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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q269-Q274):

NEW QUESTION # 269
After a liver biopsy, the best position for the client is:

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) This position does not help to prevent bleeding. (B) This position does not help to prevent bleeding. (C) This position does not help to prevent bleeding. (D) The right lateral position would allow pressure on the liver to prevent bleeding.


NEW QUESTION # 270
A 3-year-old child is admitted with a diagnosis of possible noncommunicating hydrocephalus. What is the first symptom that indicates increased intracranial pressure?

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) Bulging fontanelles are a symptom of increased intracranial pressure in infants. (B) Seizure is a late sign of increased intracranial pressure. (C) Headache is a very early symptom of increased intracranial pressure in the child. (D) Ataxia is a late sign of increased intracranial pressure.


NEW QUESTION # 271
As soon as a child has been diagnosed as "hearing impaired," special education should begin. Which of the following special education tasks is the most difficult for a severely hearing-impaired child?

Answer: B

Explanation:
Explanation
(A) With the slight and mild hard of hearing, auditory training is beneficial. (B) Speech is the most difficult task because it is learned by visual and auditory stimulation, imitation, and reinforcement. (C, D) Lip reading and signing are aimed at establishing communicative skills, but they are learned more easily by visual stimulation.


NEW QUESTION # 272
A 23-year-old college student seeks medical attention at the college infirmary for complaints of severe fatigue.
Her skin is pale, and she reports exertional dyspnea. She is admitted to the hospital with possible aplastic anemia. Laboratory values reflect anemia, and the client is prepared for a bone marrow biopsy. She refuses to sign the biopsy consent and states, "Can't you just get the doctor to give me a transfusion and let me go. This weekend begins spring break, and I have plans to go to Florida." At this time the nurse's greatest concern is that:

Answer: C

Explanation:
Explanation
(A) The client could contract an infection, but at this point it is not the most pertinent issue. (B) The client's statement indicates that she does not grasp the full impact of her illness. Further client education must be given, along with allowing her to express her feelings regarding her illness. (C) The client may require a transfusion, but this is a temporary measure because the causative agent has not been identified. Her feelings regarding her illness must be addressed in order for care to continue. (D) A bone marrow is done first to make a definitive diagnosis; then treatment may begin.


NEW QUESTION # 273
A female client was employed as a client care technician in a hemodialysis unit. She recently began to experience extreme fatigue, being able to sleep for 16-20 hours at a time. She also noted that her urine was tea colored, which she rationalized was a result of the vitamins she began taking to alleviate fatigue. She was diagnosed with hepatitis B.
After a brief hospital stay, she is discharged to her parent's home. Her mother asks the nurse if any precautions are necessary to prevent transmission to the client's family. The nurse explains necessary precautions, which include:

Answer: A

Explanation:
(A) Isolation is not necessary, even in the acute phase. (B) Separate bathroom facilities are recommended. If unavailable, daily cleansing with a chloride solution is recommended. (C) Precautions continue to be necessary while the client is in the active phase of hepatitis. (D) Clothes are to be laundered separately in hot water with a chloride solution.


NEW QUESTION # 274
......

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