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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q265-Q270):

NEW QUESTION # 265
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?

A. Aged cheese
B. Cream cheese
C. Yeast bread
D. Fresh fruits

Answer: A

Explanation:
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.

NEW QUESTION # 266
A newborn is admitted to the newborn nursery with tremors, apnea periods, and poor sucking reflex. The nurse should suspect:

A. Hypoglycemia
B. These are normal newborn responses to extrauterine life
C. Hyperglycemia
D. Central nervous system damage

Answer: A

Explanation:
(A) Central nervous system damage presents as seizures, decreased arousal, and absence of newborn reflexes. (B) In a diabetic mother, the infant is exposed to high serum glucose. The fetal pancreas produces large amounts of insulin, which causes hypoglycemia after birth. (C) Hypoglycemia is a common newborn problem. Increased insulin production causes hypoglycemia, not hyperglycemia. (D) These are not normal adaptive behaviors to extrauterine life.

NEW QUESTION # 267
After a liver biopsy, the best position for the client is:

A. Right lateral
B. High Fowler
C. Supine
D. Prone

Answer: A

Explanation:
Explanation
(A) This position does not help to prevent bleeding. (B) This position does not help to prevent bleeding. (C) This position does not help to prevent bleeding. (D) The right lateral position would allow pressure on the liver to prevent bleeding.

NEW QUESTION # 268
When evaluating a client with symptoms of shock, it is important for the nurse to differentiate between neurogenic and hypovolemic shock. The symptoms of neurogenic shock differ from hypovolemic shock in that:

A. In neurogenic shock, there is delayed capillary refill
B. In neurogenic shock, the skin is warm and dry
C. In hypovolemic shock, there is a bradycardia
D. In hypovolemic shock, capillary refill is less than 2 seconds

Answer: B

Explanation:
(A) Neurogenic shock is caused by injury to the cervical region, which leads to loss of sympathetic control. This loss leads to vasodilation of the vascular beds, bradycardia resulting from the lack of sympathetic balance to parasympathetic stimuli from the vagus nerve, and the loss of the ability to sweat below the level of injury. In neurogenic shock, the client is hypotensive but bradycardiac with warm, dry skin. (B) In hypovolemic shock, the client ishypotensive and tachycardiac with cool skin. (C) In hypovolemic shock, the capillary refill would be>5 seconds. (D) In neurogenic shock, there is no capillary delay, the vascular beds are dilated, and peripheral flow is good.

NEW QUESTION # 269
The nurse working in a prenatal clinic needs to be alert to the cardinal signs and symptoms of PIH because:

A. Psychological counseling is indicated to reduce the emotional stress causing the blood pressure elevation
B. Self-discipline is required to control caloric intake throughout the pregnancy
C. The client may not recognize the early symptoms of PIH
D. Immediate treatment of mild PIH includes the administration of a variety of medications

Answer: C

Explanation:
(A) Mild PIH is not treated with medications. (B) Emotional stress is not the cause of blood pressure elevation in PIH. (C) Excessive caloric intake is not the cause of weight gain in PIH. (D) The client most frequently is not aware of the signs and symptoms in mild PIH.

NEW QUESTION # 270
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