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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q707-Q712):

NEW QUESTION # 707
A female client has a chest tube placed. It is accidentally pulled out of the intrapleural space when she is ambulating. The first action the nurse should take is to:

A. Instruct the client to cough deeply to re-expand her lung
B. Auscultate the lung to determine if she needs the tube replaced
C. Put on sterile gloves and replace the tube
D. Apply a petrolatum dressing over the site

Answer: D

Explanation:
Section: Questions Set E
Explanation:
(A) This action is inappropriate. Coughing will not re-expand the lung and could result in further harm. (B) This action is a medical procedure, not a nursing procedure. (C) An occlusive dressing will prevent further air leak until the physician institutes further treatment. (D) The decision to reinsert the tube is a medical decision, not a nursing one.

NEW QUESTION # 708
A measurable outcome criterion in the nursing care of an adolescent with anorexia nervosa would be:

A. Having an improved perception of her body image
B. Accepting her present body image
C. Verbalizing realistic feelings about her body
D. Exhibiting increased self-esteem

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) This outcome criterion is inadequate because the term "accepts" is not directly measurable. (B) This outcome criterion is directly measurable because specific goal-related verbalizations can be heard and verified by the nurse. (C) "Improved perception of body image" is not directly measurable and is therefore open to many interpretations. (D) Although long-term goals for the anorexic client should focus on increased self-esteem, this outcome criterion (as stated) does not include specific indicators or behaviors for which to observe.

NEW QUESTION # 709
A 16-year-old client with anorexia nervosa is on an inpatient psychiatric unit. She has a fear of gaining weight and is refusing to eat sufficient amounts to maintain body weight for her age, height, and stature. To assist with the problem of powerlessness and plan for the client to no longer need to withhold food to feel in control, the nurse uses the following strategy:

A. Distract the client during meals to get her to eat because she must take in sufficient amounts to keep from starving.
B. Establish a structured environment with routine tasks and activities. Also, serve meals at the same time each day.
C. Listen attentively and participate in in-depth discussions about food, because these actions may encourage her to eat.
D. Do frequent room checks to be sure that the client is not hiding food or throwing it away.

Answer: B

Explanation:
Explanation
(A) Anorexia nervosa clients feel out of control. Providing a structured environment offers safety and comfort and can help them to develop internal control, thus reducing their need to control by self-starvation. (B) Distraction does not focus on the client's need for control. (C) Doing frequent room checks reinforces feelings of powerlessness and the need to continue with the dysfunctional behavior. (D) Participating in long discussions about food does not make the client want to eat, but rather this strategy allows her to indulge in her preoccupation and to continue with the dysfunctional behavior.

NEW QUESTION # 710
A 65-year-old client who has a new colostomy is preparing for discharge from the hospital. As part of the instructions on colostomy care, the nurse explains to the client that to regulate the bowel, colostomy irrigation should be performed at the same time each day. The best time is:

A. After meals
B. At bedtime
C. Every 2 hours
D. Before meals

Answer: A

Explanation:
Explanation
(A) Bowel movements should be regulated at a specific time each day to prevent "accidents." Irrigating after meals takes advantage of the gastrocolic reflex and time of increased peristalsis, so better results may be produced. After meals is the normal time that peristalsis begins in most persons and evacuation of feces occurs. (B) Irrigating before meals may cause poor results because of decreased gastrocolic reflex and decreased peristalsis. (C) Irrigating a colostomy every 2 hours may produce hyperactivity of the bowel, leading to irritation and diarrhea. This would not aid in regulation of the bowel. (D) If irrigation of a colostomy were done at bedtime, there is greater chance of having an "accident" during sleep. This would not be an advantageous practice of bowel regulation.

NEW QUESTION # 711
The nurse is notified that a 27-year-old primigravida diagnosed with complete placenta previa is to be admitted to the hospital for a cesarean section. The client is now at 36 weeks' gestation and is presently having bright red bleeding of moderate amount. On admission, the nursing intervention that the nurse should give the highest priority to is:

A. Shave the client's abdomen and arrange her lab work
B. Determine the status of the fetus by fetal heart tones
C. Insert an indwelling catheter into her bladder
D. Start an IV infusion in the client's arm

Answer: B

Explanation:
Section: Questions Set D
Explanation:
(A) These nursing actions are necessary prior to the cesarean section, but not immediately necessary to maintain physiological equilibrium. (B) Determining the physiological status of the fetus would constitute the highest priority in evaluating and maintaining fetal life. (C) These nursing actions are necessary prior to the cesarean section, but not immediately necessary to maintain physiological equilibrium. (D) These nursing actions are necessary prior to the cesarean section, but not immediately necessary to maintain physiological equilibrium.

NEW QUESTION # 712
......

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