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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q126-Q131):

NEW QUESTION # 126
Which of the following nursing orders has the highest priority for a child with epiglottitis?

A. Intake and output
B. Vital signs every shift
C. Tracheostomy set at bedside
D. Specific gravity every shift

Answer: C

Explanation:
Section: Questions Set G
Explanation:
(A) Because of the possibility of fever or respiratory failure, vital signs should be done more often than every eight hours. (B) If the epiglottitis worsens, the edema and laryngospasm may close the airway and an emergency tracheostomy may be necessary. (C) Although intake and output are a part of the nursing care of a child with epiglottitis, it is not as important as the safety measure of keeping the tracheostomy set at the bedside. (D) Specific gravity will indicate hydration status, but it is not as important as keeping the tracheostomy set at the bedside.

NEW QUESTION # 127
A 60-year-old woman exhibits forgetfulness, emotional lability, confusion, and decreased concentration. She has been unable to perform activities of daily living without assistance. After a thorough medical evaluation, a diagnosis of Alzheimer's disease was made. An appropriate nursing intervention to decrease the anxiety of this client would include:

A. Confronting confabulations
B. Allowing the client to perform activities of daily living as much as possible unassisted
C. Providing a highly stimulating environment
D. Reality testing

Answer: B

Explanation:
Explanation
(A) This answer is correct. The more the client is able to control her daily routine, the less anxiety she will experience. (B) This answer is incorrect. Confrontation tends to increase anxiety. (C) This answer is incorrect.
Reality testing is an assessment tool. It does not decrease anxiety. (D) This answer is incorrect. A highly stimulating environment increases distractibility and anxiety.

NEW QUESTION # 128
What specific hormone must be present in serum or urine laboratory tests used to diagnose pregnancy?

A. Sphingomyelin
B. Human chorionic gonadotropin
C. Estrogen
D. -fetoprotein

Answer: B

Explanation:
Explanation
(A) Human chorionic gonadotropin is the biochemical basis for pregnancy tests. It is produced by the placenta to help maintain the corpus luteum. Its levels climb rapidly following conception, peaking at about 8 weeks and then gradually decreasing to low levels after 16 weeks. (B) Estrogen does steadily rise throughout pregnancy, increasing to 30 times that of prepregnancy levels. Although estrogen levels do change during pregnancy, it is not used as the main hormone of evaluation in pregnancy tests. (C) -Fetoprotein is the major protein in the serum of theembryo. It is initially produced by the yolk sac. (D) Lecithin and sphingomyelin are two phospholipids of which fetal lung surfactant is composed. Levels are evaluated to determine fetal lung maturity.

NEW QUESTION # 129
Diabetes mellitus is a disorder that affects 3.1 out of every 1000 children younger than 20 years old. It is characterized by an absence of, or marked decrease in, circulating insulin. When teaching a newly diagnosed diabetes client, the nurse includes information on the functions of insulin:

A. Glycogenolysis and facilitation of glucose use for energy
B. Catabolism and hyperglycemia
C. Glycogenolysis and catabolism
D. Transport of glucose into body cells and storage of glycogen in the liver

Answer: D

Explanation:
Section: Questions Set G
Explanation:
(A) Lack of insulin causes glycogenolysis, catabolism, and hyperglycemia. (B) Insulin promotes the conversion of glucose to glycogen for storage and regulates the rate at which carbohydrates are used by cells for energy.
(C) Insulin is anabolic in nature. (D) Glucose stimulates protein synthesis within the tissue and inhibits the breakdown of protein into amino acids.

NEW QUESTION # 130
A psychiatric client has been stabilized and is to be discharged. The nurse will recognize client insight and behavioral change by which of the following client statements?

A. "As soon as I leave here, I'm throwing away my medicines. I never thought I needed them anyway."
B. "When I get home, I should be able to taper myself off the Haldol because the voices are gone now."
C. "When I get home, I will need to take my medicines and call my therapist if I have any side effects or begin to hear voices."
D. "If I have any side effects from my medicines, I will take an extra dose of Cogentin."

Answer: C

Explanation:
(A)
The client verbalizes that he is responsible for compliance and keeping the treatment team member informed of progress. This behavior puts him at the lowest risk for relapse.
(B)
Noncompliance is a major cause of relapse. This statement reflects lack of responsibility for his own health maintenance. (C) This statement reflects lack of insight into the importance of compliance. (D) This statement reflects no insight into his illness or his responsibility in health maintenance.

NEW QUESTION # 131
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