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NCLEX NCLEX-RN Exam Syllabus Topics:

SectionWeightObjectives
Pharmacological and Parenteral Therapies13-19%- Pharmacological and Parenteral Therapies
  • 1. Adverse Effects and Contraindications
  • 2. Dosage Calculations
  • 3. Medication Administration
  • 4. Expected Actions and Outcomes
  • 5. Parenteral Therapies
  • 6. Blood and Blood Products
  • 7. Central Venous Access Devices
Health Promotion and Maintenance6-12%- Health Promotion and Maintenance
  • 1. Growth and Development
  • 2. Health Screening
  • 3. Prenatal, Intrapartum and Postpartum Care
  • 4. Aging Process
  • 5. Newborn Care
  • 6. Disease Prevention
  • 7. Health Promotion Programs
Safety and Infection Control10-16%- Safety and Infection Control
  • 1. Standard and Transmission-Based Precautions
  • 2. Handling Hazardous Materials
  • 3. Accident and Injury Prevention
  • 4. Emergency Response Planning
  • 5. Infection Prevention and Control
  • 6. Security Plans
  • 7. Home Safety
  • 8. Safe Use of Equipment
Management of Care15-21%- Management of Care
  • 1. Performance Improvement and Quality Assurance
  • 2. Ethical Practice
  • 3. Collaboration with Interdisciplinary Team
  • 4. Priority Setting
  • 5. Confidentiality and Information Security
  • 6. Case Management
  • 7. Client Rights
  • 8. Advance Directives
  • 9. Informed Consent
  • 10. Legal Rights and Responsibilities
  • 11. Assignment, Delegation and Supervision
  • 12. Continuity of Care
  • 13. Advocacy
Psychosocial Integrity6-12%- Psychosocial Integrity
  • 1. Crisis Intervention
  • 2. Coping Mechanisms
  • 3. Behavioral Interventions
  • 4. Mental Health Concepts
  • 5. Support Systems
  • 6. Substance Use Disorders
  • 7. Therapeutic Communication
  • 8. Family Dynamics
Reduction of Risk Potential9-15%- Reduction of Risk Potential
  • 1. Diagnostic Tests
  • 2. Therapeutic Procedures
  • 3. System-Specific Assessments
  • 4. Monitoring and Assessment
  • 5. Changes in Vital Signs
  • 6. Potential Complications
Basic Care and Comfort6-12%- Basic Care and Comfort
  • 1. Personal Hygiene
  • 2. Mobility and Immobility
  • 3. Activities of Daily Living
  • 4. Assistive Devices
  • 5. Rest and Sleep
  • 6. Elimination
  • 7. Nutrition and Oral Hydration
Physiological Adaptation11-17%- Physiological Adaptation
  • 1. Hemodynamics
  • 2. Pathophysiology
  • 3. Unexpected Response to Therapies
  • 4. Fluid and Electrolyte Imbalances
  • 5. Medical Emergencies
  • 6. Alterations in Body Systems

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q233-Q238):

NEW QUESTION # 233
An 8-year-old child comes to the physician's office complaining of swelling and pain in the knees. His mother says, "The swelling occurred for no reason, and it keeps getting worse." The initial diagnosis is Lyme disease. When talking to the mother and child, questions related to which of the following would be important to include in the initial history?

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) Urinary tract symptoms are not commonly associated with Lyme disease. (B) A fever of 103F is not characteristic of Lyme disease. (C) The rash that is associated with Lyme diseasedoes not appear on the palms of the hands and the soles of the feet. (D) Classic symptoms of Lyme disease include headache, malaise, fatigue, anorexia, stiff neck, generalized lymphadenopathy, splenomegaly, conjunctivitis, sore throat, abdominal pain, and cough.


NEW QUESTION # 234
Which nursing implication is appropriate for a client undergoing a paracentesis?

Answer: D

Explanation:
Explanation
(A) A full bladder would impede withdrawal of ascitic fluid. (B) Keeping the client NPO is not necessary. (C) The client may exhibit signs and symptoms of shock and hypertension. (D) No position change is needed after the procedure.


NEW QUESTION # 235
Which of the following lab data is representative of a client with aplastic anemia?

Answer: D

Explanation:
Section: Questions Set G
Explanation:
(A, B, C) Although all of the lab data are abnormal and although these values are decreased in aplastic anemia, the disorder is defined by severe deficits in red cell, white cell, and platelet counts. (D) Aplastic anemia is typically defined in terms of abnormalities of red blood cell count, usually <1 million, white cell count <2,000, and thrombocytes <20,000.


NEW QUESTION # 236
An infant with a congenital heart defect is being discharged with an order for the administration of digoxin elixir every 12 hours. The parents need to be taught when administering digoxin to the infant that:

Answer: D

Explanation:
(A) Occasionally the child may vomit. They should not repeat the dose because the amount of digoxin that was absorbed is un-known, and serum levels of digoxin that are too high are more dangerous than those that are temporarily too low. (B) To ensure that the entire dose of digoxin is received, never mix it with food or formula. (C) Vomiting, anorexia, and listlessness are all signs of digoxin toxicity and should be reported to the physician immediately. (D) If a dose is forgotten for more than 6 hours, the nurse should advise the parents to skip that dose and to continue the next dose as scheduled.


NEW QUESTION # 237
A nasogastric (NG) tube inserted preoperatively is attached to low, intermittent suctions. A client with an NG tube exhibits these symptoms: He is restless; serum electrolytes are Na 138, K 4.0, blood pH 7.53.
This client is most likely experiencing:

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) Sodium level is within normal limits. (B) Sodium level is within normal limits. (C) pH level is consistent with alkalosis. (D) With an NG tube attached to low, intermittent suction, acids are removed and a client will develop metabolic alkalosis.


NEW QUESTION # 238
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