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NCLEX NCLEX-RN Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Health Promotion and Maintenance6-12%- Health Promotion and Maintenance
  • 1. Health Screening
  • 2. Health Promotion Programs
  • 3. Disease Prevention
  • 4. Growth and Development
  • 5. Newborn Care
  • 6. Prenatal, Intrapartum and Postpartum Care
  • 7. Aging Process
Topic 2: Safety and Infection Control10-16%- Safety and Infection Control
  • 1. Handling Hazardous Materials
  • 2. Home Safety
  • 3. Accident and Injury Prevention
  • 4. Emergency Response Planning
  • 5. Safe Use of Equipment
  • 6. Standard and Transmission-Based Precautions
  • 7. Security Plans
  • 8. Infection Prevention and Control
Topic 3: Physiological Adaptation11-17%- Physiological Adaptation
  • 1. Medical Emergencies
  • 2. Unexpected Response to Therapies
  • 3. Hemodynamics
  • 4. Fluid and Electrolyte Imbalances
  • 5. Pathophysiology
  • 6. Alterations in Body Systems
Topic 4: Pharmacological and Parenteral Therapies13-19%- Pharmacological and Parenteral Therapies
  • 1. Blood and Blood Products
  • 2. Medication Administration
  • 3. Expected Actions and Outcomes
  • 4. Adverse Effects and Contraindications
  • 5. Dosage Calculations
  • 6. Parenteral Therapies
  • 7. Central Venous Access Devices
Topic 5: Management of Care15-21%- Management of Care
  • 1. Continuity of Care
  • 2. Informed Consent
  • 3. Collaboration with Interdisciplinary Team
  • 4. Assignment, Delegation and Supervision
  • 5. Priority Setting
  • 6. Ethical Practice
  • 7. Advance Directives
  • 8. Advocacy
  • 9. Client Rights
  • 10. Legal Rights and Responsibilities
  • 11. Confidentiality and Information Security
  • 12. Performance Improvement and Quality Assurance
  • 13. Case Management
Topic 6: Basic Care and Comfort6-12%- Basic Care and Comfort
  • 1. Rest and Sleep
  • 2. Activities of Daily Living
  • 3. Assistive Devices
  • 4. Nutrition and Oral Hydration
  • 5. Elimination
  • 6. Mobility and Immobility
  • 7. Personal Hygiene
Topic 7: Reduction of Risk Potential9-15%- Reduction of Risk Potential
  • 1. System-Specific Assessments
  • 2. Changes in Vital Signs
  • 3. Monitoring and Assessment
  • 4. Potential Complications
  • 5. Therapeutic Procedures
  • 6. Diagnostic Tests
Topic 8: Psychosocial Integrity6-12%- Psychosocial Integrity
  • 1. Mental Health Concepts
  • 2. Substance Use Disorders
  • 3. Crisis Intervention
  • 4. Therapeutic Communication
  • 5. Coping Mechanisms
  • 6. Family Dynamics
  • 7. Behavioral Interventions
  • 8. Support Systems

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q375-Q380):

NEW QUESTION # 375
A client has been uncomfortable in crowds all her life. After the birth of her child, she has been housebound unless her husband can accompany her to the grocery store and for medical appointments.
His schedule will not allow for this, and he has insisted that she must be more independent. Her anxiety has increased to the point of panic. The client has been diagnosed with agoraphobia. Which statement is true about this disorder?

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) Agoraphobia is the most pervasive and serious phobic disorder. (B) Women compose 70%-85% of agoraphobia sufferers. (C) Agoraphobia is an acute disorder that immobilizes the sufferer with extreme anxiety. (D) Chlorpromazine is not a drug used to treat phobias.


NEW QUESTION # 376
Which of the following would have the physiological effect of decreasing intracranial pressure (ICP)?

Answer: C

Explanation:
(A) An increase in core body temperature increases metabolism and results in an increase in ICP. (B) Decreased serum osmolality indicates a fluid overload and may result in an increase in ICP. (C) Hypo-osmolar fluids are generally voided in the neurologically compromised. Using IV fluids such as D5W results in the dextrose being metabolized, releasing free water that is absorbed by the brain cells, leading to cerebral edema. (D) Hypercapnia and hypoventilation, which cause retention of CO2 and lead to respiratory acidosis, both increase ICP. CO2 is the most potent vasodilator known.


NEW QUESTION # 377
A 2-year-old child is recovering from surgery. Considering growth and development according to Erikson, the nurse identifies which of the following play activities as most appropriate?

Answer: D

Explanation:
Section: Questions Set F
Explanation:
(A) A 2-year-old child is in the stage of autonomy, according to Erikson. Assembling a puzzle with large pieces enables her to "do it herself." (B) A wheelchair ride would probably be fun, but it is not directed toward helping the child to achieve autonomy. (C) Listening to a story may be fun and educational, but it is not directed toward helping the child to achieve autonomy. (D) Watching television may be a favorite activity, but it does not foster autonomy.


NEW QUESTION # 378
Signs and symptoms of an allergy attack include which of the following?

Answer: B

Explanation:
(A) Wheezing occurs during expiration when air movement is impaired because of constricted edematous bronchial lumina. (B) Respirations are difficult, but the rate is frequently normal. (C) The circumoral area is usually pale. Cyanosis is not an early sign of hypoxia. (D) Expiration is prolonged because the alveoli are greatly distended and air trapping occurs.


NEW QUESTION # 379
The physician has prescribed metoclopramide (Reglan). When assessing the client, the nurse would expect to find which of the following responses?

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) Metoclopramide does not stimulate gastric secretions. (B) This response is expected with metoclopramide, in addition to increasing gastric emptying. (C) Disorientation is a symptom of metoclopramide overdose. The drug should be discontinued. (D) Drowsiness is a symptom of metoclopramide overdose and the drug should be discontinued.


NEW QUESTION # 380
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