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NCLEX NCLEX-RN Exam Syllabus Topics:

SectionWeightObjectives
Psychosocial Integrity6-12%- Psychosocial Integrity
  • 1. Therapeutic Communication
  • 2. Crisis Intervention
  • 3. Support Systems
  • 4. Coping Mechanisms
  • 5. Substance Use Disorders
  • 6. Behavioral Interventions
  • 7. Family Dynamics
  • 8. Mental Health Concepts
Physiological Adaptation11-17%- Physiological Adaptation
  • 1. Fluid and Electrolyte Imbalances
  • 2. Hemodynamics
  • 3. Unexpected Response to Therapies
  • 4. Pathophysiology
  • 5. Medical Emergencies
  • 6. Alterations in Body Systems
Management of Care15-21%- Management of Care
  • 1. Assignment, Delegation and Supervision
  • 2. Ethical Practice
  • 3. Continuity of Care
  • 4. Priority Setting
  • 5. Advocacy
  • 6. Legal Rights and Responsibilities
  • 7. Performance Improvement and Quality Assurance
  • 8. Informed Consent
  • 9. Case Management
  • 10. Collaboration with Interdisciplinary Team
  • 11. Client Rights
  • 12. Advance Directives
  • 13. Confidentiality and Information Security
Health Promotion and Maintenance6-12%- Health Promotion and Maintenance
  • 1. Health Screening
  • 2. Newborn Care
  • 3. Growth and Development
  • 4. Prenatal, Intrapartum and Postpartum Care
  • 5. Aging Process
  • 6. Health Promotion Programs
  • 7. Disease Prevention
Reduction of Risk Potential9-15%- Reduction of Risk Potential
  • 1. Diagnostic Tests
  • 2. System-Specific Assessments
  • 3. Therapeutic Procedures
  • 4. Potential Complications
  • 5. Monitoring and Assessment
  • 6. Changes in Vital Signs
Basic Care and Comfort6-12%- Basic Care and Comfort
  • 1. Elimination
  • 2. Rest and Sleep
  • 3. Activities of Daily Living
  • 4. Nutrition and Oral Hydration
  • 5. Mobility and Immobility
  • 6. Personal Hygiene
  • 7. Assistive Devices
Safety and Infection Control10-16%- Safety and Infection Control
  • 1. Security Plans
  • 2. Infection Prevention and Control
  • 3. Safe Use of Equipment
  • 4. Accident and Injury Prevention
  • 5. Emergency Response Planning
  • 6. Handling Hazardous Materials
  • 7. Standard and Transmission-Based Precautions
  • 8. Home Safety
Pharmacological and Parenteral Therapies13-19%- Pharmacological and Parenteral Therapies
  • 1. Central Venous Access Devices
  • 2. Medication Administration
  • 3. Expected Actions and Outcomes
  • 4. Blood and Blood Products
  • 5. Dosage Calculations
  • 6. Parenteral Therapies
  • 7. Adverse Effects and Contraindications

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q801-Q806):

NEW QUESTION # 801
The 4th of July holiday comes while a client is in the hospital being treated for schizophrenia. She is taking chlorpromazine and has improved to the point of being allowed to go with a group to the park for a picnic.
The side effect of chlorpromazine that the nurse needs to keep in mind during this outing is:

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) A decrease in blood pressure sometimes occurs with chlorpromazine. It would not be a factor influenced by a picnic in the park. (B) Protection from the sun is important in clients taking phenothiazines because they burn easily and severely. (C) An appetite increase sometimes occurs with chlorpromazine. It would not be affected by a picnic. (D) Dryness of the mouth may occur at any time and is not affected by the picnic outing.


NEW QUESTION # 802
Succinylcholine chloride (Anectine) is ordered prior to electroconvulsive therapy treatment for depressed clients. The nurse explains that the purpose of the drug is to:

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) Succinylcholine chloride relaxes muscles and decreases the intensity of the seizure. (B) Succinylcholine chloride does not relieve anxiety. (C) Atropine is given to reduce secretions. (D) Thiamylal sodium (Surital) or other phenobarbital preparations are used as brief anesthetics.


NEW QUESTION # 803
A 72-year-old male client had the Foley catheter that was inserted during the transurethral resection of his prostate removed today. He is concerned about the urinary incontinence he is having since removal of the Foley catheter. The nurse explains that:

Answer: A

Explanation:
Section: Questions Set D
Explanation:
(A) This problem is temporary, but it may take some time to resolve, especially in an older man. (B) This problem is usually temporary, but it may take some time to resolve. (C) Keeping the client dry will not relieve his anxiety about his incontinence. (D) The bladder spasms are not the cause of the client's incontinence.


NEW QUESTION # 804
The nurse would be sure to instruct a client on the signs and symptoms of an eye infection and hemorrhage.
These signs and symptoms would include:

Answer: C

Explanation:
Section: Questions Set B
Explanation:
(A) Although blurred vision may occur, dizziness would not be associated with an infection or hemorrhage. (B) Eye pain is a symptom of hemorrhage within the eye, and itching is associated with infection. (C) Nausea and headache would not be usual symptoms of eye hemorrhage or infection. (D) Some eye discharge might be anticipated if an infection is present; hemoptysis would not.


NEW QUESTION # 805
A child sustains a supracondylar fracture of the femur. When assessing for vascular injury, the nurse should be alert for the signs of ischemia, which include:

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) Bleeding, bruising, and hemorrhage may occur due to injury but are not classic signs of ischemia. (B) An increase in serum levels of creatinine, alkaline phosphatase, and aspartate transaminase is related to the disruption of muscle integrity. (C) Classic signs of ischemia related to vascular injury secondary to long bone fractures include the five "P's": pain, pallor, pulselessness, paresthesia, and paralysis. (D) Generalized swelling, pain, and diminished functional use with muscle rigidity and crepitus are common clinical manifestations of a fracture but not ischemia.


NEW QUESTION # 806
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