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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) NCLEX-RN Prüfungsfragen mit Lösungen (Q53-Q58):

53. Frage
A young boy tells the nurse, "I don't like my Dad to kiss or hug my Mom. I love my Mom and want to marry her." The nurse recognizes this stage of growth and development as:

Antwort: D

Begründung:
(A) The Electra complex is the erotic attachment of the female child to the father. (B) The Oedipus complex is characterized by jealousy toward the parent of the same sex and erotic attachment to the parent of the opposite sex. (C) The superego as described by Freud is the part of personality that is associated with internalized parental and societal control. (D) The ego as described by Freud is the part of personality that is associated with reality assessment.


54. Frage
A female client at 37 weeks' gestation has just undergone a nonstress test. The results were two fetal movements with a corresponding increase in fetal heart rate (FHR) of 15 bpm lasting 15 seconds within a 20-minute period. Her results would be classified as:

Antwort: D

Begründung:
(A)
A contraction stress test is unnecessary following a reactive (normal) nonstress test. (B) The results are considered reactive, indicating that the fetus is not showing distress. Therefore, a contraction stress test, which is a more in-depth test for fetal distress, is unnecessary. (C) A nonreactive test would show fewer than two fetal movements or a failure of the FHR to increase at least 15 bpm with the movements in a 20-minute period.
(D)
A contraction stress test should follow a nonreactive nonstress test to validate fetal distress.


55. Frage
A female client has been recently diagnosed as bipolar. She has taken lithium for the past several weeks to control mania. What must be included in client education regarding lithium toxicity?

Antwort: D

Begründung:
Explanation
(A) The client should maintain a normal diet including normal salt intake. A low-sodium diet can cause lithium retention, leading to toxicity. (B) Lithium must be taken with meals because it is irritating to the gastric mucosa. (C) Diarrhea, vomiting, or diaphoresis can cause dehydration, which will increase lithium blood levels. If these symptoms occur, the nurse should instruct the client to withhold lithium. (D) Lithium is not to be taken with over-the-counter drugs without specific instruction. Some drugs raise lithium levels, whereas others lower lithium levels.


56. Frage
A client calls the prenatal clinic to schedule an appointment. She states she has missed three menstrual periods and thinks she might be pregnant. During her first visit to the prenatal clinic, it is confirmed that she is pregnant. The registered nurse (RN) learns that her last menstrual period began on June 10. According to Nägele's rule, the estimated date of confinement is:

Antwort: C

Begründung:
Explanation/Reference:
Explanation:
(A) Using Nägele's rule, count back 3 calendar months from the first day of the last menstrual period. The answer is March 10. Then add 7 days and 1 year, which would be March 17 of the following year. (B, C, D) This date is incorrect.


57. Frage
The nurse is developing a plan of care for a client with an electrolyte imbalance and identifies a nursing diagnosis of decreased physical mobility. Which alteration is most likely the etiology?

Antwort: B

Begründung:
Explanation/Reference:
Explanation:
(A) A deficit in sodium concentration results in muscular weakness and lethargy. (B) Muscle fatigue and hypotonia are caused by hypercalcemia. (C) Muscle weakness and fatigue are classic signs of hypokalemia. (D) Hypermagnesemia can cause muscle weakness, paralysis, and coma.


58. Frage
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