NCLEX NCLEX-RN Practice Exam Questions (Desktop & Web-based)

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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q571-Q576):

NEW QUESTION # 571
The nurse is teaching a child's parents how to protect the child from lead poisoning. The nurse knows that a common source of lead poisoning in children is:

A. Old paint
B. Stuffing from toy animals
C. Dandelion leaves
D. Pencils

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) Dandelion leaves are not a source of lead. (B) Pencils are not a source of lead poisoning. (C) Chewing on objects painted before 1960 is a common source of lead poisoning in children. Gasoline is another source. (D) Stuffed animals are not a source of lead.

NEW QUESTION # 572
A 25-year-old outpatient presents with a diagnosis of compulsive personality disorder. His coworkers become annoyed with his rigid, perfectionistic manner and preoccupation with trivial details and schedules. A nursing intervention appropriate for this client would include:

A. Encouraging the client to set a time schedule and deadlines for himself
B. Contracting with him for the amount of time he will spend on the compulsive behaviors
C. Encouraging him to engage in recreational activities
D. Avoiding discussion of his annoying behavior

Answer: B

Explanation:
Explanation
(A) This answer is incorrect. The client will work hard at the activity instead of enjoying it. (B) This answer is incorrect. The nurse should allow the client to discuss these thoughts, within limits, not to avoid discussing them. (C) This answer is incorrect. The compulsive client tends to control time to excess. It should not be encouraged. (D) This answer is correct. A contract with the client regarding the amount of time that will be spent discussing the compulsive activities is appropriate. Time allotted should be gradually decreased.

NEW QUESTION # 573
A client is in active labor and has been admitted to the labor and delivery unit. The RN has just done a sterile vaginal exam and determines that the client is dilated 5 cm, effaced 85%, and the fetus's head is at
0 station. She asks if she could have a lumbar epidural now. The epidural is started, and the anesthetic agent used is bupivacaine (Marcaine). After the client has received her lumbar epidural, it is important for the RN to monitor her for which of the following side effects:

A. Hypertension
B. Hypotension
C. Hyperglycemia
D. Hypoglycemia

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) The medication bupivacaine will cause vasodilation in the vascular system, and this does not result in elevation of the ma-ternal blood pressure. (B) The medication bupivacaine will cause vasodilation in the vascular system, and this will result in lowering the maternal blood pressure. (C) Bupivacaine does not interfere with the functioning of the endocrine system. (D) Bupivacaine does not interfere with the functioning of the endocrine system.

NEW QUESTION # 574
The nurse is assessing breath sounds in a bronchovesicular client. She should expect that:

A. Breath sounds are slightly muffled
B. Inspiration is longer than expiration
C. Inspiration and expiration are equal
D. Breath sounds are high pitched

Answer: C

Explanation:
(A) Inspiration is normally longer in vesicular areas. (B) Highpitched sounds are normal in bronchial area. (C) Muffled sounds are considered abnormal. (D) Inspiration and expiration are equal normally in this area, and sounds are medium pitched.

NEW QUESTION # 575
A 23-year-old borderline client is admitted to an inpatient psychiatric unit following an impulsive act of self-mutilation. A few hours after admission, she requests special privileges, and when these are not granted, she stands up and angrily shouts that the people on the unit do not care, and she storms across the room. The nurse should respond to this behavior by:

A. Communicating a desire to assist the client to regain control, offering a one-to-one session in a quiet area
B. Walking up to the client and touching her on the arm to get her attention
C. Placing her in seclusion until the behavior is under control
D. Confronting the client, letting her know the consequences for getting angry and disrupting the unit

Answer: A

Explanation:
(A) Threatening a client with punitive action is violating a client's rights and could escalate the client's anger. (B) Angry clients need respect for personal space, and physical contact may be perceived as a threatening gesture escalating anger. (C) Client lacks sufficient self-control to limit own maladaptive behavior; she may need assistance from staff. (D) Confronting an angry client may escalate her anger to further acting out, and consequences are for acting out anger aggressively, not for getting angry or feeling angry.

NEW QUESTION # 576
......

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