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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q420-Q425):

NEW QUESTION # 420
Before giving methergine postpartum, the nurse should assess the client for:

Answer: A

Explanation:
Explanation
(A) Methergine is given to contract the uterus and to control postpartal hemorrhage; therefore, lochial flow should decrease. (B) Methergine may elevate the blood pressure. A client with an elevated blood pressure should not receive methergine, but she could be given oxytocin if necessary. (C) Flushing is not a side effect of methergine. (D) Afterpains are increased with methergine usage. The client should be informed that this is a normal response.


NEW QUESTION # 421
A mother frantically calls the emergency room (ER) asking what to do about her 3-year-old girl who was found eating pills out of a bottle in the medicine cabinet. The ER nurse tells the mother to:

Answer: B

Explanation:
(A) Before giving any emetic, the substance ingested must be known. (B) At least 8 oz of water should be administered along with ipecac syrup to increase volume in the stomach and facilitate vomiting. (C) Water alone will not induce vomiting. An emetic is necessary to facilitate vomiting. (D) Vomiting should never be induced in an unconscious client because of the risk of aspiration.


NEW QUESTION # 422
A client is going to have a pneumonectomy in the morning. She had a previous negative surgical experience, is talking rapidly, and has an increased pulse and respiratory rate. Nursing interventions for this client should include:

Answer: B

Explanation:
Explanation
(A) This intervention will help to clarify any misunderstandings about the surgery and give the client an opportunity to verbalize concerns about the surgery. (B) Distractors will not alleviate the preoperative anxiety that the client is experiencing. This response actually denies the client's anxiety. (C) This intervention is false assurance and denies that anxiety is a normal response to the threat of surgery. (D) Psychological responses are not directly related to the extent of the surgery, because they are influenced by the client's past experiences.


NEW QUESTION # 423
A burn victim's immunization history is assessed by the nurse. Which immunization is of priority concern?

Answer: A

Explanation:
Explanation
(A) Oral poliovirus vaccine is given to prevent polio. Polio is transmitted by direct contact with an infected person. (B) Inactivated poliovirus vaccine is given to adults and immunosuppressed individuals. Polio is transmitted by direct contact with an infected person. (C) Tetanus toxoid prevents tetanus. Tetanus is transmitted through contaminated wounds. (D) Hepatitis B vaccine prevents hepatitis B infection. Hepatitis B is transmitted through contact with infected blood or body fluids.


NEW QUESTION # 424
As soon as a child has been diagnosed as "hearing impaired," special education should begin. Which of the following special education tasks is the most difficult for a severely hearing-impaired child?

Answer: C

Explanation:
Section: Questions Set E
Explanation:
(A) With the slight and mild hard of hearing, auditory training is beneficial. (B) Speech is the most difficult task because it is learned by visual and auditory stimulation, imitation, and reinforcement. (C, D) Lip reading and signing are aimed at establishing communicative skills, but they are learned more easily by visual stimulation.


NEW QUESTION # 425
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