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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q578-Q583):

NEW QUESTION # 578
In caring at home for a child who just ingested a caustic alkali, the nurse would immediately tell the mother to:

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) The immediate action is to neutralize the action of the chemical before further damage takes place. (B) This action should be done after neutralizing the chemical. (C) This action should be done after neutralizing the chemical. (D) Never induce vomiting with a strong alkali or acid. Additional damage will be done when the child vomits the chemical.


NEW QUESTION # 579
A depressed client is seen at the mental health center for follow-up after an attempted suicide 1 week ago. She has taken phenelzine sulfate (Nardil), a monoamine oxidase (MAO) inhibitor, for 7 straight days. She states that she is not feeling any better. The nurse explains that the drug must accumulate to an effective level before symptoms are totally relieved. Symptom relief is expected to occur within:

Answer: D

Explanation:
Section: Questions Set D
Explanation:
(A) This answer is incorrect. It can take up to 1 month for therapeutic effect of the medication. (B) This answer is correct. Because MAO inhibitors are slow to act, it takes 2-4 weeks before improvement of symptoms is noted. (C) This answer is incorrect. It can take up to 1 month for therapeutic effect of the medication. (D) This answer is incorrect. Therapeutic effects of the medication are noted within 1 month of drug therapy.


NEW QUESTION # 580
A client has been diagnosed with thrombophlebitis. She asks, "What is the most likely cause of thrombophlebitis during my pregnancy?" The nurse explains:

Answer: B

Explanation:
(A) During pregnancy, the potential for thromboses increases owing to the increased levels of coagulation factors and a decrease in the breakdown of fibrin. (B) An inadequate production of platelets would result in thrombocytopenia with resulting signs and symptoms of bleeding such as petechiae, hematuria, or hematemesis. (C) A deficiency of folic acid during pregnancy produces a megaloblastic anemia. It is usually found in combination with iron deficiency. (D) This combination would result in bleeding disorders because more fibrin would be broken down and fewer clotting factors would be available.


NEW QUESTION # 581
The doctor has ordered a restricted fluid intake for a 2- year-old child with a head injury. Normal fluid intake for a child of 2 years is:

Answer: B

Explanation:
Explanation
(A, B, D) These values are incorrect. Normal intake for a child of 2 years is about 1600 mL in 24 hours. (C) This value is correct. Normal intake for a child of 2 years is about 1600 mL in 24 hours.


NEW QUESTION # 582
The nurse discovers that a 78-year-old client who received hydralazine (Apresoline) 20 mg 45 minutes ago has a blood pressure of 70/40 mm Hg. The client has been on this dose of the medication for 3 years. Which of the following data is most likely significant in relation to the cause of the low blood pressure?

Answer: A

Explanation:
Section: Questions Set G
Explanation:
(A, D) Decreased pulse volume and increased pulse rate are signs of an acute hypotensive episode. (B) Inadequate fluid volume when taking vasodilators can result in a drop in blood pressure when vasodilation starts to physiologically occur as an action of the drug. (C) A potassium level of 3.3 would not be associated with a significant drop in blood pressure.


NEW QUESTION # 583
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