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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q816-Q821):

NEW QUESTION # 816
Prior to an amniocentesis, a fetal ultrasound is done in order to:

A. Evaluate the amount of amniotic fluid
B. Evaluate fetal lung maturity
C. Ensure that the fetus is mature enough to perform the amniocentesis
D. Locate the position of the placenta and fetus

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) Amniocentesis can be performed to assess for lung maturity. Fetal ultrasound can be used for gestational dating, although it does not separately determine lung maturity. (B) Ultrasound can evaluate amniotic fluid volume, which may be used to determine congenital anomalies. (C) Amniocentesis involves removal of amniotic fluid for evaluation. The needle, inserted through the abdomen, is guided by ultrasound to avoid needle injuries, and the test evaluates the position of the placenta and the fetus. (D) Amniocentesis can be performed as early as the 15th-17th week of pregnancy.

NEW QUESTION # 817
A client has been diagnosed as being preeclamptic. The physician orders magnesium sulfate. Magnesium sulfate (MgSO4) is used in the management of preeclampsia for:

A. Sedation
B. Fetal lung protection
C. Prevention of uterine contractions
D. Prevention of seizures

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) MgSO4 is classified as an anticonvulsant drug. In preeclampsia management, MgSO4 is used for prevention of seizures. (B) MgSO4 has been used to inhibit hyperactive labor, but results are questionable.
(C) Negative side effects such as respiratory depression should not be confused with generalized sedation. (D) MgSO4 does not affect lung maturity. The infant should be assessed for neuromuscular and respiratory depression.

NEW QUESTION # 818
A client with cystic fibrosis exhibits activity intolerance related to the pulmonary problems associated with his disease. However, he needs to be encouraged to participate in daily physical exercise. The ultimate aim of exercise is to:

A. Help him overcome respiratory infections
B. Create a sense of well-being and self-worth
C. Establish an effective, habitual breathing pattern
D. Promote normal growth and development

Answer: C

Explanation:
(A) Regular exercise does promote a sense of well-being and selfworth, but this is not the ultimate goal of exercise for this client. (B) Regular chest physiotherapy, not exercise per se, helps to prevent respiratory infections. (C) Physical exercise is an important adjunct to chest physiotherapy. It stimulates mucus secretion, promotes a feeling of well-being, and helps to establish a habitual breathing pattern. (D) Along with adequate nutrition and minimization of pulmonary complications, exercise does help promote normal growth and development. However, exercise is promoted primarily to help establish a habitual breathing pattern.

NEW QUESTION # 819
The usual treatment for diabetes insipidus is with IM or SC injection of vasopressin tannate in oil. Nursing care related to the client receiving IM vasopressin tannate would include:

A. Weigh once a week and report to the physician any weight gain of10 lb.
B. Limit fluid intake to 500 mL/day.
C. Hold the vial under warm water for 10-15 minutes and shake vigorously before drawing medication into the syringe.
D. Store the medication in a refrigerator and allow to stand at room temperature for 30 minutes prior to administration.

Answer: C

Explanation:
(A) Weight should be obtained daily. (B) Fluid is not restricted but is given according to urine output. (C) The medication does not have to be stored in a refrigerator. (D) Holding the vial under warm water for 10-15 minutes or rolling between your hands and shaking vigorously before drawing medication into the syringe activates the medication in the oil solution.

NEW QUESTION # 820
A 15-year-old client is admitted to the adolescent unit. The nurse recognizes that encouraging a client to speak openly depends on how clearly questions are phrased. Which of the following statements is most desirable in eliciting information from an adolescent client?

A. "Do you communicate with your parents?"
B. "What is it like between you and your family?"
C. "Do you get along well with your family?"
D. "You don't hate your family, do you?"

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A, B) This statement can be answered with a simple yes or no. (C) This statement is asked in a negative manner and therefore has a negative connotation. (D) This statement is open ended and positively stated.

NEW QUESTION # 821
......

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