NCLEX-RN Study Materials, NCLEX-RN Valid Test Testking

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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q557-Q562):

NEW QUESTION # 557
A client delivered a term infant 1 hour ago. Her uterus on assessment is boggy and is U +1 in contrast to the previous assessment of U _2. The immediate nursing response is to:

A. Assist the client to the bathroom and provide cues to stimulate urination
B. Massage the fundus until firm
C. Administer methergine IM
D. Remove the retained placental fragments

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) Methergine is given following placental delivery to promote uterine contractions and prevent hemorrhage. Methergine may be administered in this clinical situation, but fundal massage would be the first response. (B) Removal of retained placental fragments is done by the physician and is not the first response. (C) If the fundus rises and is deviated, particularly to theright, the nurse should suspect bladder distention secondary to bladder and urethral trauma associated with birth and decreased bladder tone following delivery. Therefore, women have a diminished sensation to void. (D) A boggy fundus rises and is indicative of blood pooling, predisposing the woman to clot formation. Massage the uterus until firm. Too vigorous massage will result in atonia. Clots may be expelled by a kneading motion of the uterus by the nurse.

NEW QUESTION # 558
A client develops complications following a hysterectomy. Blood cultures reveal Pseudomonas aeruginosa.
The nurse expects that the physician would order an appropriate antibiotic to treat P aeruginosa such as:

A. Cefoperazone (Cefobid)
B. Dicloxacillin (Dycill)
C. Erythromycin (Erythrocin)
D. Clindamycin (Cleocin)

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) Cefoperazone is indicated in the treatment of infection withPseudomonas aeruginosa.(B) Clindamycin is not indicated in the treatment of infection withP. aeruginosa.(C) Dicloxacillin is not indicated in the treatment of infection withP. aeruginosa.(D) Erythromycin is not indicated in the treatment of infection withP. aeruginosa.

NEW QUESTION # 559
An obstructing stone in the renal pelvis or upper ureter causes:

A. Urinary frequency and dysuria
B. Severe flank and abdominal pain with nausea, vomiting, diaphoresis, and pallor
C. Radiating pain into the urethra with labia pain experienced in females or testicular pain in males
D. Dull, aching, back pain

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) Radiating pain in the urethra in both sexes, extending into the labia in females and into the testicle or penis in the male, indicates a stone in the middle or lower segment of the ureter. (B) Urinary frequency and dysuria are caused by a stone in the terminal segment of the ureter withinthe bladder wall. (C) An obstructing stone in the renal pelvis or upper ureter causes severe flank and abdominal pain with nausea, vomiting, diaphoresis, and pallor. (D) Dull and aching pain may indicate early stages of hydronephrosis.
Also, a stone in the renal pelvis or upper ureter causes severe flank and abdominal pain.

NEW QUESTION # 560
The following nursing diagnosis is written for a comatose client with cirrhosis of the liver and secondary splenomegaly-High risk for injury: Increased susceptibility to bleeding related to:

A. Increased absorption of vitamin K
B. Increased synthesis of the clotting factors
C. Diminished function of the Kupffer cells
D. Thrombocytopenia due to hypersplenism

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) There is a decreased absorption of vitamin K with cirrhosis of the liver. This decrease impairs blood coagulation and the formation of prothrombin. (B) Thrombocytopenia, an increased destruction of platelets, occurs secondary to hypersplenism. (C) A diminished function of the Kupffer cells occurs with cirrhosis of the liver, causing the client to become more susceptible to infections. (D) A decrease in the synthesis of fibrinogen and clotting factors VII, IX, and X occurs with cirrhosis of the liver and increases the susceptibility to bleeding.

NEW QUESTION # 561
A complication for which the nurse should be alert following a liver biopsy is:

A. Ascites
B. Jaundice
C. Hepatic coma
D. Shock

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) Hepatic coma may occur in liver disease due to the increased NH3levels, not due to liver biopsy. (B) Jaundice may occur due to increased bilirubin levels, not due to liver biopsy. (C) Ascites would occur due to portal hypertension, not due to liver biopsy. (D) Hemorrhage and shock are the most likely complications after liver biopsy because of already existing bleeding tendencies in the vascular makeup of the liver.

NEW QUESTION # 562
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