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| Section | Weight | Objectives |
|---|
| Psychosocial Integrity | 6–12% | - Family Dynamics - Grief and Loss - Mental Health Concepts - Coping Mechanisms - Therapeutic Communication - Chemical Dependency and Substance Use Disorders - Behavioral Interventions - End-of-Life Support
|
| Safe and Effective Care Environment | 26–38% | - Safety and Infection Control
- 1. Accident Prevention
- 2. Standard Precautions
- 3. Infection Control
- 4. Hazardous Materials Handling
- 5. Use of Restraints and Safety Devices
- 6. Error Prevention
- Management of Care
- 1. Case Management
- 2. Quality Improvement
- 3. Client Rights
- 4. Advocacy
- 5. Legal Responsibilities
- 6. Ethical Practice
- 7. Delegation and Prioritization
- 8. Continuity of Care
|
| Physiological Integrity | 43–67% | - Physiological Adaptation
- 1. Pathophysiology
- 2. Illness Management
- 3. Respiratory Care
- 4. Hemodynamics
- 5. Medical Emergencies
- 6. Fluid and Electrolyte Imbalances
- Pharmacological and Parenteral Therapies
- 1. Dosage Calculation
- 2. Adverse Effects and Contraindications
- 3. Medication Administration
- 4. Pharmacological Pain Management
- 5. IV Therapy and Blood Products
- Reduction of Risk Potential
- 1. Vital Signs
- 2. Diagnostic Tests
- 3. Potential for Complications
- 4. Laboratory Values
- 5. Therapeutic Procedures
- Basic Care and Comfort
- 1. Mobility and Immobility
- 2. Assistive Devices
- 3. Personal Hygiene
- 4. Non-pharmacological Comfort Interventions
- 5. Elimination
- 6. Nutrition and Oral Hydration
|
| Health Promotion and Maintenance | 6–12% | - Aging Process - Disease Prevention and Health Screening - Self-Care - Health Promotion Programs - Developmental Stages and Transitions - Physical Assessment Techniques - Antepartum, Intrapartum, Postpartum and Newborn Care
|
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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q404-Q409):
NEW QUESTION # 404
Children often experience visual impairments. Refractive errors affect the child's visual activity. The main refractive error seen in children is myopia. The nurse explains to the child's parents that myopia may also be described as:
- A. Farsightedness
- B. Nearsightedness
- C. Lazy eye
- D. Cataracts
Answer: B
Explanation:
(A) Cataracts are not considered refractive errors. Cataracts canbe described as opacity of the lens. (B)Hyperopiais the term forfarsightedness. One can see objects at a distance more clearlythan close objects. (C)Myopiais the term for nearsightedness.Objects that are close in distance are more clearly seen. (D) Lazyeye refers to strabismus or misalignment of the eyes.
NEW QUESTION # 405
A pregnant client is having a nonstress test (NST). It is noted that the fetal heart beat rises 20 bpm, lasting 20 seconds, every time the fetus moves. The nurse explains that:
- A. The fetus is distressed
- B. The test is inconclusive and should be repeated
- C. The test is normal and the fetus is reacting appropriately
- D. Further testing is needed
Answer: C
Explanation:
Section: Questions Set G
Explanation:
(A) The test results were normal, so there would be no need to repeat to determine results. (B) There are no data to indicate further tests are needed, because the result of the NST was normal. (C) An NST is reported as reactive if there are two to three increases in the fetal heart rate of 15 bpm, lasting at least 15 seconds during a
15-minute period. (D) The NST results were normal, so there was no fetal distress.
NEW QUESTION # 406
A client has begun to exhibit signs of alcohol withdrawal. Her blood pressure has risen from 120/60 to
190/100, pulse is increased from 88 to 110 bpm, and she is irritable and agitated and has gross motor tremors of the hands. The nurse notifies the doctor. The nurse can anticipate that the doctor will order which of the following?
- A. A phenothiazine such as chlorpromazine (Thorazine)
- B. A benzodiazepine such as chlordiazepoxide (Librium)
- C. A tricyclic antidepressant such as amitriptyline (Elavil)
- D. An opiate such as propoxyphene napsylate (Darvocet)
Answer: B
Explanation:
Explanation
(A) This answer is incorrect. Benzodiazepines are drugs of choice for alcohol withdrawal. (B) This answer is correct. The drug has a sedative effect, is safe, and has an anticonvulsant effect.(C) This answer is incorrect.
Amitriptyline is an antidepressant. (D) This answer is incorrect. Chlorpromazine is most effective in psychotic disorders.
NEW QUESTION # 407
A male client has heart failure. He has been instructed to gradually increase his activities. Which signs and symptoms of worsening heart failure should the nurse tell him to watch for that would indicate a need for him to lower his activity level?
- A. Weight gain, edema in his lower extremities, and shortness of breath
- B. Thirst, weight loss, and polyuria
- C. Pain in his legs when he walks
- D. Drowsiness and lethargy after his activities
Answer: A
Explanation:
Explanation
(A) Pain in the legs could be indicative of doing too much too quickly, but not of worsening heart failure. The client should be cautioned to increase his activities slowly. (B) Thirst, weight loss, and frequent urination are not indicative of heart failure. The client should report these symptoms to his physician. (C) Drowsiness and lethargy are not indicative of worsening heart failure. The client should report these symptoms to his physician. (D) All of these symptoms indicate a worsening cardiac condition possibly associated with too much activity. The client's activity level should be evaluated.
NEW QUESTION # 408
Stat serum electrolytes ordered for a client in acute renal failure revealed a serum potassium level of 6.4. The physician is immediately notified and orders 50 mL of dextrose and 10 U of regular insulin IV push. The nurse administering these drugs knows the Rationale for this therapy is to:
- A. Remove the potassium from the body by renin exchange
- B. Drive potassium from the serum back into the cells
- C. Protect the myocardium from the effects of hypokalemia
- D. Promote rapid protein catabolism
Answer: B
Explanation:
(A) Sodium polystyrene sulfonate (Kayexalate), a cation exchange resin, exchanges sodium ions for potassium ions in the large intestine reducing the serum potassium. (B) Calcium is administered to protect the myocardium from the adverse effects of hyperkalemia. Serum levels reflect hyperkalemia. (C) Rapid catabolism releases potassium from the body tissue into the bloodstream. Infection and hyperthermia increase the process of catabolism. (D) The administration of dextrose and regular insulin IV forces potassium back into the cells decreasing the potassium in the serum.
NEW QUESTION # 409
......
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