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NCLEX NCLEX-RN Exam Syllabus Topics:

Section	Weight	Objectives
Topic 1: Physiological Integrity	43–67%	- Physiological Adaptation - Pharmacological and Parenteral Therapies - Basic Care and Comfort - Reduction of Risk Potential
Topic 2: Safe and Effective Care Environment	17–33%	- Safety and Infection Control - Management of Care
Topic 3: Health Promotion and Maintenance	6–12%
Topic 4: Psychosocial Integrity	6–12%

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q252-Q257):

NEW QUESTION # 252
A 49-year-old obese woman has been admitted to the general surgery unit with choledocholithiasis. As the nurse is admitting her to the unit, she states, "The doctor said I have stones that need to be removed; where are they?" The nurse knows that the best explanation for this is to tell her that:

A. There are stones present in her common bile duct
B. There are stones present in her gallbladder
C. There are stones present in her kidneys
D. There are no stones, but her gallbladder is irritated and caused her nausea, vomiting, and pain

Answer: A

Explanation:
Explanation
(A)Cholelithiasisis the correct term used to describe the presence of stones in the gallbladder.
(B)Nephrolithiasis,orrenal calculi,is the correct term used to describe the presence of stones in the kidney.
(C)Choledocholithiasisis the correct term used to describe the presence of stones in the common bile duct.
(D)Cholecystitisis the correct term used to describe inflammation of the gallbladder and can be associated with cystic duct obstructions from impacted stones.

NEW QUESTION # 253
A 10-year-old has been diagnosed with acute poststreptococcal glomerulonephritis. The clinical findings were proteinuria, moderately elevated blood pressure, and periorbital edema. Which dietary plan is most appropriate for this client?

A. Low-protein diet
B. Low-sodium diet
C. Increased fluid intake
D. High-cholesterol diet

Answer: B

Explanation:
Explanation
(A) A high-protein diet is usually indicated because protein is excreted in urine. Protein restriction is usually prescribed with severe azotemia. (B) The kidneys usually enlarge in these children, and sodium and water are retained. (C) Fluid restriction may be ordered to help reduce edema; however, monitoring for dehydration is indicated. (D) A high-cholesterol diet would not be indicated for any child, especially one with elevated blood pressure.

NEW QUESTION # 254
The nurse has been caring for a 16-year-old female who recently experienced date rape. After having had crisis intervention and been hospitalized for 2 weeks, the nurse knows that the client is effectively coping with the rape when she tells the nurse:

A. "I know it was my fault that it happened, because I shouldn't have been out so late."
B. "If I had not worn that sexy dress that night, he wouldn't have raped me."
C. "I know now that it was not my fault, but I want to continue counseling after my discharge."
D. "I know my date just had so much passion he couldn't handle me saying 'no.' "

Answer: C

Explanation:
Section: Questions Set F
Explanation:
(A) This response does not show any insight; the client falsely assumes that she is responsible for the rape. (B) The client continues to falsely assume responsibility for the rapist's behavior. (C) The client believes falsely that rape is an act of passion, rather than one of violence, control, and domination. (D) The client has insight into the rape; she does not believe it was her fault and shows good judgment in deciding to continue with counseling after discharge.

NEW QUESTION # 255
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. Haloperidol is a minor tranquilizer and will not oversedate the client
B. Rapid neuroleptization is the most effective approach to care for the violent or potentially violent client
C. The client will settle down more quickly if he thinks the staff is medicating him
D. The medication will sedate the client until the physician arrives

Answer: B

Explanation:
Explanation/Reference:
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 # 256
A female client has just died. Her family is requesting that all nursing staff leave the room. The family's religious leader has arrived and is ready to conduct a ceremony for the deceased in the room, requesting that only family members be present. The nurse assigned to the client should perform the appropriate nursing action, which might include:

A. Refuse to leave the room because the client's body is entrusted in the nurse's care until it can be brought to the morgue.
B. Respect the client's family's wishes.
C. Inform the family that it is the hospital's policy not to conduct religious ceremonies in client rooms.
D. Tell the family that they may conduct their ceremony in the client's room; however, the nurse must attend.

Answer: B

Explanation:
Explanation
(A) It is rare that a hospital has a specific policy addressing this particular issue. If the statement is true, the nurse should show evidence of the policy to the family and suggest alternatives, such as the hospital chapel.
(B) Refusal to leave the room demonstrates a lack of understanding related to the family's need to grieve in their own manner. (C) The nurse should leave the room and allow the family privacy in their grief. (D) The family's wish to conduct a religious ceremony in the client's room is part of the grief process. The request is based on specific cultural and religious differences dictating social customs.

NEW QUESTION # 257
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