gauge IV is an appropriate size for administering blood; however, client safety demands that the right blood product must be administered. (B) The consent form is legally necessary to be on the chart, but client safety is maintained by giving the correct blood component to the correct client. (C) Administering the correct blood product to the correct client will maintain physiological safety and minimize transfusion reactions. (D) The blood administration should take place over the ordered time frame designated by the physician.

NEW QUESTION # 457
A client is now pregnant for the second time. Her first child weighed 4536 g at delivery. The client's glucose tolerance test shows elevated blood sugar levels. Because she only shows signs of diabetes when she is pregnant, she is classified as having:

A. Gestational diabetes mellitus
B. Type II diabetes mellitus
C. Insulin-dependent diabetes
D. Type I diabetes mellitus

Answer: A

Explanation:
Section: Questions Set D
Explanation:
(A) Insulin-dependent diabetes mellitus, also known as type I diabetes, usually appears before the age of 30 years with an abrupt onset of symptoms requiring insulin for management. It is not related to onset during pregnancy. (B) Non-insulin-dependent diabetes (type II diabetes) usually appears in older adults. It has a slow onset and progression of symptoms. (C) This type of diabetes is the same as insulin-dependent diabetes. (D) Gestational diabetes mellitus has its onset of symptoms during pregnancy and usually disappears after delivery. These symptoms are usually mild and not life threatening, although they are associated with increased fetal morbidity and other fetal complications.

NEW QUESTION # 458
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