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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q491-Q496):

NEW QUESTION # 491
A client suffering from schizophrenia has been taking chlorpromazine (Thorazine) for 6 months. On one of his follow-up visits to the mental health center, the nurse reports to the physician that he has developed tardive dyskinesia. Which of the following symptoms might she have observed in the client to support this conclusion?

A. High fever, tachycardia, stupor, renal failure
B. Photosensitivity, orthostatic hypotension, dry mouth
C. Lip smacking, chewing, blinking, lateral jaw movements
D. Constipation, blurred vision, drowsiness

Answer: C

Explanation:
Section: Questions Set F
Explanation:
(A) These symptoms are found in clients with neuroleptic malignant syndrome. (B) These symptoms are found in clients with tardive dyskinesia. (C) These are normal side effects found in clients taking antipsychotic medications. (D) These are also normal side effects found in clients taking antipsychotic medications.

NEW QUESTION # 492
A psychiatric nurse is providing an orientation to a new staff nurse. She reminds the nurse that psychiatrists often use categories of medications and that it is important that she recall that some categories of medications have synonyms. Another name used to describe minor tranquilizers is which of the following?

A. Antidepressant medications
B. Antimania medication
C. Antianxiety medications
D. Antipsychotic medications

Answer: C

Explanation:
(A) Antipsychotic medications are also known as major tranquilizers. (B) Antidepressants fall into different categories, such as the tricyclics or the MAO inhibitors. (C) Antianxiety medications are also known as minor tranquilizers. (D) Antimania medications are those such as lithium and lithium carbonate (Lithobid).

NEW QUESTION # 493
A 3-year-old child has had symptoms of influenza including fever, productive cough, nausea, vomiting, and sore throat for the past several days. In caring for a young child with symptoms of influenza, the mother must be cautioned about:

A. Giving aspirin and bismuth subsalicylate (Pepto-Bismol) to treat the symptoms
B. Giving clear liquids too soon
C. Allowing the child to come in contact with other children for 3 days
D. The possibility of pneumonia as a complication

Answer: A

Explanation:
(A) Aspirin should never be given to children with influenza because of the possibility of causing Reye's syndrome. Pepto- Bismol is also classified as a salicylate and should be avoided. (B) Depending on the severity of symptoms, the child may be receiving IV therapy or clear liquids. (C) The disease has a 1-3 day incubation period and affected children are most infectious 24 hours before and after the onset of symptoms. (D) Although viral
pneumonia can be a complication of influenza, this would not be an initial priority.

NEW QUESTION # 494
At 32 weeks' gestation, a client is scheduled for a fetal activity test (nonstress test). She calls the clinic and asks the RN, "How do I prepare for the test I am scheduled for?" The RN will most likely inform her of the following instructions to help prepare her for the test:

A. "You will need to drink 6 to 8 glasses of water to fill your bladder."
B. "You need to know that an IV is always started before the test."
C. "You will have to remain as still as you possibly can."
D. "Do not eat any food or drink any liquids before the test is started."

Answer: C

Explanation:
(A) An IV line is not started in a nonstress test, because this test is used as an indicator of fetal well-being. This test measures fetal activity and heart rate acceleration. (B) The bladder does not have to be full prior to this test. It is not a sonogram test where a full bladder enables other structures to be scanned. (C) It has been proved that eating or drinking liquids prior to the test can assist in increasing fetal activity. (D) Any maternal activity will interfere with the results of the test.

NEW QUESTION # 495
A 48-year-old male client is hospitalized with mild ascites, bruising, and jaundice. He has a 20-year history of alcohol abuse. The client is diagnosed with cirrhosis. His serum ammonia level is high, indicating hepatic encephalopathy. He has esophageal varices. Which of the following may cause the varices to rupture?

A. Ingestion of antacids
B. Lifting heavy objects
C. Ingestion of barbiturates
D. Walking briskly

Answer: B

Explanation:
(A) Lifting heavy objects will increase intrathoracic pressure, thus placing the client at risk for rupturing esophageal varices. (B, C, D) This activity will not cause an increase in intrathoracic pressure.

NEW QUESTION # 496
......

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