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NCLEX NCLEX-RN Exam Syllabus Topics:

Section	Weight	Objectives
Psychosocial Integrity	6–12%	- Chemical Dependency and Substance Use Disorders - Therapeutic Communication - End-of-Life Support - Grief and Loss - Family Dynamics - Coping Mechanisms - Behavioral Interventions - Mental Health Concepts
Physiological Integrity	43–67%	- Basic Care and Comfort 1. Elimination 2. Personal Hygiene 3. Non-pharmacological Comfort Interventions 4. Assistive Devices 5. Mobility and Immobility 6. Nutrition and Oral Hydration - Reduction of Risk Potential 1. Diagnostic Tests 2. Therapeutic Procedures 3. Potential for Complications 4. Laboratory Values 5. Vital Signs - Physiological Adaptation 1. Medical Emergencies 2. Fluid and Electrolyte Imbalances 3. Respiratory Care 4. Hemodynamics 5. Pathophysiology 6. Illness Management - Pharmacological and Parenteral Therapies 1. Dosage Calculation 2. IV Therapy and Blood Products 3. Medication Administration 4. Adverse Effects and Contraindications 5. Pharmacological Pain Management
Safe and Effective Care Environment	26–38%	- Management of Care 1. Case Management 2. Advocacy 3. Continuity of Care 4. Legal Responsibilities 5. Client Rights 6. Ethical Practice 7. Quality Improvement 8. Delegation and Prioritization - Safety and Infection Control 1. Standard Precautions 2. Use of Restraints and Safety Devices 3. Infection Control 4. Error Prevention 5. Accident Prevention 6. Hazardous Materials Handling
Health Promotion and Maintenance	6–12%	- Developmental Stages and Transitions - Self-Care - Aging Process - Antepartum, Intrapartum, Postpartum and Newborn Care - Disease Prevention and Health Screening - Physical Assessment Techniques - Health Promotion Programs

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NCLEX NCLEX-RN試験情報 & NCLEX-RN試験時間

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NCLEX National Council Licensure Examination(NCLEX-RN) 認定 NCLEX-RN 試験問題 (Q677-Q682):

質問 # 677
A dose of theophylline may need to be altered if a client with COPD:

A. Is allergic to morphine
B. Operates machinery
C. Is concurrently on cimetidine for ulcers
D. Has a history of arthritis

正解：C

解説：
(A) The effects of morphine or an allergic response to the drug will not affect theophylline clearance. (B) Xanthines are used cautiously in clients with severe cardiac disease, liver disease, cor pulmonale, hypertension, or hyperthyroidism. Arthritis does not influence the dosage of theophylline. (C) Theophylline does not cause sedation or drowsiness. Conversely, its side effects may be exhibited by central nervous system stimulation. (D) Cimetidine decreases theophylline clearance from the system and increases theophylline levels in the blood, thus increasing the risk of toxicity.

質問 # 678
A 4-year-old child is being discharged from the hospital after being treated for severe croup. Which one of the following instructions should the nurse give to the child's mother for the home treatment of croup?

A. Place him near a cool mist vaporizer and encourage crying.
B. Give large amounts of clear liquids if drooling occurs.
C. Take him in the bathroom, turn on the hot water, and close the door.
D. Give him a dose of antihistamine.

正解：C

解説：
(A) Initial home treatment of croup includes placing the child in an environment of high humidity to liquefy and mobilize secretions. (B) Antihistamines should be avoided because they can cause thickening of secretions. (C) Drooling is a characteristic sign of airway obstruction and the child should be taken directly to the emergency room. (D) Crying increases respiratory distress and hypoxia in the child with croup. The nurse should promote methods that will calm the child.

質問 # 679
A client has returned to the unit from the recovery room after having a thyroidectomy. The nurse knows that a major complication after a thyroidectomy is:

A. Hypercalcemia
B. Fistula formation
C. Respiratory obstruction
D. Myxedema

正解：C

解説：
Explanation/Reference:
Explanation:
(A) Respiratory obstruction due to edema of the glottis, bilateral laryngeal nerve damage, or tracheal compression from hemorrhage is a major complication after a thyroidectomy. (B) Hypocalcemia accompanied by tetany from accidental removal of one or more parathyroid glands is a major complication, not hypercalcemia. (C) Fistula formation is not a major complication associated with a thyroidectomy. It is a major complication with a laryngectomy.(D) Myxedema is hypothyroidism that occurs in adults and is not a complication of a thyroidectomy. A thyroidectomy client tends to develop thyroid storm, which is excess production of thyroid hormone.

質問 # 680
A 35-year-old client is receiving psychopharmacological treatment of his major depression with tranylcypromine sulfate (Parnate), a monoamine oxidase (MAO) inhibitor. The nurse teaches the client that while he is taking this type of antidepressant, he needs to restrict his dietary intake of:

A. Tryptophan
B. Tyramine
C. Saturated fats
D. Potassium-rich foods

正解：B

解説：
Explanation
(A) The client may need to avoid some potassium-rich foods (such as bananas, raisins, etc.). However, this is not because of the potassium content of these foods. (B) Tryptophan is an essential amino acid that is present in high concentrations in animal and fish protein. (C) The client will need to watch his dietary intake of tyramine. Tyramine is a by-product of the conversion of tyrosine to epinephrine. Tyramine is found in a variety of foods and beverages, ranging from aged cheese to caffeine drinks. Ingestion of tyramine-rich foods while taking a MAO inhibitor may lead to an increase in blood pressure and/or a life-threatening hypertensive crisis. (D) To maintain a healthy lifestyle, restriction of dietary saturated fats is advisable.

質問 # 681
The nurse would be sure to instruct a client on the signs and symptoms of an eye infection and hemorrhage.
These signs and symptoms would include:

A. Feeling of eye pressure and headache
B. Eye pain and itching
C. Blurred vision and dizziness
D. Eye discharge and hemoptysis

正解：B

解説：
Section: Questions Set B
Explanation:
(A) Although blurred vision may occur, dizziness would not be associated with an infection or hemorrhage. (B) Eye pain is a symptom of hemorrhage within the eye, and itching is associated with infection. (C) Nausea and headache would not be usual symptoms of eye hemorrhage or infection. (D) Some eye discharge might be anticipated if an infection is present; hemoptysis would not.

質問 # 682
......

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