Pdf NCLEX-RN Format, Valid NCLEX-RN Practice Questions

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

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Pdf NCLEX-RN Format | 100% Free Valid NCLEX-RN Practice Questions

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q356-Q361):

NEW QUESTION # 356
A client had a myocardial infarction 5 days ago. His physician has ordered an echocardiogram to determine how his myocardial infarction has affected his ventricular wall motion. When the client asks if this test is painful, an appropriate response is:

A. "No, but you must be able to ride on a stationary bicycle while the test is being performed."
B. "Your physician has ordered medicine, which you will be given before you go for the test, which will make you sleepy."
C. "No, but you will have to lie still and the gel that is used may be cool."
D. "Yes, but your physician will be there and will order pain medicine for you."

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) Riding a stationary bicycle or walking on a treadmill is done during a stress test. (B) During an echocardiogram, the client must lie supine while a technician performs the test. To perform the test, the technician uses a conductive gel and a transducer to obtain ultrasound tracings of the heart. (C) A physician need not be present during an echocardiogram, and it is neither invasive nor painful. (D) There is no premedication required for an echocardiogram.

NEW QUESTION # 357
A normal 3-year-old child is suspected of having meningitis. The doctor has ordered a lumbar puncture. In light of this procedure and developmental characteristics of this age group, which nursing measure is most appropriate?

A. Emphasize those aspects of the procedure that require cooperation.
B. Use medical terminology when explaining the procedure to the client.
C. Tell the child not to cry or yell.
D. Tell the child that he will get a "stick" in his back.

Answer: A

Explanation:
(A) The nurse should emphasize what is required to elicit cooperation and help to develop a sense of autonomy. (B) The child may express discomfort verbally and should be encouraged to express his feelings. (C) Selecting nonthreatening words to explain a procedure will prevent misinterpretation. (D) When explaining the procedure to the parent with the child present, the nurse should use words that the child can understand to avoid misunderstanding.

NEW QUESTION # 358
A 32-year-old male client is a marketing representative. His job requires him to have a tremendous amount of energy during the day. He frequently uses cocaine to sustain his energy level. Lately he has increased his use of cocaine and even experimented with crack cocaine. Realizing he can no longer continue this destructive behavior, he is seeking treatment for cocaine addiction. In planning nursing care for the client's inpatient stay, which expected outcome is most appropriate?

A. He will meet with his family in counseling sessions and discuss his feelings.
B. He will attend four consecutive group educational sessions on substance abuse.
C. He will be able to deal with his feelings through participation in group therapy sessions.
D. He will name activities that he would most likely be involved in posttreatment.

Answer: C

Explanation:
(A) This expected outcome is specific as related to attendance, but not specific as related to outcome criteria. (B) Stating activities does not guarantee involvement. (C) This goal may help the recovery process, but postcounseling behavior is not addressed. (D) This statement best describes the expected outcome. The client will be attending group therapy sessions and through them he will deal with his feelings.

NEW QUESTION # 359
A mother called the physician's office to ask if it would help relieve her small daughter's abdominal pain if she gave an enema and placed a heating pad on the abdomen. Her daughter has a fever and has vomited twice.
The nurse's response is based on the knowledge that:

A. Complaints of stomach ache are common in young children and are generally best ignored
B. Heat would help to relax the abdominal muscles and relieve her pain
C. The symptoms could easily have been caused by constipation, which an enema would relieve
D. Both heat and enemas stimulate intestinal motility and could increase the risk of perforation

Answer: D

Explanation:
Section: Questions Set D
Explanation:
(A) Constipation does not cause fever or vomiting but may cause anorexia. Risk of perforation outweighs the possible benefits of an enema. (B) Heat will not relieve her symptoms but will increase intestinal motility and increase the risk of perforation. (C) Heat and enemas are contraindicated where severe abdominal pain is suspected because they increase intestinal motility and the risk of perforation. (D) Complaints accompanied by physical symptoms such as pain, anorexia, and fever should never be ignored.

NEW QUESTION # 360
Which nursing implication is appropriate for a client undergoing a paracentesis?

A. Place the client on the right side following the procedure.
B. Observe the client for hypertension following the procedure.
C. Have the client void before the procedure.
D. Keep the client NPO.

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) A full bladder would impede withdrawal of ascitic fluid. (B) Keeping the client NPO is not necessary. (C) The client may exhibit signs and symptoms of shock and hypertension. (D) No position change is needed after the procedure.

NEW QUESTION # 361
......

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