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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q237-Q242):

NEW QUESTION # 237
A baby is circumcised. Immediate postoperative care should include:

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

Answer: D

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 # 238
A client is being discharged from the hospital tomorrow following a colon resection with a left colostomy. The nurse knows that the client understands the discharge teaching about care of her colostomy when she says:

A. "I know that I am not supposed to irrigate my colostomy."
B. "The skin around my stoma may become irritated from the enzymes in my stool."
C. "My stoma should be red and slightly raised."
D. "My stool will be soft like paste."

Answer: C

Explanation:
Explanation
(A) A left colostomy indicates an ascending colon resection. This type of colostomy can be irrigated. (B) The stool from an ascending colon resection should be formed. (C) The healthy stoma should be red and slightly raised. If it begins to turn dark or blue, the client should see the physician immediately. (D) The stool in the ascending colon does not usually have many enzymes in it. Stool from an ileostomy has more enzymes and is more irritating to the skin.

NEW QUESTION # 239
A client is 2 hours post ventriculoperitoneal shunt placement. How should the nurse position the client?

A. Bed flat on operative side
B. Head of bed elevated 30 degrees on nonoperative side
C. Head of bed elevated 30 degrees on operative side
D. Bed flat on nonoperative side

Answer: D

Explanation:
(A) Elevation of head on nonoperative side would be the position for the late postoperative period. (B) Positioning on operative side puts pressure on the suture lines and on the shunt valve. Elevation of head in immediate postoperative period may cause rapid reduction of cerebrospinal fluid. (C) Placement on operative side puts pressure on the suture lines and shunt valve. (D) Flat position on nonoperative side in the immediate postoperative period prevents pressure on shunt valve and rapid reduction in cerebrospinal fluid.

NEW QUESTION # 240
The physician orders haloperidol 5 mg IM stat for a client and tells the nurse that the dose can be repeated in 1-2 hours if needed. The most likely rationale for this order is:

A. The client will settle down more quickly if he thinks the staff is medicating him
B. The medication will sedate the client until the physician arrives
C. Rapid neuroleptization is the most effective approach to care for the violent or potentially violent client
D. Haloperidol is a minor tranquilizer and will not oversedate the client

Answer: C

Explanation:
(A) If the client could think logically, he would not be paranoid. In fact, he is probably suspicious of the staff, too. Newly admitted clients frequently experience high levels of anxiety, which can contribute to delusions. (B) The goal of pharmacological intervention is to calm the client and assist with reality-based thinking, not to sedate him. (C) Haloperidol is a neuroleptic and antipsychotic drug, not a minor tranquilizer. (D) Haloperidol is a high-potency neuroleptic and first-line choice for rapid neuroleptization, with low potential for sedation.

NEW QUESTION # 241
The nurse would assess the client's correct understanding of the fertility awareness methods that enhance conception, if the client stated that:

A. "My sexual partner and I should have intercourse when my cervical mucosa is thick and cloudy."
B. "I should douche immediately after intercourse."
C. "My sexual partner and I should have sexual intercourse on day 14 of my cycle regardless of the length of the cycle."
D. "At ovulation, my basal body temperature should rise about 0.5°F."

Answer: D

Explanation:
Section: Questions Set B
Explanation:
(A) At ovulation, the cervical mucus is increased, stretchable, and watery clear. (B) Under the influence of progesterone, the basal body temperature increases slightly after ovulation. (C) To enhance fertility, measures should be taken that promote retention of sperm rather than removal. (D) Ovulation, the optimal time for conception, occurs 14+2 days before the next menses; therefore, the date of ovulation is directly related to the length of the menstrual cycle.

NEW QUESTION # 242
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