Unparalleled NCLEX-RN Training Quiz: National Council Licensure Examination(NCLEX-RN) Carry You Outstanding Exam Dumps - ValidExam

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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q313-Q318):

NEW QUESTION # 313
A 9-month-old infant is being examined in the general pediatric clinic for a routine well-child checkup. His immunizations are up to date, and his mother reports that he has had no significant illnesses or injuries. Which of the following signs would lead the nurse to believe that he has had a cerebral injury?

A. Significant head lag when raised to a sitting position
B. Holding the head to one side and pointing the chin toward the other side
C. Hyperextension of the neck with evidence of pain on flexion
D. Holding the head erect and in the midline when in a vertical position

Answer: A

Explanation:
Section: Questions Set D
Explanation:
(A) This position is indicative of a possible meningeal irritation or infection such as meningitis. (B) This position is seen most frequently in infants who have had an injury to the sternocleidomastoid muscle. (C) Most infants aged 4 months and older are able to maintain this position. (D) Infants older than 6 months of age should not have significant head lag. This is a sign of cerebral injury and should be referred for further evaluation.

NEW QUESTION # 314
Following a vaginal delivery, the postpartum nurse should observe for:

A. Dystocia, kraurosis
B. Fatigue, hemorrhoids
C. Hemorrhage and infection
D. Chadwick's sign

Answer: C

Explanation:
Explanation
(A) Dystocia is difficult labor. The delivery has occurred. Kraurosis is atrophy and dryness of skin and any mucous membrane (vulva). (B) Chadwick's sign is a bluish color of vaginal mucosa suggestive of pregnancy.
(C) Fatigue is a common symptom in the postpartal period. Hemorrhoids may occur with pregnancy. (D) Hemorrhage and infection are potential complications of vaginal delivery. Hemorrhage may result from retained placental fragments or soft uterus. Infection may occur from the introduction of organisms into the uterus during the delivery.

NEW QUESTION # 315
A client is diagnosed with diabetic ketoacidosis. The nurse should be prepared to administer which of the following IV solutions?

A. D5in lactated Ringer's
B. D5W
C. D5in normal saline
D. 0.9 normal saline

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) D5in normal saline would increase serum glucose. (B) D5W would increase serum glucose. (C) A concentration of 0.9 NS is used to correct extracellular fluid depletion. (D) D5in Ringer's lactate would increase serum glucose.

NEW QUESTION # 316
A primigravida with a blood type A negative is at 28 weeks' gestation. Today her physician has ordered a RhoGAM injection. Which statement by the client demonstrates that more teaching is needed related to this therapy?

A. "This shot will prevent me from becoming sensitized to Rh-positive blood."
B. "This shot should help to protect me in future pregnancies if this baby is Rh positive, like my husband."
C. "I'm getting this shot so that my baby won't develop antibodies against my blood, right?"
D. "I understand that if my baby is Rh positive I'll be getting another one of these injections."

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) RhoGAM is given to Rh-negative mothers to prevent the maternal Rh immune response to fetal Rh- positive antigens. (B) If the infant is Rh positive, the mother will receive another dose postdelivery to prevent maternal sensitization. (C) Prevention of maternal sensitization will protect future pregnancies because the mother's blood will be free of antibodies against her fetus. (D) RhoGAM prevents maternal sensitization to Rh-positive blood.

NEW QUESTION # 317
A client has just received an epidural block. She is laboring on her right side. The nurse notes that her blood pressure has dropped from 132/68 to 78/42 mm Hg. The nurse's first action would be to:

A. Turn her on her left side and recheck her blood pressure in 5 minutes
B. Administer oxytocin (Pitocin) immediately and increase the rate of IV fluids
C. Call the physician immediately and give dopamine IM
D. Increase the rate of IV fluids and start O2 by mask

Answer: D

Explanation:
Section: Questions Set E
Explanation:
(A) Nursing measures to support fetal oxygenation and promote maternal blood pressure would precede calling the physician. (B) Systolic pressures below 100 mm Hg or a reduction in the systolic pressure of >30% necessitate treatment. Assessing the blood pressure in 5 minutes may allow for further fetal and/or maternal compromise. Turning the client on her left side will promote uteroplacental perfusion and is appropriate. (C) Oxytocin (Pitocin) increases the strength of uterine contractions and may cause maternal hypotension; thus it is an inappropriate drug for use in this clinical situation. IV fluids would be increased to expand the circulating blood volume and promote increased blood pressure. (D) Turning the mother to her left lateral side promotes uteroplacental perfusion. IV fluids are administered to increase the circulating blood volume, and O2 is administered to promote fetal oxygenation and decrease the nausea accompanying the hypotension.

NEW QUESTION # 318
......

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