NCLEX-RN Exams Dumps | NCLEX-RN Exam Pattern

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NCLEX NCLEX-RN Exam Syllabus Topics:

Section	Weight	Objectives
Topic 1: Safe and Effective Care Environment	26–38%	- Safety and Infection Control 1. Error Prevention 2. Infection Control 3. Accident Prevention 4. Hazardous Materials Handling 5. Standard Precautions 6. Use of Restraints and Safety Devices - Management of Care 1. Quality Improvement 2. Client Rights 3. Continuity of Care 4. Ethical Practice 5. Legal Responsibilities 6. Delegation and Prioritization 7. Advocacy 8. Case Management
Topic 2: Physiological Integrity	43–67%	- Reduction of Risk Potential 1. Therapeutic Procedures 2. Diagnostic Tests 3. Vital Signs 4. Potential for Complications 5. Laboratory Values - Pharmacological and Parenteral Therapies 1. Pharmacological Pain Management 2. Adverse Effects and Contraindications 3. Dosage Calculation 4. IV Therapy and Blood Products 5. Medication Administration - Basic Care and Comfort 1. Non-pharmacological Comfort Interventions 2. Mobility and Immobility 3. Elimination 4. Assistive Devices 5. Nutrition and Oral Hydration 6. Personal Hygiene - Physiological Adaptation 1. Respiratory Care 2. Pathophysiology 3. Hemodynamics 4. Medical Emergencies 5. Illness Management 6. Fluid and Electrolyte Imbalances
Topic 3: Health Promotion and Maintenance	6–12%	- Health Promotion Programs - Aging Process - Physical Assessment Techniques - Self-Care - Developmental Stages and Transitions - Antepartum, Intrapartum, Postpartum and Newborn Care - Disease Prevention and Health Screening
Topic 4: Psychosocial Integrity	6–12%	- End-of-Life Support - Family Dynamics - Therapeutic Communication - Coping Mechanisms - Chemical Dependency and Substance Use Disorders - Behavioral Interventions - Grief and Loss - Mental Health Concepts

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q49-Q54):

NEW QUESTION # 49
A female client comes for her second prenatal visit. The nurse-midwife tells her, "Your blood tests reveal that you do not show immunity to the German measles." Which notation will the nurse include in her plan of care for the client? "Will need . . .

A. Rubella vaccine at the next visit"
B. Rh-immune globulin at the next visit"
C. Rubella vaccine after delivery on the day of discharge"
D. Rh-immune globulin within 3 days of delivery"

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) Rh immune globulin is given to Rh-negative mothers to prevent the maternal Rh immune response. (B) Rh immune globulin is given to Rh-negative mothers to prevent the maternal Rh immune response. (C) The rubella vaccine is not given during pregnancy because of its teratogenicity. (D) Nonimmune mothers are vaccinated early in the postpartum period to prevent future infection with the rubella virus.

NEW QUESTION # 50
A common complication of cirrhosis of the liver is prolonged bleeding. The nurse should be prepared to administer?

A. Vitamin K
B. Vitamin E
C. Vitamin C
D. Vitamin A

Answer: A

Explanation:
(A) Vitamin C does not directly affect clotting. (B) Vitamin K is a fat-soluble vitamin that depends on liver function for absorption. Vitamin K is essential for clotting. (C) Vitamin E does not directly affect clotting. (D) Vitamin A does not directly affect clotting.

NEW QUESTION # 51
At her first prenatal visit, a 21-year-old woman who is gravida 2, para 0, ab 1, is currently at 32 weeks' gestation and has a history of drug abuse, smoking, and occasional ethyl alcohol use. Fetal ultrasound tests indicate poor fetal growth. The most likely reason for the infant's intrauterine growth retardation is:

A. The client's late prenatal care
B. The client's history of drug, ethyl alcohol, and tobacco use
C. The client's young age
D. The client's previous abortion

Answer: B

Explanation:
Explanation
(A) Although adolescents frequently have a higher incidence of low-birth-weight infants, this client is 21 years old. (B) Uncomplicated induced abortions have not been proved to influence the growth of infants of subsequent pregnancies. (C) Compounds in cigarettes and some illicit drugs cause maternal vasoconstriction and a subsequent reduction in O2 availability for the fetus owing to the resulting reduction in uteroplacental blood flow. As few as one or two drinks of alcohol per day will decrease birth weight. (D) Although early prenatal care has been shown to improve pregnancy outcomes, not seeking care until the second week of gestation does not, in and of itself, cause intrauterine growth retardation.

NEW QUESTION # 52
During his hospitalization, a 3-year-old child has become unusually aggressive in his play activities. His parents report this change in behavior to the primary nurse. How could the nurse explain the child's change in behavior?

A. Deep-seated feelings of hostility
B. Usual behavior for this child
C. A lack of interest in socializing
D. A coping response

Answer: D

Explanation:
Explanation
(A) Unusually aggressive behavior does not indicate a deepseated problem. (B) A lack of social interest results in poor participation in play activities with peers. Aggression would not be an expected behavior. (C) The aggressive behavior was newly developed and not a routine behavior. (D) Play provides the child with opportunities for coping and adaptation. Aggression during the play activities would indicate a coping response.

NEW QUESTION # 53
A 52-year-old female client is admitted to the hospital in acute renal failure. She has been on hemodialysis for the past 2 years. Stat arterial blood gases are drawn on the client yielding the following results: pH 7.30, PCO2
51 mm Hg, HCO3, 18 mEq/L, PaO2, 84 mm Hg. The nurse would interpret these results as:

A. Partially compensated metabolic alkalosis
B. Combined respiratory and metabolic acidosis
C. Respiratory acidosis
D. Compensated metabolic alkalosis

Answer: B

Explanation:
Section: Questions Set G
Explanation:
(A) Compensated metabolic alkalosis would be reflected by the following: pH within normal limit (7.35-7.45), PCO2 > 45 mm Hg, HCO3 >26 mEq/L. (B) Respiratory acidosis would be reflected by the following: pH < 7.35, PCO2 > 45 mm Hg, HCO3 within normal limits (22-26 mEq/L). (C) Partially compensated metabolic alkalosis would be reflected by the following: pH > 7.45, PCO2 > 45 mm Hg, HCO3 > 26 mEq/L. (D) Combined respiratory and metabolicacidosis would be reflected by the following: pH < 7.35, PCO2 > 45 mm Hg, HCO3 <
22 mEq/L.

NEW QUESTION # 54
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