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NCLEX NCLEX-RN Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|
| Physiological Adaptation | 11-17% | - Physiological Adaptation
- 1. Fluid and Electrolyte Imbalances
- 2. Alterations in Body Systems
- 3. Hemodynamics
- 4. Unexpected Response to Therapies
- 5. Pathophysiology
- 6. Medical Emergencies
|
| Pharmacological and Parenteral Therapies | 13-19% | - Pharmacological and Parenteral Therapies
- 1. Central Venous Access Devices
- 2. Expected Actions and Outcomes
- 3. Medication Administration
- 4. Adverse Effects and Contraindications
- 5. Blood and Blood Products
- 6. Dosage Calculations
- 7. Parenteral Therapies
|
| Reduction of Risk Potential | 9-15% | - Reduction of Risk Potential
- 1. System-Specific Assessments
- 2. Changes in Vital Signs
- 3. Monitoring and Assessment
- 4. Potential Complications
- 5. Therapeutic Procedures
- 6. Diagnostic Tests
|
| Safety and Infection Control | 10-16% | - Safety and Infection Control
- 1. Security Plans
- 2. Safe Use of Equipment
- 3. Accident and Injury Prevention
- 4. Infection Prevention and Control
- 5. Standard and Transmission-Based Precautions
- 6. Handling Hazardous Materials
- 7. Home Safety
- 8. Emergency Response Planning
|
| Health Promotion and Maintenance | 6-12% | - Health Promotion and Maintenance
- 1. Growth and Development
- 2. Health Screening
- 3. Health Promotion Programs
- 4. Prenatal, Intrapartum and Postpartum Care
- 5. Disease Prevention
- 6. Newborn Care
- 7. Aging Process
|
| Psychosocial Integrity | 6-12% | - Psychosocial Integrity
- 1. Coping Mechanisms
- 2. Therapeutic Communication
- 3. Mental Health Concepts
- 4. Support Systems
- 5. Family Dynamics
- 6. Behavioral Interventions
- 7. Crisis Intervention
- 8. Substance Use Disorders
|
| Basic Care and Comfort | 6-12% | - Basic Care and Comfort
- 1. Personal Hygiene
- 2. Activities of Daily Living
- 3. Nutrition and Oral Hydration
- 4. Rest and Sleep
- 5. Mobility and Immobility
- 6. Elimination
- 7. Assistive Devices
|
| Management of Care | 15-21% | - Management of Care
- 1. Case Management
- 2. Assignment, Delegation and Supervision
- 3. Ethical Practice
- 4. Priority Setting
- 5. Confidentiality and Information Security
- 6. Advocacy
- 7. Legal Rights and Responsibilities
- 8. Client Rights
- 9. Continuity of Care
- 10. Informed Consent
- 11. Advance Directives
- 12. Collaboration with Interdisciplinary Team
- 13. Performance Improvement and Quality Assurance
|
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最新的 NCLEX Certification NCLEX-RN 免費考試真題 (Q157-Q162):
問題 #157
At 12 hours postvaginal delivery, a female client is without complications. Which of the following assessment findings would warrant further nursing interventions?
- A. Apical pulse of 52 bpm
- B. Oral temperature of 100.4F
- C. Uterine fundus palpable left of midline
- D. No bowel movement since delivery
答案:C
解題說明:
(A) Bradycardia of 50-70 bpm may be considered normal postpartally because the heart compensates for the decreased resistance in the pelvis. (B) The uterus is displaced from the midline by a full bladder. This condition could lead to a boggy uterus and increased risk of postpartal hemorrhage; therefore, the bladder should be kept empty. (C) Reestablishment of normal bowel function is delayed into the first postpartum week. (D) A postpartum woman's oral temperature may go as high as 100.4_F within 24 hours of delivery resulting from muscular exertion, dehydration, and hormonal changes.
問題 #158
A psychotic client who believes that he is God and rules all the universe is experiencing which type of delusion?
- A. Somatic
- B. Nihilistic
- C. Persecutory
- D. Grandiose
答案:D
解題說明:
Section: Questions Set A
Explanation:
(A) These delusions are related to the belief that an individual has an incurable illness. (B) These delusions are related to feelings of self-importance and uniqueness. (C) These delusions are related to feelings of being conspired against. (D) These delusions are related to denial of self-existence.
問題 #159
The nurse would be sure to instruct a client on the signs and symptoms of an eye infection and hemorrhage.
These signs and symptoms would include:
- A. Eye discharge and hemoptysis
- B. Blurred vision and dizziness
- C. Eye pain and itching
- D. Feeling of eye pressure and headache
答案:C
解題說明:
Section: Questions Set B
Explanation:
(A) Although blurred vision may occur, dizziness would not be associated with an infection or hemorrhage. (B) Eye pain is a symptom of hemorrhage within the eye, and itching is associated with infection. (C) Nausea and headache would not be usual symptoms of eye hemorrhage or infection. (D) Some eye discharge might be anticipated if an infection is present; hemoptysis would not.
問題 #160
Which of the following nursing orders has the highest priority for a child with epiglottitis?
- A. Intake and output
- B. Tracheostomy set at bedside
- C. Specific gravity every shift
- D. Vital signs every shift
答案:B
解題說明:
Explanation
(A) Because of the possibility of fever or respiratory failure, vital signs should be done more often than every eight hours. (B) If the epiglottitis worsens, the edema and laryngospasm may close the airway and an emergency tracheostomy may be necessary. (C) Although intake and output are a part of the nursing care of a child with epiglottitis, it is not as important as the safety measure of keeping the tracheostomy set at the bedside. (D) Specific gravity will indicate hydration status, but it is not as important as keeping the tracheostomy set at the bedside.
問題 #161
After performing a sterile vaginal exam on a client who has just been admitted to the unit in active labor and placed on an electronic fetal monitor, the RN assesses that the fetal head is at 21 station. She documents this on the monitor strip. Fetal head at 21 station means that the fetal head is located where in the pelvis?
- A. One centimeter below the ischial spines
- B. Has not entered the pelvic inlet yet
- C. Located in the pelvic outlet
- D. One centimeter above the ischial spines
答案:D
解題說明:
Explanation/Reference:
Explanation:
(A) The ischial spines are located on both sides of the midpelvis. These spines mark the diameter of the narrowest part of the pelvis that the fetus will encounter. They are not sharp protrusions that will harm the fetus. Station refers to the relationship between the ischial spines in the pelvis and the fetus. The ischial spines are designated at 0 station. If the presenting part of the fetus is located above the ischial spines, a negative number is assigned, noting the number of centimeters above the ischial spines. Therefore, 1 centimeter below the ischial spines is designated as +1 station. (B) See explanation in A One centimeter above the ischial spines is designated as +1 station. (C) The pelvic inlet is the first part of the pelvis that the fetus enters in routine delivery. The midpelvis is the second part of the pelvis to be entered by the fetus. The ischial spines are located on both sides of the midpelvis. (D) The pelvic outlet is the last part of the pelvis that the fetus will enter. When the fetus reaches this part of the pelvis, birth is near.
問題 #162
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