NCLEX-RN Fragen Beantworten & NCLEX-RN Prüfungsinformationen

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NCLEX NCLEX-RN Exam Syllabus Topics:

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

>> NCLEX-RN Fragen Beantworten <<

NCLEX-RN Prüfungsinformationen, NCLEX-RN Examengine

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NCLEX National Council Licensure Examination(NCLEX-RN) NCLEX-RN Prüfungsfragen mit Lösungen (Q273-Q278):

273. Frage
A 60-year-old woman exhibits forgetfulness, emotional lability, confusion, and decreased concentration. She has been unable to perform activities of daily living without assistance. After a thorough medical evaluation, a diagnosis of Alzheimer's disease was made. An appropriate nursing intervention to decrease the anxiety of this client would include:

Antwort: C

Begründung:
(A) This answer is correct. The more the client is able to control her daily routine, the less anxiety she will experience. (B) This answer is incorrect. Confrontation tends to increase anxiety. (C) This answer is incorrect. Reality testing is an assessment tool. It does not decrease anxiety. (D) This answer is incorrect. A highly stimulating environment increases distractibility and anxiety.


274. Frage
A client is admitted to the labor room. She is dilated 4 cm. She is placed on electric fetal monitoring. Which of the following observations necessitates notifying the physician?

Antwort: D

Begründung:
(A) These are tetanic in nature and can cause rupture of the uterus. (B) The FHR decreases during contractions owing to vasoconstriction and should recover after the contraction. (C) Beat-to-beat variability is a normal finding and demonstrates fetal wellbeing. (D) The FHR may decrease at the beginning of a contraction owing to head compression.


275. Frage
A 40-year-old client has been admitted to the hospital with severe substernal chest pain radiating down his left arm. The nurse caring for the client establishes the following priority nursing diagnosis - Alteration in comfort, pain related to:

Antwort: A

Begründung:
Section: Questions Set G
Explanation:
(A) Anaerobic metabolism results because the decreased blood supply to the myocardium causes a release of lactic acid. Lactic acid is an irritant to the myocardial neural receptors, producing chest pain. (B) Chest pain is caused by a decrease in the O2 supply to the myocardial cells. Treatment modalities for chest pain are aimed toward increasing the blood flow through coronary arteries. (C) Chest pain causes an increase in the stimulation of the sympathetic nervous system. This stimulation increases the heart rate and blood pressure, causing an increase in myocardial workload aggravating the chest pain. (D) Chest pain and anxiety cause increased secretion of catecholamines by stimulating the sympathetic nervous system. This stimulation increases chest pain by increasing the workload of the heart.


276. Frage
Discharge teaching was effective if the parents of a child with atopic dermatitis could state the importance of:

Antwort: B

Begründung:
(A) Maintaining a low-humidified environment. (B) Avoiding furry, soft stuffed animals for play, which may increase symptoms of allergy. (C) Avoiding showering, which irritates the dermatitis, and encouraging bathing 4 times a day in colloid bath for temporary relief. (D) Wrapping hands in soft cotton gloves to prevent skin damage during scratching.


277. Frage
A male client is diagnosed with hypoparathyroidism. He has been on dialysis for several years. He is experiencing symptoms such as numbness of the lips, muscle weakness, carpopedal spasms, and wheezing. Given the client's symptoms, nursing assessment would focus on:

Antwort: C

Begründung:
Explanation/Reference:
Explanation:
(A) Assessment should focus on detection of tetany, which is the most common symptom of hypoparathyroidism. Left undetected and untreated, tetany resulting from hypocalcemia can progress to seizures. (B) Hypocalcemia is difficult to detect on nursing assessment alone. Abdominal cramping may be an indication of hypocalcemia, but laboratory data are required to confirm diagnosis. (C) Depression can be a symptom of hypoparathyroidism, but it is not definitive. (D) Premature cataract formation can occur, but it also is not specific to parathyroidism and poses no immediate danger to the client.


278. Frage
......

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