NCLEX-RN考試指南 - NCLEX-RN權威認證

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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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                                                                          最新的 NCLEX Certification NCLEX-RN 免費考試真題 (Q526-Q531):

                                                                          問題 #526
                                                                          The nurse is interviewing a client with a diagnosis of possible abdominal aortic aneurysm. Which of the following statements will be reflected in the client's chief complaint?

                                                                          答案：D

                                                                          解題說明：
                                                                          Explanation
                                                                          (A, B, C) These complaints are not specific signs and symptoms associated with abdominal aortic aneurysm. If symptoms are present, the aneurysm is expanding or rupture is imminent. (D) Many clients may experience no symptoms. The only symptom may be a pulsation noted in the abdomen in the reclining position.


                                                                          問題 #527
                                                                          The nurse in the mental health center is instructing a depressed client about the dietary restrictions necessary in taking her medication, which is a monoamine oxidase (MAO) inhibitor. Which of the following is she restricting from the client's diet?

                                                                          答案：A

                                                                          解題說明：
                                                                          Explanation/Reference:
                                                                          Explanation:
                                                                          (A) Cream cheese does not contain tyramine, which might cause a hypertensive crisis. (B) Fresh fruits do not contain tyramine, which might cause a hypertensive crisis. (C) Aged or matured cheese combined with a monoamine oxidase predisposes the client to a hypertensive crisis. (D) Bread products raised with yeast do not contain tyramine.


                                                                          問題 #528
                                                                          A family by court order undergoes treatment by a family therapist for child abuse. The nurse, who is the child's case manager knows that treatment has been effective when:

                                                                          答案：C

                                                                          解題說明：
                                                                          Explanation/Reference:
                                                                          Explanation:
                                                                          (A) Removing an abused child from the home and placement in a foster home are not the desired outcome of treatment. (B) Children who are perceived as "different" from the rest of the family are more likely to be abused. (C) Although legal action may be taken against abusive parents, it is not an indicator of an effective treatment program. (D) Identification of age-appropriate behaviors is essential to the role of parents, because misunderstanding children's normal developmental needs often contributes to abuse or neglect.


                                                                          問題 #529
                                                                          A 30-year-old female client is receiving antineoplastic chemotherapy. Which of the following symptoms should especially concern the nurse when caring for her?

                                                                          答案：B

                                                                          解題說明：
                                                                          Explanation
                                                                          (A) A respiratory rate of 16 breaths/min is normal and is not a cause for alarm. (B) A pulse rate of 80 bpm is normal and is not a cause for alarm. (C) Complaints of muscle aches are unrelated to her receiving chemotherapy. There may be other causes related to her hospital stay or the disease process. (D) A sore throat is an indication of a possible infection. A client receiving chemotherapy is at risk of neutropenia. An infection in the presence of neutropenia can result in a life-threatening situation.


                                                                          問題 #530
                                                                          A 38-year-old female client with a history of chronic schizophrenia, paranoid type, is currently an outpatient at the local mental health and mental retardation clinic. The client comes in once a week for medication evaluation and/or refills. She self-administers haloperidol 5 mg twice a day and benztropine 1 mg once a day. During a recent clinic visit, she says to the nurse, "I can't stay still at night. I toss and turn and can't fall asleep." The nurse suspects that she may be experiencing:

                                                                          答案：B

                                                                          解題說明：
                                                                          (A) Akathisia, or motor restlessness, is a reversible EPS frequently associated with the administration of antipsychotic drugs such as haloperidol. (B) Akinesia, or muscular or motor retardation, is an example of reversible EPS frequently associated with the administration of major tranquilizers such as haloperidol. (C) Acute dystonic reactions, bizarre and severe muscle contractions usually of the tongue, face, neck or extraocular muscles, are examples of EPS. (D) Opisthotonos, a severe type of whole-body dystonic reaction in which the head and heels are bent backward while the body is bowed forward, is an example of EPS.


                                                                          問題 #531
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