NCLEX-RN Exam Cram | NCLEX-RN Valid Test Preparation

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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q279-Q284):

NEW QUESTION # 279
The physician has ordered that ampicillin 250 mg IV be given over 30 minutes. The medication is diluted as recommended in 10 mL in the volume control chamber of a set that has a tubing of 12 mL. Which nursing measure is most accurate considering these facts?

A. Infuse volume at 22 mL/hr.
B. Infuse volume at 44 mL/hr.
C. Infuse volume at 10 mL/hr.
D. Infuse volume at 30 mL/hr.

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) The volume to be infused should be diluted medication volume added to the volume control chamber (10 mL) plus the tubing volume (12 mL). The general formula for calculating IV medications for children is:
Rate = Volume to Be Infused X Administration Set Drop Factor (microdrop: 60 gtts/min)Desired Time to Infuse in Minutes Rate = (10 + 12)22 X 60 30 = 44 mL/hr. (B, C, D) These values are incorrect.

NEW QUESTION # 280
When discussing the relationship between exercise and insulin requirements, a 26-year-old client with IDDM should be instructed that:

A. When exercise is decreased, insulin needs are decreased
B. When exercise is increased, there is no change in insulin needs
C. When exercise is increased, insulin needs are decreased
D. When exercise is increased, insulin needs are increased

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) If the client's insulin is increased when activity level is increased, hypoglycemia may result. (B) Exercise decreased the blood sugar by promoting uptake of glucose by the muscles. Consequently, less insulin is needed to metabolize ingested carbohydrates. Extra food may be required for extra activity. (C) This statement directly contradicts the correct answer and is inaccurate. (D) When exercise is decreased, the client's insulin dose does not need to be altered unless the blood sugar becomes unstable.

NEW QUESTION # 281
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. Give him a dose of antihistamine.
D. Take him in the bathroom, turn on the hot water, and close the door.

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(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.

NEW QUESTION # 282
A client with emphysema is placed on diuretics. In order to avoid potassium depletion as a side effect of the drug therapy, which of the following foods should be included in his diet?

A. Liver
B. Celery
C. Tomatoes
D. Potatoes

Answer: D

Explanation:
(A) Celery is high in sodium. (B) Potatoes are high in potassium. (C) Tomatoes are high in sodium. (D) Liver is high in iron.

NEW QUESTION # 283
On the first postpartal day, a client tells the nurse that she has been changing her perineal pads every 1/2 hour because they are saturated with bright red vaginal drainage. When palpating the uterus, the nurse assesses that it is somewhat soft, 1 fingerbreadth above the umbilicus, and midline. The nursing action to be taken is to:

A. Catheterize the client and reassess the uterus
B. Begin IV fluids and administer oxytocic medication
C. Gently massage the uterus until firm, express any clots, and note the amount and character of lochia
D. Administer analgesics as ordered to relieve discomfort

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) Gentle massage and expression of clots will let the fundus return to a state of firmness, allowing the uterus to function as the "living ligature." (B) A distended bladder may promote uterine atony; however, after determining the bladder is distended, the nurse would have the client void. Catheterization is only done if normal bladder function has not returned. (C) Oxytocic medications are ordered and administered if the uterus does not remain contracted after gentle massage and determining if the bladder is empty. (D) The client is not complaining of discomfort or pain; therefore, analgesics are not necessary.

NEW QUESTION # 284
......

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