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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q549-Q554):

NEW QUESTION # 549
The nurse is teaching a client how to perform monthly testicular self-examination (TSE) and states that it is best to perform the procedure right after showering. This statement is made by the nurse based on the knowledge that:

Answer: B

Explanation:
Explanation
(A) Nudity is not a trigger for reminding males to perform TSE. (B) Testicles become more firm when exposed to cool temperatures, but not large and bulky. (C) The testicles will be lower and more easily palpated with warmer temperatures. A protective mechanism of the body to protect sperm production is for the scrotum to pull closer to the body when exposed to cooler temperatures. (D) The examination should not be painful.


NEW QUESTION # 550
A 70-year-old female client is admitted to the medical intensive care unit with a diagnosis of cerebrovascular
accident (CVA). She is semicomatose, responding to pain and change in position. She is unable to speak or cough. In planning her nursing care for the first 24 hours following a CVA, which nursing diagnosis should receive the highest priority?

Answer: C

Explanation:
(A)
An effective airway is necessary to prevent hypoxia and subsequent cardiac arrest. (B) Cerebral tissue perfusion is necessary to preserve remaining cerebral tissue, but this goal is secondary to maintenance of an effective airway. (C) While prevention of injury is important, it is secondary to maintaining an effective airway and cerebral tissue perfusion.
(D)
Impaired verbal communication is not life threatening in the acute phase of recovery. It is the lowest priority of the nursing diagnoses listed.


NEW QUESTION # 551
When assessing a child with diabetes insipidus, the nurse should be aware of the cardinal signs of:

Answer: B

Explanation:
Section: Questions Set A
Explanation:
(A) Anemia and vomiting are not cardinal signs of diabetes insipidus. (B) Polyuria and polydipsia are the cardinal signs of diabetes insipidus. (C) Irritability relieved by feeding water, not formula, is a common sign, but not the cardinal sign, of diabetes insipidus. (D) Hypothermia and azotemia are signs, but not cardinal signs, of diabetes insipidus.


NEW QUESTION # 552
Which of the following medications requires close observation for bronchospasm in the client with chronic obstructive pulmonary disease or asthma?

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) Verapamil has the respiratory side effect of nasal or chest congestion, dyspnea, shortness of breath (SOB), and wheezing. (B) Amrinone has the effect of increased contractility and dilation of the vascular smooth muscle. It has no noted respiratory side effects. (C) Epinephrine has the effect of bronchodilation through β stimulation. (D) Propranolol, esmolol, and labetalol are all β- blocking agents, which can increase airway resistance and cause bronchospasms.


NEW QUESTION # 553
When administering phenytoin (Dilantin) to a child, the nurse should be aware that a toxic effect of phenytoin therapy is:

Answer: B

Explanation:
(A) Stephens-Johnson syndrome is a toxic effect of phenytoin. (B) Folate deficiency is a side effect of phenytoin, but not a toxic effect. (C) Leukopenic aplastic anemia is a toxic effect of carbamazepine (Tegretol). (D) Granulocytosis and nephrosis are toxic effects of trimethadione (Tridione).


NEW QUESTION # 554
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