NCLEX-RN Valid Test Question & New NCLEX-RN Exam Notes

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NCLEX NCLEX-RN Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Psychosocial Integrity6–12%- Therapeutic Communication
- Family Dynamics
- Coping Mechanisms
- End-of-Life Support
- Chemical Dependency and Substance Use Disorders
- Behavioral Interventions
- Grief and Loss
- Mental Health Concepts
Topic 2: Health Promotion and Maintenance6–12%- Disease Prevention and Health Screening
- Developmental Stages and Transitions
- Health Promotion Programs
- Self-Care
- Physical Assessment Techniques
- Aging Process
- Antepartum, Intrapartum, Postpartum and Newborn Care
Topic 3: Physiological Integrity43–67%- Basic Care and Comfort
  • 1. Mobility and Immobility
    • 2. Elimination
      • 3. Non-pharmacological Comfort Interventions
        • 4. Personal Hygiene
          • 5. Assistive Devices
            • 6. Nutrition and Oral Hydration
              - Pharmacological and Parenteral Therapies
              • 1. IV Therapy and Blood Products
                • 2. Pharmacological Pain Management
                  • 3. Medication Administration
                    • 4. Adverse Effects and Contraindications
                      • 5. Dosage Calculation
                        - Reduction of Risk Potential
                        • 1. Laboratory Values
                          • 2. Diagnostic Tests
                            • 3. Potential for Complications
                              • 4. Vital Signs
                                • 5. Therapeutic Procedures
                                  - Physiological Adaptation
                                  • 1. Illness Management
                                    • 2. Fluid and Electrolyte Imbalances
                                      • 3. Respiratory Care
                                        • 4. Medical Emergencies
                                          • 5. Pathophysiology
                                            • 6. Hemodynamics
                                              Topic 4: Safe and Effective Care Environment26–38%- Safety and Infection Control
                                              • 1. Infection Control
                                                • 2. Use of Restraints and Safety Devices
                                                  • 3. Hazardous Materials Handling
                                                    • 4. Error Prevention
                                                      • 5. Standard Precautions
                                                        • 6. Accident Prevention
                                                          - Management of Care
                                                          • 1. Legal Responsibilities
                                                            • 2. Delegation and Prioritization
                                                              • 3. Quality Improvement
                                                                • 4. Ethical Practice
                                                                  • 5. Client Rights
                                                                    • 6. Continuity of Care
                                                                      • 7. Case Management
                                                                        • 8. Advocacy

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                                                                          NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q612-Q617):

                                                                          NEW QUESTION # 612
                                                                          A 2-year-old boy fell out of bed and has a subdural hematoma. When his mother leaves him for the first time, you will expect the child to:

                                                                          Answer: C

                                                                          Explanation:
                                                                          Explanation
                                                                          (A) It will be difficult to comfort a 2 year old with a headache without his mother. (B) This baby probably will cry, which should be prevented because it will increase his intracranial pressure (ICP). Asking the mother to wait until the baby is asleep may help. (C) An awake 2 year old will notice when his mother leaves. (D) An older child may withdraw when feeling afraid, but a 2 year old will probably show more aggressive behavior.


                                                                          NEW QUESTION # 613
                                                                          A female client at 30 weeks' gestation is brought into the emergency department after falling down a flight of stairs. On examination, the physician notes a rigid, boardlike abdomen; FHR in the 160s; and stable vital signs. Considering possible abdominal trauma, which obstetric emergency must be anticipated?

                                                                          Answer: B

                                                                          Explanation:
                                                                          Explanation
                                                                          (A) Abruptio placentae, the complete or partial separation of the placenta from the uterine wall, can be caused by external trauma. When hemorrhage is concealed, one sign is a rapid increase in uterine size with rigidity.
                                                                          (B) Ectopic pregnancy occurs when the embryo implants itself outside the uterine cavity. (C) Massive uterine rupture occurs during labor when the uterine contents are extruded through the uterine wall. It is usually due to weakness from a pre-existing uterine scar and trauma from instruments or an obstetrical intervention. (D) Placenta previa is the condition in which the placenta is implanted in the lower uterine segment and either completely or partially covers the cervical os.


                                                                          NEW QUESTION # 614
                                                                          A 27-year-old healthy primigravida is brought to the labor and birthing room by her husband at 32 weeks' gestation. She experienced a sudden onset of painless vaginal bleeding. Following an ultrasound examination, the diagnosis of bleeding secondary to complete placenta previa is made. Expected assessment findings concerning the abdomen would include:

                                                                          Answer: D

                                                                          Explanation:
                                                                          Explanation
                                                                          (A) A rigid, boardlike abdomen is an assessment finding indicative of placenta abruptio. (B) A cause of postbirth hemorrhage is uterine atony. With placenta previa, uterine tone is within normal range. (C) The placenta is located directly over the cervical os in complete previa. Blood will escape through the os, resulting in the uterus and abdomen remaining soft and relaxed. (D) In placenta abruptio, hypertonicity of the uterus is caused by the entrapment of blood between the placenta and uterine wall, a retroplacental bleed. This does not exist in placenta previa.


                                                                          NEW QUESTION # 615
                                                                          As the nurse assesses a male adolescent with chlamydia, the nurse determines that a sign of chlamydia is:

                                                                          Answer: B

                                                                          Explanation:
                                                                          (A)
                                                                          An enlarged penis is not a sign of chlamydia. (B) Secondary lymphadenitis is a complication of lymphogranuloma venereum. (C) Untreated chlamydial infection can spread from the urethra, causing epididymitis, which presents as a tender, scrotal swelling.
                                                                          (D)
                                                                          Hepatomegaly is not a complication.


                                                                          NEW QUESTION # 616
                                                                          A client is to be discharged from the hospital and is to continue taking warfarin 2.5 mg po bid. Which of the following should be included in her discharge teaching concerning the warfarin therapy?

                                                                          Answer: C

                                                                          Explanation:
                                                                          Explanation/Reference:
                                                                          Explanation:
                                                                          (A) Warfarin must always be taken exactly as directed. Clients should be instructed never to skip or double up on their dosage. (B) Aspirin decreases platelet aggregation, which would potentiate the effects of the coumadin. (C) Healthcare providers need to be aware of persons on warfarin therapy prior to the initiation of any diagnostic tests and/or surgery to help prevent bleeding complications. (D) An electric razor should be used to prevent accidental cutting, which can lead to bleeding.


                                                                          NEW QUESTION # 617
                                                                          ......

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