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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q277-Q282):

NEW QUESTION # 277
A burn victim's immunization history is assessed by the nurse. Which immunization is of priority concern?

A. Tetanus toxoid
B. Hepatitis B vaccine
C. Oral poliovirus vaccine
D. Inactivated poliovirus vaccine

Answer: A

Explanation:
(A) Oral poliovirus vaccine is given to prevent polio. Polio is transmitted by direct contact with an infected person. (B) Inactivated poliovirus vaccine is given to adults and immunosuppressed individuals. Polio is transmitted by direct contact with an infected person. (C) Tetanus toxoid prevents tetanus. Tetanus is transmitted through contaminated wounds. (D) Hepatitis B vaccine prevents hepatitis B infection. Hepatitis B is transmitted through contact with infected blood or body fluids.

NEW QUESTION # 278
A 10-month-old infant's mother says that he takes fresh whole milk eagerly, but that when she offered him baby foods at 6 months of age, he pushed them out of his mouth. Because he has gained weight appropriately, she has quit trying to get him to eat other foods. The nurse's response is based on the knowledge that:

A. He should be started on iron-enriched cereal, meat, vegetables, fruits, and juices prior to bottle feeds.
Milk intake should be limited to 1 qt/day
B. Milk intake should be limited to no more than four 8-oz bottles per day and should be followed by iron- enriched cereal or other solid foods or juices
C. It is acceptable to continue to give him whole milk and to delay giving solid foods as long as he takes a vitamin supplement daily
D. Milk is an excellent food and will meet his nutritional needs adequately until he is ready to eat solid foods

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) If the infant is given the bottle first, he will be less likely to be hungry enough to eat the solid foods. (B) Milk is deficient in iron, vitamin C, zinc, and fluoride. It does not provide an adequate diet. (C) The vitamin supplement will help, but the infant needs an iron supplement. (D) Giving the solid food when the infant is hungriest will increase the likelihood that he will eat. The more solid food he takes, the less milk he will desire.

NEW QUESTION # 279
A 15-year-old female adolescent is frequently breaking the rules of the unit. She has left the unit and was found smoking in the bathroom and spending a large amount of time in the male ward. Which statement by the nurse would best explain to the teenager why she must follow the rules of the unit?

A. "It is not easy, but the rules must be followed so that everyone can get a fair chance."
B. "If you do not follow the rules, you will be transferred to the closed, locked unit."
C. "Break the rules, all you want, but don't get caught again!"
D. "You are not being fair to the other clients by getting them involved in your deviant behavior."

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) This statement acknowledges that it is difficult but is not threatening or punitive. (B) This statement is threatening and describes specific punishment for further deviant behavior. (C) This response elicits shame by blaming her for involving others. (D) This response gives her permission to break the rules but indicates that getting caught is wrong.

NEW QUESTION # 280
To ensure proper client education, the nurse should teach the client taking SL nitroglycerin to expect which of the following responses with administration?

A. Urinary frequency
B. Generalized urticaria with prolonged use
C. Temporary blurring of vision
D. Stinging, burning when placed under the tongue

Answer: D

Explanation:
(A) Stinging or burning when nitroglycerin is placed under the tongue is to be expected. This effect indicates that the medication is potent and effective for use. Failure to have this response means that the client needs to get a new bottle of nitroglycerin. (B, C, D) The other responses are not expected in this situation and are not even side effects.

NEW QUESTION # 281
A 40-year-old client is admitted to the hospital for tests to diagnose cancer. Since his admission, he has become dependent and demanding to the nursing staff. The nurse identifies this behavior as which defense mechanism?

A. Displacement
B. Regression
C. Projection
D. Denial

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) Denial is the disowning of consciously intolerable thoughts. (B) Displacement is the referring of a feeling or emotion from one person, object, or idea to another. (C) Regression is returning to an earlier stage of development. (D) Projection is attributing one's own thoughts, feelings, or impulses to another person.

NEW QUESTION # 282
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