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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q338-Q343):

NEW QUESTION # 338
The physician of an alcoholic client places him on a low-protein, high-carbohydrate diet. When choosing his menu, the client's best choice from the items below would be:

A. Baked chicken, baked potato with bacon bits, milk
B. Waffles with butter and honey, orange juice
C. Cheese omelette with ham and mushrooms, milk
D. Liver and onions, macaroni and cheese, tea with sugar

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A, B, D) These foods are high in protein, which needs to be restricted. (C) Serum ammonia levels can be decreased by restricting dietary protein intake. Waffles, honey, and orange juice are high in carbohydrate and low or completely lacking in protein. Butter, a concentrated fat, will provide extra calories.

NEW QUESTION # 339
On the third postpartum day, the nurse would expect the lochia to be:

A. Alba
B. Scant
C. Serosa
D. Rubra

Answer: D

Explanation:
Section: Questions Set G
Explanation:
(A) This discharge occurs from delivery through the 3rd day. There is dark red blood, placental debris, and clots. (B) This discharge occurs from days 4-10. The lochia is brownish, serous, and thin. (C) This discharge occurs from day 10 through the 6thweek. The lochia is yellowish white. (D) This is not a classification of lochia but relates to the amount of discharge.

NEW QUESTION # 340
A primigravida is at term. The nurse can recognize the second stage of labor by the client's desire to:

A. Walk between contractions
B. Relax during contractions
C. Hyperventilate during contractions
D. Push during contractions

Answer: D

Explanation:
Explanation
(A) The second stage of labor is characterized by uterine contractions, which cause the client to bear down.
(B) Slow, deep, rhythmic breathing facilitates the laboring process. Hyperventilation is abnormal breathing resulting from loss of pain control. (C) The client should remain on bed rest during labor. (D) Contractions result in discomfort.

NEW QUESTION # 341
Clinical manifestations seen in left-sided rather than in right-sided heart failure are:

A. Elevated central venous pressure and peripheral edema
B. Decreased peripheral perfusion and rales
C. Hypotension and hepatomegaly
D. Dyspnea and jaundice

Answer: B

Explanation:
Section: Questions Set A
Explanation:
(A, B, C) Clinical manifestations of right-sided heart failure are weakness, peripheral edema, jugular venous distention, hepatomegaly, jaundice, and elevated central venous pressure. (D) Clinical manifestations of left- sided heart failure are left ventricular dysfunction, decreased cardiac output, hypotension, and the backward failure as a result of increased left atrium and pulmonary artery pressures, pulmonary edema, and rales.

NEW QUESTION # 342
On admission, the client has signs and symptoms of pulmonary edema. The nurse places the client in the most appropriate position for a client in pulmonary edema, which is:

A. Supine with feet elevated
B. Sitting in a chair
C. High Fowler
D. Lying on the left side

Answer: C

Explanation:
Section: Questions Set C
Explanation:
(A) High Fowler position decreases venous return to the heart and permits greater lung expansion so that oxygenation is maximized. (B) Lying on the left side may improve perfusion to the left lung but does not promote lung expansion. (C) Sitting in a chair will decrease venous return and promote maximal lung expansion. However, clients with pulmonary edema can deteriorate quickly and require intubation and mechanical ventilation. If a client is sitting in achair when this deterioration happens, it will be difficult to intervene quickly. (D) The supine with feet elevated position increases venous return and will worsen pulmonary edema.

NEW QUESTION # 343
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