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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q196-Q201):

NEW QUESTION # 196
A 40-year-old client is admitted to the hospital for tests to diagnose cancer. Since his admission, he has become dependent and demanding to the nursing staff. The nurse identifies this behavior as which defense mechanism?

A. Projection
B. Denial
C. Displacement
D. Regression

Answer: D

Explanation:
Explanation
(A) Denial is the disowning of consciously intolerable thoughts. (B) Displacement is the referring of a feeling or emotion from one person, object, or idea to another. (C) Regression is returning to an earlier stage of development. (D) Projection is attributing one's own thoughts, feelings, or impulses to another person.

NEW QUESTION # 197
At 12 hours postvaginal delivery, a female client is without complications. Which of the following assessment findings would warrant further nursing interventions?

A. Uterine fundus palpable left of midline
B. Apical pulse of 52 bpm
C. No bowel movement since delivery
D. Oral temperature of 100.4◦F

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) Bradycardia of 50-70 bpm may be considered normal postpartally because the heart compensates for the decreased resistance in the pelvis. (B) The uterus is displaced from the midline by a full bladder. This condition could lead to a boggy uterus and increased risk of postpartal hemorrhage; therefore, the bladder should be kept empty. (C) Re-establishment of normal bowel function is delayed into the first postpartum week. (D) A postpartum woman's oral temperature may go as high as 100.4_F within 24 hours of delivery resulting from muscular exertion, dehydration, and hormonal changes.

NEW QUESTION # 198
A client has ascites, which is caused by:

A. Portal hypertension
B. Electrolyte imbalance
C. Decreased plasma proteins
D. Decreased renal function

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) A decrease in plasma proteins causes a decrease in intravascular osmotic pressure resulting in leakage of fluid into peritoneal cavity. (B) Fluid and electrolyte imbalance may occur as a result of the ascites. (C) Ascites is a result of hepatic malfunction, not renal malfunction. (D) Portal hypertension causes esophageal varices, not ascites.

NEW QUESTION # 199
A 55-year-old man has recently been diagnosed with hypertension. His physician orders a low-sodium diet for him. When he asks, "What does salt have to do with high blood pressure?'' the nurse's initial response would be:

A. "Salt affects your blood vessels and causes your blood pressure to be high."
B. "Large amounts of salt in your diet can cause you to retain fluid, which increases your blood pressure."
C. "Salt is needed to maintain blood pressure, but too much causes hypertension."
D. "The reason is not known why hypertension is associated with a high-salt diet."

Answer: B

Explanation:
Section: Questions Set C
Explanation:
(A) This response is untrue. (B) Decreasing salt intake reduces fluid retention and decreases blood pressure.
(C) Salt does not have an effect on the blood vessels themselves, but on fluid retention, which accompanies salt intake. (D) This response is untrue.

NEW QUESTION # 200
Which of the following would indicate the need for further teaching for the client with COPD? The client verbalizes the need to:

A. Eliminate intake of milk and milk products
B. Take vitamin supplementation
C. Eat small, frequent meals
D. Eat high-calorie, high-protein foods

Answer: A

Explanation:
Explanation
(A) Protein is vital for the maintenance of muscle to aid in breathing. A high-calorie diet using higher fat than carbohydrate content is given because clients are unable to breathe off the excess CO2that is an end product of carbohydrate metabolism. (B) Inadequate nutritional status, in particular, deficiencies in vitamins A and C, decreases resistance to infection. (C) Milk does not make mucus thicker. It may coat the back of the throat and make it feel thicker. Rinsing the mouth with water after drinking milk will prevent this problem. (D) Small, frequent meals minimize a fullness sensation and reduce pressure on the diaphragm. The work of breathing and SOB are also reduced.

NEW QUESTION # 201
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