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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q272-Q277):

NEW QUESTION # 272
A 42-year-old male client has been treated at an alcoholic rehabilitation center for physiological alcohol dependence. The nurse will be able to determine that he is preparing for discharge and is effectively coping with his problem when he shares with her the following information:

Answer: A

Explanation:
Section: Questions Set F
Explanation
Explanation:
(A) The client has insight into the severity of his alcohol addiction and has chosen one of the most effective treatment strategies to support him - Alcoholics Anonymous. (B) The client is still using denial and is not dealing with his alcohol addiction. (C) The client is exhibiting denial about his alcohol addiction and projecting blame on his divorce. (D) The client is projecting blame onto his wife for being in the hospital while still denying his alcohol addiction.


NEW QUESTION # 273
A female client at 36 weeks' gestation has been treated successfully for premature labor for 4 weeks. She has begun having uterine contractions today and has been admitted to the labor and delivery suite. Her amniocentesis results reveal a lecithin/sphingomyelin (L/S) ratio of 2 and positive phosphatidylglycerol (PG). These lab values indicate:

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) Placental maturity is assessed by a biophysical profile. (B) L/S ratio and presence of phosphatidylglycerol are not used to determine fetal asphyxia. A biophysical profile score of6 may indicate this condition. (C) Cord compression is not reflected by the L/S ratio or presence of phosphatidylglycerol.
Variable decelerations observed through electronic fetal monitoring could reflect umbilical cord compression. (D) An L/S ratio>2 and the presence of phosphatidylglycerol in amniotic fluid indicate fetal lung maturity.


NEW QUESTION # 274
On the first postpartal day, a client tells the nurse that she has been changing her perineal
pads every 1/2 hour because they are saturated with bright red vaginal drainage. When palpating the uterus, the nurse assesses that it is somewhat soft, 1 fingerbreadth above the umbilicus, and midline. The nursing action to be taken is to:

Answer: A

Explanation:
(A) Gentle massage and expression of clots will let the fundus return to a state of firmness, allowing the uterus to function as the "living ligature." (B) A distended bladder may promote uterine atony; however, after determining the bladder is distended, the nurse would have the client void. Catheterization is only done if normal bladder function has not returned. (C) Oxytocic medications are ordered and administered if the uterus does not remain contracted after gentle massage and determining if the bladder is empty. (D) The client is not complaining of discomfort or pain; therefore, analgesics are not necessary.


NEW QUESTION # 275
Discharge teaching was effective if the parents of a child with atopic dermatitis could state the importance of:

Answer: C

Explanation:
(A) Maintaining a low-humidified environment. (B) Avoiding furry, soft stuffed animals for play, which may increase symptoms of allergy. (C) Avoiding showering, which irritates the dermatitis, and encouraging bathing 4 times a day in colloid bath for temporary relief. (D) Wrapping hands in soft cotton gloves to prevent skin damage during scratching.


NEW QUESTION # 276
A client had a renal transplant 3 months ago. He has suddenly developed graft tenderness, an increased white blood cell count, and malaise. The client is experiencing which type of rejection?

Answer: B

Explanation:
Explanation
(A) The sudden development of fever, graft tenderness, increased white blood count, and malaise are signs and symptoms of an acute rejection that commonly occurs at 3 months. (B) Chronic rejection occurs slowly over a period of months to years and mimics chronic renal failure. (C) Hyperacute rejection occurs immediately after surgery up to 48 hours postoperatively. (D) Hyperchronic rejection is not a type of rejection.


NEW QUESTION # 277
......

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