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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q372-Q377):

NEW QUESTION # 372
At 38 weeks' gestation, a client is in active labor. She is using her Lamaze breathing techniques. The RN is coaching her breathing and encouraging her to relax and work with her contractions. Which one of the following complaints by the client will alert the RN that she is beginning to hyperventilate with her breathing?

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) Cold is not a symptom of hyperventilation. This could be due to the temperature of the room. (B) Backache is not a symptom of hyperventilation. This is probably due to the gravid uterus and its effect on the back muscles, or it may be due to the client's position in bed. (C) Dizziness is the first symptom of hyperventilation. It occurs because the body is eliminating too much CO2. (D) Nausea is not a symptom of hyperventilation. It could be a symptom of pain.


NEW QUESTION # 373
Which of the following ECG changes would be seen as a positive myocardial stress test response?

Answer: A

Explanation:
Explanation
(A) Hyperacute T waves occur with hyperkalemia. (B) Prolongation of the P R interval occurs with first-degree AV block. (C) Horizontal ST-segment depression of>1 mm during exercise isdefinitely a positive criterion on the exercise ECG test. (D) Patho-logical Q waves occur with MI.


NEW QUESTION # 374
When teaching a sex education class, the nurse identifies the most common STDs in the United States as:

Answer: D

Explanation:
(A) Chlamydia trachomatis infection is the most common STD in the United States. The Centers for Disease Control and Prevention recommend screening of all high-risk women, such as adolescents and women with multiple sex partners. (B) Herpes simplex genitalia is estimated to be found in 5-20 million people in the United States and is rising in occurrence yearly. (C) Syphilis is a chronic infection caused by Treponema pallidum. Over the last several years the number of people infected has begun to increase. (D) Gonorrhea is a bacterial infection caused by the organism Neisseria gonorrhoeae. Although gonorrhea is common, chlamydia is still the most common STD.


NEW QUESTION # 375
A 16-year-old diabetic girl has been selected as a cheerleader at her school. She asks the nurse whether she should increase her insulin when she is planning to attend cheerleading practice sessions lasting from 8 to 11 AM. The most appropriate answer would be:

Answer: A

Explanation:
(A) A nurse can give this information to a client. (B) Exercise makes insulin more efficient in moving more glucose into the cells. No more insulin is needed. (C) Exercise makes insulin more efficient unless the diabetes is poorly controlled. (D) Exercise makes insulin more efficient in moving more glucose into the cells.


NEW QUESTION # 376
A 16-year-old client comes to the prenatal clinic for her monthly appointment. She has gained 14 lb from her 7th to 8th month; her face and hands indicate edema. She is diagnosed as having PIH and referred to the high-risk prenatal clinic. The client's weight increase is most likely due to:

Answer: C

Explanation:
(A) Overeating can lead to obesity, but not to edema. (B) There is no indication of obesity prior to pregnancy. PIH is more prevalent in the underweight than in the obese in this age group. (C) Hypertension can be due to kidney lesions, but it would have been apparent earlier in the pregnancy. (D) The weight gain in PIH is due to the retention of sodium ions and fluid and is one of the three cardinal symptoms of PIH.


NEW QUESTION # 377
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