NCLEX-RN - National Council Licensure Examination(NCLEX-RN)–Professional Guide

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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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Exam Questions For NCLEX NCLEX-RN [Revised] - The Best Method To Pass The Exam

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q254-Q259):

NEW QUESTION # 254
The predominant purpose of the first Apgar scoring of a newborn is to:

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) Apgar scores are not related to the infant's care, but to the infant's physical condition. (B) Apgar scores assess the current physical condition of the infant and are not related to future environmental adaptation.
(C) The purpose of the Apgar system is to evaluate the physical condition of the newborn at birth and to determine if there is an immediate need for resuscitation. (D) Congenital malformations are not one of the areas assessed with Apgar scores.


NEW QUESTION # 255
The nurse is caring for a client who has had a tracheostomy for 7 years. The client is started on a full-strength tube feeding at 75 mL/hr. Prior to starting the tube feeding, the nurse confirms placement of the tube in the stomach. The hospital policy states that all tube feeding must be dyed blue. On suctioning, the nurse notices the sputum to be a blue color. This is indicative of which of the following?

Answer: D

Explanation:
Section: Questions Set D
Explanation:
(A) Once the feeding tube placement is confirmed in the stomach, aspiration can occur if the client's stomach becomes too full. When suctioning the trachea, if secretions resemble tube feeding, the client has aspirated the feeding. (B) Because the trachea provides direct access to a client's airway, it would not be possible to place the catheter in the esophagus. (C) Blue-colored sputum is never considered a normal finding and should be reported and documented. (D) The nurse confirmed placement of the feeding tube in the stomach prior to initiating the tube feeding; therefore, it is highly unlikely that the feeding tube would be located in the trachea.


NEW QUESTION # 256
The nurse is caring for a client who has diabetes insipidus. The nurse would describe this client's urine output pattern as:

Answer: B

Explanation:
Explanation
(A)Anuriais defined as absence of urine output, which is not indicative of the urinary pattern of diabetes insipidus. (B)Oliguriais defined as <500 mL of urine per day, which is not a urinary output pattern associated with diabetes insipidus. (C)Dysuriais defined as difficult urination. Clients with diabetes insipidus do not have dysuria as a symptom of their disease. (D) Polyuria is a primary symptom of diabetes insipidus. These clients have decreased or absent vasopressin secretion, which causes water loss in the urine and sodium increases.


NEW QUESTION # 257
An infant with a congenital heart defect is being discharged with an order for the administration of digoxin elixir every 12 hours. The parents need to be taught when administering digoxin to the infant that:

Answer: B

Explanation:
Explanation
(A) Occasionally the child may vomit. They should not repeat the dose because the amount of digoxin that was absorbed is un-known, and serum levels of digoxin that are too high are more dangerous than those that are temporarily too low. (B) To ensure that the entire dose of digoxin is received, never mix it with food or formula. (C) Vomiting, anorexia, and listlessness are all signs of digoxin toxicity and should be reported to the physician immediately. (D) If a dose is forgotten for more than 6 hours, the nurse should advise the parents to skip that dose and to continue the next dose as scheduled.


NEW QUESTION # 258
An 8-year-old boy has been diagnosed with hemophilia. Which of the following diagnostic blood studies is characteristically abnormal in this disorder?

Answer: A

Explanation:
Explanation
(A) Partial thromboplastic time measures activity of thromboplastin, which depends on the intrinsic clotting factors deficient in children who are hemophiliacs. (B) Platelet counts are normal in hemophilia. (C) Hemophilia does not affect the complete blood count. (D) Bleeding times are normal in hemophiliacs. They measure the time interval for the bleeding from small superficial wounds to cease.


NEW QUESTION # 259
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