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NCLEX NCLEX-RN Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Psychosocial Integrity6-12%- Psychosocial Integrity
  • 1. Mental Health Concepts
  • 2. Therapeutic Communication
  • 3. Support Systems
  • 4. Behavioral Interventions
  • 5. Coping Mechanisms
  • 6. Crisis Intervention
  • 7. Family Dynamics
  • 8. Substance Use Disorders
Topic 2: Pharmacological and Parenteral Therapies13-19%- Pharmacological and Parenteral Therapies
  • 1. Dosage Calculations
  • 2. Adverse Effects and Contraindications
  • 3. Parenteral Therapies
  • 4. Medication Administration
  • 5. Expected Actions and Outcomes
  • 6. Central Venous Access Devices
  • 7. Blood and Blood Products
Topic 3: Reduction of Risk Potential9-15%- Reduction of Risk Potential
  • 1. Changes in Vital Signs
  • 2. Therapeutic Procedures
  • 3. Monitoring and Assessment
  • 4. Potential Complications
  • 5. System-Specific Assessments
  • 6. Diagnostic Tests
Topic 4: Basic Care and Comfort6-12%- Basic Care and Comfort
  • 1. Activities of Daily Living
  • 2. Rest and Sleep
  • 3. Personal Hygiene
  • 4. Nutrition and Oral Hydration
  • 5. Mobility and Immobility
  • 6. Assistive Devices
  • 7. Elimination
Topic 5: Management of Care15-21%- Management of Care
  • 1. Advocacy
  • 2. Priority Setting
  • 3. Legal Rights and Responsibilities
  • 4. Ethical Practice
  • 5. Assignment, Delegation and Supervision
  • 6. Collaboration with Interdisciplinary Team
  • 7. Performance Improvement and Quality Assurance
  • 8. Client Rights
  • 9. Advance Directives
  • 10. Confidentiality and Information Security
  • 11. Case Management
  • 12. Continuity of Care
  • 13. Informed Consent
Topic 6: Health Promotion and Maintenance6-12%- Health Promotion and Maintenance
  • 1. Disease Prevention
  • 2. Aging Process
  • 3. Newborn Care
  • 4. Prenatal, Intrapartum and Postpartum Care
  • 5. Health Promotion Programs
  • 6. Growth and Development
  • 7. Health Screening
Topic 7: Safety and Infection Control10-16%- Safety and Infection Control
  • 1. Accident and Injury Prevention
  • 2. Home Safety
  • 3. Safe Use of Equipment
  • 4. Emergency Response Planning
  • 5. Infection Prevention and Control
  • 6. Standard and Transmission-Based Precautions
  • 7. Handling Hazardous Materials
  • 8. Security Plans
Topic 8: Physiological Adaptation11-17%- Physiological Adaptation
  • 1. Hemodynamics
  • 2. Medical Emergencies
  • 3. Pathophysiology
  • 4. Unexpected Response to Therapies
  • 5. Fluid and Electrolyte Imbalances
  • 6. Alterations in Body Systems

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q787-Q792):

NEW QUESTION # 787
A 16-year-old female client is admitted to the hospital because she collapsed at home while exercising with videotaped workout instructions. Her mother reports that she has been obsessed with losing weight and staying slim since cheerleader try-outs 6 months ago, when she lost out to two of her best friends. The client is 5'4" and weighs 92 lb, which represents a weight loss of 28 lb over the last 4 months. The most important initial intervention on admission is to:

Answer: B

Explanation:
Explanation
(A) On admission, vital signs are the highest priority. Weight is not a vital sign. (B) Belongings are routinely searched on admission to a psychiatric unit, but this search is not a high priority. (C) Vital signs are a high priority when working with selfdestructive clients. (D) Room assignment is of low priority.


NEW QUESTION # 788
A female client has been treated since childhood for mitral valve prolapse. The antibiotic of choice for her during pregnancy would be:

Answer: D

Explanation:
Explanation
(A) Sulfa is a teratogen and will cause kernicterus. (B) Tetracycline is a teratogen and will effect tooth development. (C) Hydralazine is not an antibiotic but a calcium channel blocker. (D) Erythromycin is safe during pregnancy and can be used when the client is allergic to penicillin.


NEW QUESTION # 789
A 38-year-old female client with a history of chronic schizophrenia, paranoid type, is currently an outpatient at the local mental health and mental retardation clinic. The client comes in once a week for medication evaluation and/or refills. She self-administers haloperidol 5 mg twice a day and benztropine 1 mg once a day. During a recent clinic visit, she says to the nurse, "I can't stay still at night. I toss and turn and can't fall asleep." The nurse suspects that she may be experiencing:

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) Akathisia, or motor restlessness, is a reversible EPS frequently associated with the administration of antipsychotic drugs such as haloperidol. (B) Akinesia, or muscular or motor retardation, is an example of reversible EPS frequently associated with the administration of major tranquilizers such as haloperidol. (C) Acute dystonic reactions, bizarre and severe muscle contractions usually of the tongue, face, neck or extraocular muscles, are examples of EPS. (D) Opisthotonos, a severe type of whole-body dystonic reaction in which the head and heels are bent backward while the body is bowed forward, is an example of EPS.


NEW QUESTION # 790
Which of the following nursing care goals has the highest priority for a child with epiglottitis?

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) Of these four goals, maintenance of a calm, quiet atmosphere to reduce anxiety and to allow for rest is the most important. (B) Although nutrition is important, the child needs fluids to maintain fluid and electrolyte balance more than solid foods. In addition, the child may not be able to swallow solid foods owing to epiglottic swelling. (C) This goal is unrealistic because fever is a common symptom of the infection associated with epiglottitis. (D) If overexerted, the child will need more O2 and energy than available, and these requirements may exacerbate the condition.


NEW QUESTION # 791
A laboratory technique specific for diagnosing Lyme disease is:

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) Polymerase chain reaction is the laboratory technique specific for Lyme disease. (B) Heterophil antibody test is used to diagnose mononucleosis. (C) Lyme disease does not decrease the serum calcium level. (D) Lyme disease does not increase the serum potassium level.


NEW QUESTION # 792
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