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| Section | Weight | Objectives |
|---|
| Reduction of Risk Potential | 9-15% | - Reduction of Risk Potential
- 1. Potential Complications
- 2. Diagnostic Tests
- 3. Monitoring and Assessment
- 4. System-Specific Assessments
- 5. Changes in Vital Signs
- 6. Therapeutic Procedures
|
| Pharmacological and Parenteral Therapies | 13-19% | - Pharmacological and Parenteral Therapies
- 1. Blood and Blood Products
- 2. Central Venous Access Devices
- 3. Dosage Calculations
- 4. Medication Administration
- 5. Parenteral Therapies
- 6. Adverse Effects and Contraindications
- 7. Expected Actions and Outcomes
|
| Management of Care | 15-21% | - Management of Care
- 1. Assignment, Delegation and Supervision
- 2. Informed Consent
- 3. Priority Setting
- 4. Client Rights
- 5. Performance Improvement and Quality Assurance
- 6. Ethical Practice
- 7. Continuity of Care
- 8. Legal Rights and Responsibilities
- 9. Advance Directives
- 10. Case Management
- 11. Advocacy
- 12. Collaboration with Interdisciplinary Team
- 13. Confidentiality and Information Security
|
| Physiological Adaptation | 11-17% | - Physiological Adaptation
- 1. Unexpected Response to Therapies
- 2. Hemodynamics
- 3. Pathophysiology
- 4. Medical Emergencies
- 5. Alterations in Body Systems
- 6. Fluid and Electrolyte Imbalances
|
| Basic Care and Comfort | 6-12% | - Basic Care and Comfort
- 1. Nutrition and Oral Hydration
- 2. Rest and Sleep
- 3. Mobility and Immobility
- 4. Elimination
- 5. Personal Hygiene
- 6. Activities of Daily Living
- 7. Assistive Devices
|
| Safety and Infection Control | 10-16% | - Safety and Infection Control
- 1. Infection Prevention and Control
- 2. Accident and Injury Prevention
- 3. Emergency Response Planning
- 4. Security Plans
- 5. Safe Use of Equipment
- 6. Standard and Transmission-Based Precautions
- 7. Handling Hazardous Materials
- 8. Home Safety
|
| Health Promotion and Maintenance | 6-12% | - Health Promotion and Maintenance
- 1. Growth and Development
- 2. Prenatal, Intrapartum and Postpartum Care
- 3. Health Screening
- 4. Newborn Care
- 5. Aging Process
- 6. Disease Prevention
- 7. Health Promotion Programs
|
| Psychosocial Integrity | 6-12% | - Psychosocial Integrity
- 1. Family Dynamics
- 2. Mental Health Concepts
- 3. Coping Mechanisms
- 4. Support Systems
- 5. Crisis Intervention
- 6. Substance Use Disorders
- 7. Therapeutic Communication
- 8. Behavioral Interventions
|
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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q32-Q37):
NEW QUESTION # 32
A post-lung surgery client is placed on a chest tube drainage system. When explaining to the family how the system works, the nurse states that the water-seal bottle of a three-bottle chest drainage system serves which of the following purposes?
- A. Collection bottle for drainage
- B. Preventing air from entering the chest upon inspiration
- C. Preventing accumulation of blood around the heart
- D. Pressure regulator
Answer: B
Explanation:
Explanation
(A) There is a separate collection bottle for drainage as part of a chest drainage system. (B) In a three-bottle chest drainage system, one bottle serves only as a pressure regulator. (C) Mediastinal chest tubes prevent accumulation of blood around the heart immediately following heart surgery. (D) The purpose of the water-seal bottle in any chest drainage setup is to allow air out of the chest, but not back in. This negative pressure promotes lung expansion.
NEW QUESTION # 33
A client is admitted to the hospital with diabetic ketoacidosis.
The emergency room nurse should anticipate the administration of:
- A. Humulin U
- B. Humulin N
- C. Humulin R
- D. Humulin L
Answer: C
Explanation:
Explanation
(A) Intermediate-acting insulin is not indicated in an emergency. (B) Regular insulin is rapid acting and indicated in an emergency situation. (C) Long-acting insulin is not indicated in an emergency situation. (D) Intermediate-acting insulin is not indicated in an emergency situation.
NEW QUESTION # 34
On a mother's 2nd postpartum day after having a vaginal delivery, the RN is preparing to assess her perineum and anus as part of her daily assessment. The best position for the client to be placed in for this assessment is:
- A. Any position that the RN chooses
- B. Fowler's
- C. Prone
- D. Sims'
Answer: D
Explanation:
Section: Questions Set C
Explanation:
(A) The Sims' position is the best position for assessment of the perineum and anus. The top leg is placed over the bottom leg, and the RN raises the upper buttocks to fully expose the perineum and anus. (B) Fowler's position is a sitting position, and the perineum and anus would not be exposed. (C) The prone position would have the mother on her back, and her perineum and anus would not be exposed. (D) The position of choice should always be the Sims'.
NEW QUESTION # 35
A client has begun to exhibit signs of alcohol withdrawal. Her blood pressure has risen from 120/60 to 190/100, pulse is increased from 88 to 110 bpm, and she is irritable and agitated and has gross motor tremors of the hands. The nurse notifies the doctor. The nurse can anticipate that the doctor will order which of the following?
- A. An opiate such as propoxyphene napsylate (Darvocet)
- B. A phenothiazine such as chlorpromazine (Thorazine)
- C. A benzodiazepine such as chlordiazepoxide (Librium)
- D. A tricyclic antidepressant such as amitriptyline (Elavil)
Answer: C
Explanation:
(A)
This answer is incorrect. Benzodiazepines are drugs of choice for alcohol withdrawal.
(B)
This answer is correct. The drug has a sedative effect, is safe, and has an anticonvulsant effect.(C) This answer is incorrect. Amitriptyline is an antidepressant. (D)
This answer is incorrect. Chlorpromazine is most effective in psychotic disorders.
NEW QUESTION # 36
A child becomes neutropenic and is placed on protective isolation. The purpose of protective isolation is to:
- A. Protect the family from curious visitors
- B. Isolate the child from other clients and the nursing staff
- C. Protect the child from infection
- D. Provide the child with privacy
Answer: C
Explanation:
Explanation
(A) The child no longer has normal white blood cells and is extremely susceptible to infection. (B) There are more appropriate ways to provide privacy, and there is no need to protect the child from healthy visitors. (C) Visitors and visiting hours may be at the client's and/or family's request without regard to the isolation precaution. (D) The child may have strong positive relationships with other clients or staff. As long as proper precautions are observed, there is no reason to isolate her from them.
NEW QUESTION # 37
......
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