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NCLEX NCLEX-RN Exam Syllabus Topics:

Section	Weight	Objectives
Topic 1: Safe and Effective Care Environment	17–33%	- Management of Care - Safety and Infection Control
Topic 2: Health Promotion and Maintenance	6–12%
Topic 3: Psychosocial Integrity	6–12%
Topic 4: Physiological Integrity	43–67%	- Reduction of Risk Potential - Pharmacological and Parenteral Therapies - Basic Care and Comfort - Physiological Adaptation

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q789-Q794):

NEW QUESTION # 789
Nursing care of the infant prior to surgical closure of a meningomyelocele would include:

A. Do not apply dressing; keep sac open to air
B. Aspirate any fluid from sac
C. Cover sac with saline-soaked sterile dressing
D. Cover sac with dry sterile dressing

Answer: C

Explanation:
(A) A dry, sterile dressing would adhere to the sac, causing tissue damage. (B) A saline-soaked sterile dressing protects the sac from contamination by air and prevents drying. (C) A sac open to air causes drying and potential for contamination. (D) This intervention is not an independent nursing action.

NEW QUESTION # 790
Proper positioning for the child who is in Bryant's traction is:

A. Both hips flexed at a 90-degree angle with the knees extended and the buttocks elevated off the bed
B. The affected leg extended with slight hip flexion
C. Both hips and knees maintained at a 90-degree flexion angle, and the back flat on the bed
D. Both legs extended, and the hips are not flexed

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) The child's weight supplies the countertraction for Bryant's traction; the buttocks are slightly elevated off the bed, and the hips are flexed at a 90-degree angle. Both legs are suspended by skin traction. (B) The child in Buck's extension traction maintains the legs extended and parallel to the bed. (C) The child in Russell traction maintains hip flexion of the affected leg at the prescribed angle with the leg extended. (D) The child in "90-90" traction maintains both hips and knees at a 90-degree flexion angle and the back is flat on the bed.

NEW QUESTION # 791
A client had a right below-the-knee amputation 4 days ago. He is complaining of pain in his right lower leg.
The nurse should:

A. Give the client his order of Demerol 50 mg IM prn
B. Turn on the television to distract the client's attention from his amputated leg
C. Call the physician to request a psychological consultation for the client
D. Remind the client that he no longer has that part of his leg and assure him he will be OK

Answer: A

NEW QUESTION # 792
A client is resting comfortably after delivering her first child. When assessing her pulse rate, the nurse would recognize the following finding to be typical:

A. Tachycardia
B. Thready pulse
C. Irregular pulse
D. Bradycardia

Answer: D

Explanation:
(A)
A thready pulse is indicative of hypotension and excessive blood loss and is often rapid.
(B)
Pulse irregularities or dysrhythmias do not occur in the normal postpartal woman. (C) Tachycardia occurs less frequently than bradycardia and is related to increased blood loss or prolonged difficult labor and/or birth. (D) Puerperal bradycardia with rates of 50-70 bpm commonly occurs during the first 6-10 days of the postpartal period. It may be related to decreased cardiac strain, decreased blood volume, contraction of the uterus, and increased stroke volume.

NEW QUESTION # 793
The nurse is teaching a mother care of her child's spica cast. The mother states that he complains of itching under the edge of the cast. One nonpharmacological technique the nurse might suggest would be:

A. "Slide a ruler under the cast and scratch the area."
B. "Guide a towel under and through the cast and moveit back and forth to relieve the itch."
C. "Blowing air under the cast using a hair dryer on cool setting often relieves itching."
D. "Gently thump on cast to dislodge dried skin that causes the itching."

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) Cool air will often relieve pruritus without damaging the cast or irritating the skin. (B) The nurse should never force anything under the cast, because the cast may become damaged and skin breakdown may occur. (C) Forcing an object under the cast could lead to cast damage and skin breakdown. The object may become lodged under the cast necessitating cast removal. (D) This technique does not dislodge skin cells. It could damage the cast and cause skin breakdown.

NEW QUESTION # 794
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