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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX-RN Fragen&Antworten, NCLEX-RN Testengine

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NCLEX National Council Licensure Examination(NCLEX-RN) NCLEX-RN Prüfungsfragen mit Lösungen (Q75-Q80):

75. Frage
A client with bipolar disorder taking lithium tells the nurse that he has ringing in his ears, blurred vision, and diarrhea. The nurse notices a slight tremor in his left hand and a slurring pattern to his speech. Which of the following actions by the nurse is appropriate?

Antwort: B

Begründung:
(A)
These symptoms are indicative of lithium toxicity. A stat dose of lithium could be fatal.
(B)
These are toxic effects of lithium therapy. (C) The client is exhibiting symptoms of lithium toxicity, which may be validated by lab studies. (D) There is no known lithium antidote.


76. Frage
A client presents to the emergency room with cyanosis, coughing, tachypnea, and tachycardia. She has a history of asthma. Arterial blood gas values are pH 7.28, PaO2 54, PaCO2 60, and HCO3 24. The nursing assessment of arterial blood gases indicate the presence of:

Antwort: D

Begründung:
Explanation
(A) Respiratory alkalosis is determined by elevated pH and low PaCO2. (B) Respiratory acidosis is determined by low pH and elevated PaCO2. (C) Metabolic alkalosis is determined by elevated pH and HCO3.
(D) Metabolic acidosis is determined by low pH and HCO3.


77. Frage
The parents of a 9-year-old child with acute lymphocytic leukemia expressed concern about his alopecia from cranial irradiation. The nurse explains that:

Antwort: C

Begründung:
(A)
Alopecia has occurred, and knowing it is a side effect does not address their concern.
(B)
Although true, it does not give them hope for the future. (C) Although true, it does not provide them with information of the temporary nature of the situation. (D) Knowing the hair will grow back provides comfort that the alopecia is temporary.


78. Frage
A 6-month-old infant has developmental delays. His weight falls below the 5th percentile when plotted on a growth chart. A diagnosis of failure to thrive is made. What behaviors might indicate the possibility of maternal deprivation?

Antwort: B

Begründung:
(A) Normal infant attachment behaviors include responding to touch and wanting to be held. (B) Maternal deprivation behaviors include poor feeding, stiffening and refusal to eat, and inconsistencies in responsiveness. (C) Attachment behavior includes maintaining eye contact. (D) Maternal deprivation behaviors include displeasure with touch and physical contact.


79. Frage
The nurse is collecting a nutritional history on a 28- year-old female client with iron-deficiency anemia and learns that the client likes to eat white chalk. When implementing a teaching plan, the nurse should explain that this practice:

Antwort: B

Begründung:
Explanation/Reference:
Explanation:
(A) Eating chalk is not related to calcium and its absorption. (B) Poor nutritional habits may result in increased discomfort during premenstrual days, but this is not a primary reason for the client to stop eating chalk. Premenstrual discomfort has not been mentioned. (C) Iron is rendered insoluble and is excreted through the gastrointestinal tract. (D) There is no competition between the two nutrients.


80. Frage
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