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NCLEX NCLEX-RN Exam Syllabus Topics:

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

>> NCLEX-RN Valid Exam Syllabus <<

Associate NCLEX-RN Level Exam | Valid NCLEX-RN Mock Test

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q254-Q259):

NEW QUESTION # 254
The medication that best penetrates eschar is:

A. Mafenide acetate (Sulfamylon)
B. Silver sulfadiazine (Silvadene)
C. Povidone-iodine (Betadine)
D. Neomycin sulfate (Neosporin)

Answer: A

Explanation:
Section: Questions Set A
Explanation:
(A) Mafenide acetate is bacteriostatic against gram-positive and gram-negative organisms and is the agent that best penetrates eschar. (B) Silver sulfadiazine poorly penetrates eschar. (C) Neomycin sulfate does not penetrate eschar. (D) Povidone-iodine does not penetrate eschar.

NEW QUESTION # 255
An 11-month-old infant is admitted with a possible diagnosis of pyloric stenosis. Which of the following best describes the characteristic clinical manifestations of pyloric stenosis?

A. Poor appetite and sucking reflex
B. Pain, especially when eating
C. Increased frequency and quantity of stools
D. Palpable olive-shaped mass in the epigastrium just right of the umbilical cord

Answer: D

Explanation:
Explanation
(A) There is no evidence of pain in infants with pyloric stenosis whether eating or not. (B) There are both good appetite and feeding habits in these children. (C) Because of regurgitation, there is usually decreased frequency and quantity of stools and also signs of dehydration and weight loss. (D) Along with upper abdominal distention, there is a characteristic palpable olive-shaped mass located to the right of the umbilicus.

NEW QUESTION # 256
A complication for which the nurse should be alert following a liver biopsy is:

A. Hepatic coma
B. Ascites
C. Jaundice
D. Shock

Answer: D

Explanation:
Section: Questions Set B
Explanation:
(A) Hepatic coma may occur in liver disease due to the increased NH levels, not due to liver biopsy. (B)
3
Jaundice may occur due to increased bilirubin levels, not due to liver biopsy. (C) Ascites would occur due to portal hypertension, not due to liver biopsy. (D) Hemorrhage and shock are the most likely complications after liver biopsy because of already existing bleeding tendencies in the vascular makeup of the liver.

NEW QUESTION # 257
Priapism may be a sign of:

A. Altered neurological function
B. Urinary incontinence
C. Reproductive dysfunction
D. Imminent death

Answer: A

Explanation:
Explanation
(A) Priapism in the trauma client is due to the neurological dysfunction seen in spinal cord injury. Priapism is an abnormal erection of the penis; it may be accompanied by pain and tenderness. This may disappear as spinal cord edema is relieved. (B) Priapism is not associated with death. (C) Urinary retention, rather than incontinence, may occur. (D) Reproductive dysfunction may be a secondary problem.

NEW QUESTION # 258
A 44-year-old female client is receiving external radiation to her scapula for metastasis of breast cancer.
Teaching related to skin care for the client would include which of the following?

A. Encourage her to wear a tight-fitting vest to support her scapula.
B. Teach her to cover broken skin in the treated area with a medicated ointment.
C. Teach her to completely clean the skin to remove all ointments and markings after each treatment.
D. Encourage her to avoid direct sunlight on the area being treated.

Answer: D

Explanation:
(A) The skin in a treatment area should be rinsed with water and patted dry. Markings should be left intact, and the skin should not be scrubbed. (B) Clients should avoid putting any creams or lotions on the treated area. This could interfere with treatment. (C) Radiation therapy clients should wear loose-fitting clothes and avoid tight, irritating fabrics. (D) The area of skin being treated is sensitive to sunlight, and the client should take care to prevent sun damage by avoiding direct sunlight and covering the area when she is in the sun.

NEW QUESTION # 259
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