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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) 認定 NCLEX-RN 試験問題 (Q443-Q448):

質問 # 443
A 23-year-old female client is brought to the emergency room by her roommate for repeatedly making superficial cuts on her wrists and experiencing wide mood swings. She is very angry and hostile. Her medical diagnosis is adjustment disorder versus borderline personality disorder. The client comments to the nurse,
"Nobody in here seems to really care about the clients. I thought nurses cared about people!" The client is exhibiting the ego defense mechanism:

正解：C

解説：
Explanation
(A) Reaction formation is the development and demonstration of attitudes and/or behaviors opposite to what an individual actually feels. The client's comment does reveal her anger and hostility. (B) Rationalization, another ego defense mechanism, is offering a socially acceptable or seemingly logical explanation to justify one's feelings, behaviors, or motives. The client's comment does not reflect rationalization. (C) Splitting, the viewing of people or situations as either all good or all bad, is frequently used by persons experiencing a disruption in self-concept. This ego defense mechanism is reflective of the individual's inability to integrate the positive and negative aspects of self. (D) Sublimation, the channeling of socially unacceptable impulses and behaviors into more acceptable patterns of behavior, is another ego defense mechanism. The client's comment reveals that she is not engaging in sublimation.


質問 # 444
On an assessment of a client's mouth, the nurse notices white patches on the buccal mucosa. The nurse tries to obtain a sample for a culture, but the lesion cannot be rubbed off. The nurse would suspect that this lesion is:

正解：B

解説：
Explanation
(A) Xerostomia is dry mouth. (B) Candidiasis can be rubbed off, but it will bleed. (C) Leukoplakia cannot be rubbed off. (D) Stomatitis is caused by candidiasis and gram-negative bacteria.


質問 # 445
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:

正解：D

解説：
(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.


質問 # 446
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?

正解：C

解説：
Section: Questions Set C
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.


質問 # 447
A 17-year-old pregnant client who is gravida 1, para 0, is at 36 weeks' gestation. Based on the nurse's knowledge of the maternal physiological changes in pregnancy, which of these findings would be of concern?

正解：B

解説：
(A) Dyspnea is a common complaint during the third trimester owing to the increasing size of the uterus and the resulting pressure against the diaphragm. (B) Edema of the face, hands, or pitting edema after 12 hours of bed rest may be indicative of preeclampsia and would be of great concern to the healthcare provider. (C) An increase in heart rate of 10-15 bpm is a normal physiological change in pregnancy due to the multiple hemodynamic changes. (D) A hematocrit value of 39% is within the normal range. A value <35% would indicate anemia.


質問 # 448
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