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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q96-Q101):

NEW QUESTION # 96
The nurse is interviewing a client with a diagnosis of possible abdominal aortic aneurysm. Which of the following statements will be reflected in the client's chief complaint?

A. "My legs have been numb for three months."
B. "I don't remember anything in particular, I just haven't felt well."
C. "I've only been urinating three times a day lately."
D. "I've been having a dull pain at the upper left shoulder."

Answer: B

Explanation:
Explanation
(A, B, C) These complaints are not specific signs and symptoms associated with abdominal aortic aneurysm. If symptoms are present, the aneurysm is expanding or rupture is imminent. (D) Many clients may experience no symptoms. The only symptom may be a pulsation noted in the abdomen in the reclining position.

NEW QUESTION # 97
Which of the following activities would be most appropriate during occupational therapy for a client with bipolar disorder?

A. Playing tennis with a staff member
B. Working crossword puzzles
C. Playing cards with other clients
D. Sewing beads on a leather belt

Answer: A

Explanation:
Explanation
(A) This activity is too competitive, and the manic client might become abusive toward the other clients. (B) During mania, the client's attention span is too short to accomplish this task. (C) This activity uses gross motor skills, eases tension, and expands excess energy. A staff member is better equipped to interact therapeutically with clients. (D) This activity requires the use of fine motor skills and is very tedious.

NEW QUESTION # 98
A 45-year-old client has a permanent colostomy. Which of the following foods should he avoid?

A. Corn beef and cabbage and boiled potatoes
B. Peanut butter and jelly sandwich and milk
C. Oatmeal, whole-wheat toast, and milk
D. Tuna on whole-wheat bread and iced tea

Answer: A

Explanation:
(A, C, D) These foods are allowed with a colostomy. (B) Gasforming foods such as cabbage should be avoided.

NEW QUESTION # 99
Which of the following would indicate the need for further teaching for the client with COPD? The client verbalizes the need to:

A. Take vitamin supplementation
B. Eat high-calorie, high-protein foods
C. Eliminate intake of milk and milk products
D. Eat small, frequent meals

Answer: C

Explanation:
Explanation
(A) Protein is vital for the maintenance of muscle to aid in breathing. A high-calorie diet using higher fat than carbohydrate content is given because clients are unable to breathe off the excess CO2that is an end product of carbohydrate metabolism. (B) Inadequate nutritional status, in particular, deficiencies in vitamins A and C, decreases resistance to infection. (C) Milk does not make mucus thicker. It may coat the back of the throat and make it feel thicker. Rinsing the mouth with water after drinking milk will prevent this problem. (D) Small, frequent meals minimize a fullness sensation and reduce pressure on the diaphragm. The work of breathing and SOB are also reduced.

NEW QUESTION # 100
The nurse will be alert to the most potentially lifethreatening side effect associated with the administration of monoamine oxidase (MAO) inhibitor. This is:

A. Orthostatic hypotension
B. Oculogyric crisis
C. Hypertensive crisis
D. Tardive dyskinesia

Answer: C

Explanation:
Explanation
(A) Oculogyric crisis, involuntary upward deviation and fixation of the eyeballs, is usually associated with either postencephalitic parkinsonian or drug-induced extrapyramidal symptoms (EPS). (B) Hypertensive crisis is a potentially life-threatening side effect. This may occur if the client ingests foods, beverages, or medications containing tyramine. (C) Orthostatic hypotension, a drop in blood pressure resulting from a rapid change of body position, can occur with the administration of antidepressants. (D) Tardive dyskinesia, characterized by slow, rhythmical, automatic or stereotyped muscular movements, usually is associated with the administration of certain antipsychotic medications.

NEW QUESTION # 101
......

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