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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q421-Q426):

NEW QUESTION # 421
A 75-year-old client is hospitalized with pneumonia caused by gram-positive bacteria. Which one of the following best describes a gram-positive bacterial pneumonia?

A. Escherichia colipneumonia
B. Klebsiellapneumonia
C. Legionella pneumophilapneumonia
D. Pneumococcal pneumonia

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A)Klebsiellapneumonia is caused by gram-negative bacteria. (B) Pneumococcal pneumonia is caused by gram-positive bacteria. (C)Legionella pneumophilapneumonia is a nonbacterial pneumonia. (D)E.
colipneumonia is caused by gram-negative bacteria.

NEW QUESTION # 422
A 26-year-old female client presents at 10 weeks' gestation. She currently is a G3 1-0-1-1. Her mother and grandmother have heart disease. Her grandmother also has insulin-dependent diabetes. The client's previous delivery was a term female infant weighing 9 lb 13 oz. The client is 5 ft 6 inches tall and her current weight is
130 lb. Based on her history, she is at risk for developing diabetes in pregnancy. Which of the following factors places her at risk for gestational diabetes?

A. Age >25 years
B. Family history of heart disease
C. Maternal weight
D. Previous birth of an infant weighing>9 lb

Answer: D

Explanation:
Section: Questions Set F
Explanation:
(A) Maternal age older than 30 years is an identified risk factor for diabetes. Age younger than 30 years is insignificant for diabetes unless there is a familial history of diabetes. (B) The client's weight is appropriate for her height. Obesity or pregnancy weight >20% of the ideal weight is a contributing factor to the development of gestational diabetes. (C) The birth of an infant weighing >9 lb (4000 g) is an identified risk factor for gestational diabetes. (D) A familial history of heart disease is insignificant in the development of diabetes. However, a familial history of type II diabetes mellitus is identified as a risk factor in the development of diabetes during pregnancy.

NEW QUESTION # 423
Endotracheal tube cuff pressure should never exceed:

A. 60 mm Hg
B. 20 mm Hg
C. 45 mm Hg
D. 10 mm Hg

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) Pressure<10 mm Hg places the client at risk for aspiration. (B) Pressure in the endotracheal tube cuff should never exceed 20 mm Hg, because higher pressure places the client at risk for tracheal erosion. (C) A pressure of 45 mm Hg is an extremely high pressure in the endotracheal tube cuff. This places the client at great risk for tracheal erosion. (D) A pressure of 60 mm Hg is an extremely high pressure in the endotracheal tube cuff. This places the client at great risk for tracheal erosion.

NEW QUESTION # 424
A female client has just died. Her family is requesting that all nursing staff leave the room. The family's religious leader has arrived and is ready to conduct a ceremony for the deceased in the room, requesting that only family members be present. The nurse assigned to the client should perform the appropriate nursing action, which might include:

A. Refuse to leave the room because the client's body is entrusted in the nurse's care until it can be brought to the morgue.
B. Inform the family that it is the hospital's policy not to conduct religious ceremonies in client rooms.
C. Respect the client's family's wishes.
D. Tell the family that they may conduct their ceremony in the client's room; however, the nurse must attend.

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) It is rare that a hospital has a specific policy addressing this particular issue. If the statement is true, the nurse should show evidence of the policy to the family and suggest alternatives, such as the hospital chapel. (B) Refusal to leave the room demonstrates a lack of understanding related to the family's need to grieve in their own manner. (C) The nurse should leave the room and allow the family privacy in their grief.
(D) The family's wish to conduct a religious ceremony in the client's room is part of the grief process. The request is based on specific cultural and religious differences dictating social customs.

NEW QUESTION # 425
A client reports to the nurse that the voices are practically nonstop and that he needs to leave the hospital immediately to find his girlfriend and kill her. The best verbal response to the client by the nurse at this time is:

A. "We will have to put you in seclusion and restraints for a while. You could hurt someone with thoughts like that."
B. "Just don't pay attention to the voices. They'll go away after some medication."
C. "I understand that the voices are real to you, but I want you to know I don't hear them. They are a symptom of your illness."
D. "You can't leave here. This unit is locked and the doctor has not ordered your discharge."

Answer: C

Explanation:
Explanation
(A) This response validates the client's experience and presents reality to him. (B) This nontherapeutic response minimizes and dismisses the client's verbalized experience. (C) This response can be interpreted by a paranoid client as a threat, thereby increasing the client's potential for violence and loss of control. (D) This response is also threatening. The client's behavior does not call for restraints because he has not lost control or hurt anyone. If seclusion or restraints were indicated, the nurse should never confront the client alone.

NEW QUESTION # 426
......

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