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NCLEX NCLEX-RN Exam Syllabus Topics:

Section	Weight	Objectives
Health Promotion and Maintenance	6–12%	- Aging Process - Physical Assessment Techniques - Antepartum, Intrapartum, Postpartum and Newborn Care - Health Promotion Programs - Developmental Stages and Transitions - Disease Prevention and Health Screening - Self-Care
Physiological Integrity	43–67%	- Pharmacological and Parenteral Therapies 1. Pharmacological Pain Management 2. Dosage Calculation 3. Adverse Effects and Contraindications 4. Medication Administration 5. IV Therapy and Blood Products - Basic Care and Comfort 1. Personal Hygiene 2. Non-pharmacological Comfort Interventions 3. Assistive Devices 4. Nutrition and Oral Hydration 5. Elimination 6. Mobility and Immobility - Physiological Adaptation 1. Medical Emergencies 2. Pathophysiology 3. Respiratory Care 4. Fluid and Electrolyte Imbalances 5. Illness Management 6. Hemodynamics - Reduction of Risk Potential 1. Vital Signs 2. Laboratory Values 3. Therapeutic Procedures 4. Potential for Complications 5. Diagnostic Tests
Psychosocial Integrity	6–12%	- Grief and Loss - End-of-Life Support - Family Dynamics - Coping Mechanisms - Mental Health Concepts - Behavioral Interventions - Therapeutic Communication - Chemical Dependency and Substance Use Disorders
Safe and Effective Care Environment	26–38%	- Safety and Infection Control 1. Hazardous Materials Handling 2. Accident Prevention 3. Standard Precautions 4. Infection Control 5. Use of Restraints and Safety Devices 6. Error Prevention - Management of Care 1. Case Management 2. Client Rights 3. Legal Responsibilities 4. Advocacy 5. Continuity of Care 6. Quality Improvement 7. Ethical Practice 8. Delegation and Prioritization

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q231-Q236):

NEW QUESTION # 231
A client is diagnosed with organic brain disorder. The nursing care should include:

A. Organized, safe environment
B. Detailed explanations of procedures
C. Challenging educational programs
D. Long, extended family visits

Answer: A

Explanation:
Explanation
(A) A priority nursing goal is attending to the client's safety and well-being. Reorient frequently, remove dangerous objects, and maintain consistent environment. (B) Short, frequent visits are recommended to avoid overstimulation and fatigue. (C) Short, concise, simple explanations are easier to understand. (D) Mental capability and attention span deficits make learning difficult and frustrating.

NEW QUESTION # 232
A gravida 2 para 1 client is hospitalized with severe preeclampsia. While she receives magnesium sulfate (MgSO4) therapy, the nurse knows it is safe to repeat the dosage if:

A. Deep tendon reflexes are absent
B. Urine output is 20 mL/hr
C. MgSO4 serum levels are > 15 mg/dL
D. Respirations are > 16 breaths/min

Answer: D

Explanation:
Section: Questions Set B
Explanation:
(A) MgSO4 is a central nervous system depressant. Loss of reflexes is often the first sign of developing toxicity.
(B) Urinary output at < 25 mL/hr or 100 mL in 4 hours may result in the accumulation of toxic levels of magnesium. (C) The therapeutic serum range for MgSO4 is 6-8 mg/dL. Higher levels indicate toxicity. (D) Respirations of >16 breaths/min indicate that toxic levels of magnesium have not been reached. Medication administration would be safe.

NEW QUESTION # 233
A client reports to the nurse that the voices are practically nonstop and that he needs to leave the hospital immediately to find his girlfriend and kill her. The best verbal response to the client by the nurse at this time is:

A. "We will have to put you in seclusion and restraints for a while. You could hurt someone with thoughts like that."
B. "I understand that the voices are real to you, but I want you to know I don't hear them. They are a symptom of your illness."
C. "Just don't pay attention to the voices. They'll go away after some medication."
D. "You can't leave here. This unit is locked and the doctor has not ordered your discharge."

Answer: B

Explanation:
Explanation
(A) This response validates the client's experience and presents reality to him. (B) This nontherapeutic response minimizes and dismisses the client's verbalized experience. (C) This response can be interpreted by a paranoid client as a threat, thereby increasing the client's potential for violence and loss of control. (D) This response is also threatening. The client's behavior does not call for restraints because he has not lost control or hurt anyone. If seclusion or restraints were indicated, the nurse should never confront the client alone.

NEW QUESTION # 234
A 67-year-old postoperative TURP client has hematuria. The nurse caring for him reviews his postoperative orders and recognizes that which one of the following prescribed medications would best relieve this problem?

A. Meperidine 50 mg IM
B. Promethazine 25 mg IM
C. Aminocaproic acid (Amicar) 6 g/24 hr
D. Acetaminophen suppository 650 mg

Answer: C

Explanation:
(A) Acetaminophen (Tylenol) has analgesic and antipyretic actions approximately equivalent to those of aspirin. It produces analgesia possibly by action on the peripheral nervous system. It reduces fever by direct action on the hypothalamus heat-regulating center with consequent peripheral vasodilation. It is generally used for temporary relief of mild to moderate pain, such as a simple headache, minor joint and muscle pains, and control of fever. (B) Meperidine is a narcotic agonist analgesic with properties similar to morphine except that it has a shorter duration of action and produces less depression of urinary retention and smooth muscle spasm. It is used for moderate to severe pain, for a preoperative medication, for support of anesthesia, and for obstetrical analgesia. In a postoperative TURP client, it would be used in conjunction with other medications for relief of moderate to severe pain, but not specifically for bladder spasms associated with TURP surgery. (C) Promethazine hydrochloride is an antihistamine, antiemetic preparation. It exerts antiserotonin, anticholinergic, and local anesthetic actions. It is used for symptomatic relief of various allergic conditions, motion sickness, nausea, and vomiting. It is used for preoperative, postoperative, and obstetrical sedation and as an adjunct to analgesics for control of pain. (D) This answer is correct because aminocaproic acid is prescribed specifically for hematuria. Aminocaproic acid is excreted in the urine. The nurse should be alert for possible signs of thrombosis, particularly in the extremities.

NEW QUESTION # 235
A client has a chest tube placed in his left pleural space to re-expand his collapsed lung. In a closed-chest drainage system, the purpose of the water seal is to:

A. Provide an indicator of respiratory effort
B. Prevent air from entering the pleural space
C. Prevent fluid from entering the pleural space
D. Provide a means to measure chest drainage

Answer: B

Explanation:
Explanation
(A) A chest tube extends from the pleural space to a collection device. The tube is placed below the surface of the saline so that air cannot enter the pleural space. (B) Fluid may enter the pleural space as a result of injury or disease. A chest tube may drain fluid from the pleural space, but the water seal is not involved in this. (C) Chest drainage should be measured, but the water seal is not involved in this. (D) Fluctuations in the tube in the water-sealed bottle will give an indication of respiratory effort, but that is not the purpose of the water seal.

NEW QUESTION # 236
......

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