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| Section | Weight | Objectives |
|---|
| Topic 1: Safety and Infection Control | 10-16% | - Safety and Infection Control
- 1. Security Plans
- 2. Standard and Transmission-Based Precautions
- 3. Infection Prevention and Control
- 4. Home Safety
- 5. Safe Use of Equipment
- 6. Accident and Injury Prevention
- 7. Handling Hazardous Materials
- 8. Emergency Response Planning
|
| Topic 2: Psychosocial Integrity | 6-12% | - Psychosocial Integrity
- 1. Crisis Intervention
- 2. Mental Health Concepts
- 3. Therapeutic Communication
- 4. Family Dynamics
- 5. Substance Use Disorders
- 6. Support Systems
- 7. Behavioral Interventions
- 8. Coping Mechanisms
|
| Topic 3: Management of Care | 15-21% | - Management of Care
- 1. Priority Setting
- 2. Performance Improvement and Quality Assurance
- 3. Client Rights
- 4. Confidentiality and Information Security
- 5. Case Management
- 6. Ethical Practice
- 7. Informed Consent
- 8. Continuity of Care
- 9. Advance Directives
- 10. Assignment, Delegation and Supervision
- 11. Legal Rights and Responsibilities
- 12. Collaboration with Interdisciplinary Team
- 13. Advocacy
|
| Topic 4: Physiological Adaptation | 11-17% | - Physiological Adaptation
- 1. Fluid and Electrolyte Imbalances
- 2. Medical Emergencies
- 3. Pathophysiology
- 4. Hemodynamics
- 5. Unexpected Response to Therapies
- 6. Alterations in Body Systems
|
| Topic 5: Reduction of Risk Potential | 9-15% | - Reduction of Risk Potential
- 1. Potential Complications
- 2. Diagnostic Tests
- 3. Therapeutic Procedures
- 4. Monitoring and Assessment
- 5. Changes in Vital Signs
- 6. System-Specific Assessments
|
| Topic 6: Pharmacological and Parenteral Therapies | 13-19% | - Pharmacological and Parenteral Therapies
- 1. Parenteral Therapies
- 2. Expected Actions and Outcomes
- 3. Adverse Effects and Contraindications
- 4. Dosage Calculations
- 5. Central Venous Access Devices
- 6. Medication Administration
- 7. Blood and Blood Products
|
| Topic 7: Basic Care and Comfort | 6-12% | - Basic Care and Comfort
- 1. Nutrition and Oral Hydration
- 2. Activities of Daily Living
- 3. Assistive Devices
- 4. Mobility and Immobility
- 5. Elimination
- 6. Personal Hygiene
- 7. Rest and Sleep
|
| Topic 8: Health Promotion and Maintenance | 6-12% | - Health Promotion and Maintenance
- 1. Aging Process
- 2. Newborn Care
- 3. Health Screening
- 4. Health Promotion Programs
- 5. Growth and Development
- 6. Disease Prevention
- 7. Prenatal, Intrapartum and Postpartum Care
|
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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q238-Q243):
NEW QUESTION # 238
A 37-year-old client has been taking antipsychotic medication for the past 10 days. The nurse observes her walking with a shuffling gait and postural rigidity and notes a masklike expression on her face. Which side effect is this client exhibiting?
- A. Parkinsonism
- B. Dystonia
- C. Tardive dyskinesia
- D. Akathesia
Answer: A
Explanation:
Explanation/Reference:
Explanation:
(A) This answer is incorrect. Dystonia refers to severe, painful muscle contractions. (B) This answer is correct. Parkinsonism commonly occurs approximately 1-2 weeks after initiation of antipsychotic drug therapy. Traditional signs are masklike facies, postural rigidity, shuffling gait, and resting tremor. (C) This answer is incorrect. Tardive dyskinesia is characterized by involuntary muscle movements of the face, jaw, and tongue. (D) This answer is incorrect. Akathesia is motor restlessness.
NEW QUESTION # 239
In the client with a diagnosis of coronary artery disease, the nurse would anticipate the complication of bradycardia with occlusion of which coronary artery?
- A. Left main coronary artery
- B. Left anterior descending coronary artery
- C. Circumflex coronary artery
- D. Right coronary artery
Answer: D
Explanation:
Explanation
(A) Sinus bradycardia and atrioventricular (AV) heart block are usually a result of right coronary artery occlusion. The right coronary artery perfuses the sinoatrial and AV nodes in mostindividuals. (B) Occlusion of the left main coronary artery causes bundle branch blocks and premature ventricular contractions. (C) Occlusion of the circumflex artery does not cause bradycardia. (D) Sinus tachycardia occurs primarily with left anterior descending coronary artery occlusion because this form of occlusion impairs left ventricular function.
NEW QUESTION # 240
The most important reason to closely assess circumferential burns at least every hour is that they may result in:
- A. Ventricular arrhythmias
- B. Hypovolemia
- C. Renal damage
- D. Loss of peripheral pulses
Answer: D
Explanation:
(A) Hypovolemia could be a result of fluid loss from thermal injury, but not as a result of the circumferential injury. (B) Renal damage is typically seen because of prolonged hypovolemia or myoglobinuria. (C) Electrical injuries and electrolyte changes typically cause arrhythmias in the burn client. (D) Full-thickness circumferential burns are nonelastic and result in an internal tourniquet effect that compromises distal blood flow when the area involved is an extremity.Circumferential full-thickness torso burns compromise respiratory motion and, when extreme, cardiac return.
NEW QUESTION # 241
The nurse teaches a male client ways to reduce the risks associated with furosemide therapy. Which of the following indicates that he understands this teaching?
- A. "I'll be sure to walk at least 2-3 blocks every day."
- B. "I'll be sure to restrict my fluid intake to four or five glasses a day."
- C. "I'll be sure not to take any more aspirin while I amon this drug."
- D. "I'll be sure to rise slowly and sit for a few minutes after lying down."
Answer: D
Explanation:
Explanation
(A) This response will help to prevent the occurrence of postural hypotension, a common side effect of this drug and a common reason for falls. (B) Although walking is an excellent exercise, it is not specific to the reduction of risks associated with diuretic therapy. (C) Clients on diuretic therapy are generally taught to ensure that their fluid intake is at least 2000-3000 mL daily, unless contraindicated. (D) Aspirin is a safe drug to take along with furosemide.
NEW QUESTION # 242
The nurse should know that according to current thinking, the most important prognostic factor for a client with breast cancer is:
- A. Axillary node status
- B. Client's level of estrogen-progesterone receptor assays
- C. Client's previous history of disease
- D. Tumor size
Answer: A
Explanation:
(A) Although tumor size is a factor in classification of cancer growth, it is not an indicator of lymph node spread. (B) Axillary node status is the most important indicator for predicting how far the cancer has spread. If the lymph nodes are positive for cancer cells, the prognosis is poorer. (C) The client's previous history of cancer puts her at an increased risk for breast cancer recurrence, especially if the cancer occurred in the other breast. It does not predict prognosis, however. (D) The estrogen-progesterone assay test is used to identify present tumors being fedfrom an estrogen site within the body. Some breast cancers grow rapidly as long as there is an estrogen supply such as from the ovaries. The estrogen-progesterone assay test does not indicate the prognosis.
NEW QUESTION # 243
......
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