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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q856-Q861):

NEW QUESTION # 856
A mother called the physician's office to ask if it would help relieve her small daughter's abdominal pain if she gave an enema and placed a heating pad on the abdomen. Her daughter has a fever and has vomited twice.
The nurse's response is based on the knowledge that:

A. Heat would help to relax the abdominal muscles and relieve her pain
B. Complaints of stomach ache are common in young children and are generally best ignored
C. The symptoms could easily have been caused by constipation, which an enema would relieve
D. Both heat and enemas stimulate intestinal motility and could increase the risk of perforation

Answer: D

Explanation:
Explanation
(A) Constipation does not cause fever or vomiting but may cause anorexia. Risk of perforation outweighs the possible benefits of an enema. (B) Heat will not relieve her symptoms but will increase intestinal motility and increase the risk of perforation. (C) Heat and enemas are contraindicated where severe abdominal pain is suspected because they increase intestinal motility and the risk of perforation. (D) Complaints accompanied by physical symptoms such as pain, anorexia, and fever should never be ignored.

NEW QUESTION # 857
During the assessment, the nurse observes a client scratching his skin. He has been admitted to rule out Laennec's cirrhosis of the liver. The nurse knows the pruritus is directly related to:

A. Enhanced detoxification of drugs
B. Faulty processing of bilirubin
C. A loss of phagocytic activity
D. The formation of collateral circulation

Answer: B

Explanation:
(A) A loss in the phagocytic activity of the Kupffer cells occurs with cirrhosis of the liver, which increases the susceptibility to infections. (B) The faulty processing of bilirubin produces bilesalts, which are irritating to the skin. (C) The detoxification of drugs is impaired with cirrhosis of the liver. (D) Collateral circulation develops due to portal hypertension. This is manifest through the development of esophageal varices, hemorrhoids, and caput medusae.

NEW QUESTION # 858
A female client at 10 weeks' gestation complains to her physician of slight vaginal bleeding and mild cramps. On examination, her physician determines that her cervix is closed. The client is exhibiting signs of:

A. A missed abortion
B. An inevitable abortion
C. A threatened abortion
D. An incomplete abortion

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) An inevitable abortion includes the signs of cervical dilation and effacement as well as pain and bleeding. (B) A threatened abortion is a condition in which intrauterine bleeding occurs early in pregnancy, the cervix remains undilated, and the uterine contents are not necessarily expelled. (C) An incomplete abortion occurs when some portions of the products of conception are expelled from the uterus. (D) A missed abortion occurs when the embryo dies in utero and is retained in the uterus.

NEW QUESTION # 859
The nurse working in a prenatal clinic needs to be alert to the cardinal signs and symptoms of PIH because:

A. Immediate treatment of mild PIH includes the administration of a variety of medications
B. Self-discipline is required to control caloric intake throughout the pregnancy
C. The client may not recognize the early symptoms of PIH
D. Psychological counseling is indicated to reduce the emotional stress causing the blood pressure elevation

Answer: C

Explanation:
Explanation
(A) Mild PIH is not treated with medications. (B) Emotional stress is not the cause of blood pressure elevation in PIH. (C) Excessive caloric intake is not the cause of weight gain in PIH. (D) The client most frequently is not aware of the signs and symptoms in mild PIH.

NEW QUESTION # 860
A client is having episodes of hyperventilation related to her surgery that is scheduled tomorrow. Appropriate nursing actions to help control hyperventilating include:

A. Using distraction to help control the client's hyperventilation episodes
B. Administering diazepam (Valium) 10-15 mg po q4h and q1h prn for hyperventilating episode
C. Having the client hold her breath or breathe into a paper bag when hyperventilation episodes occur
D. Keeping the temperature in the client's room at a high level to reduce respiratory stimulation

Answer: C

Explanation:
Explanation
(A) An adult diazepam dosage for treatment of anxiety is 2-10 mg PO 2-4 times daily. The order as written would place a client at risk for overdose. (B) A high room temperature could increase hyperventilating episodes by stimulating the respiratory system. (C) Breath holding and breathing into a paper bag may be useful in controlling hyperventilation. Both measures increase CO2 retention. (D) Distraction will not prevent or control hyperventilation caused by anxiety or fear.

NEW QUESTION # 861
......

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