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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q703-Q708):

NEW QUESTION # 703
A 16-year-old student has a long history of bronchial asthma and has experienced several severe asthmatic attacks during the school year. The school nurse is required to administer 0.2 mL of 1/1000 solution of epinephrine SC during an asthma attack. How does the school nurse evaluate the effectiveness of this intervention?

A. Increased expectorate of secretions
B. Decreased inspiratory difficulty
C. Increased respiratory rate
D. Increased pulse rate

Answer: B

Explanation:
Section: Questions Set B
Explanation:
(A) A side effect of epinephrine is fatal ventricular fibrillation owing to its effects on cardiac stimulation. (B) Medications used to treat asthma are designed to decrease bronchospasm, not to increase expectorate of secretions. (C) Epinephrine decreased inspiratory difficulty by stimulating α-, β1, and β2-receptors causing sympathomimetic stimulation (e.g., bronchodilation). (D) The person with asthma fights to inspire sufficient air thus increasing respiratory rate.

NEW QUESTION # 704
The day following his admission, the nurse sits down by a male client on the sofa in the dayroom. He was admitted for depression and thoughts of suicide. He looks at the nurse and says, "My life is so bad no one can do anything to help me." The most helpful initial response by the nurse would be:

A. "It concerns me that you feel so badly when you have so many positive things in your life."
B. "You are telling me that you are feeling hopeless at this point?"
C. "Let's play cards with some of the other clients to get your mind off your problems for now."
D. "It will take a few weeks for you to feel better, so you need to be patient."

Answer: B

Explanation:
Explanation
(A) This response does not acknowledge the client's feelings and may increase his feelings of guilt. (B) This response denotes false reassurance. (C) This response acknowledges the client's feelings and invites a response. (D) This response changes the subject and does not allow the client to talk about his feelings.

NEW QUESTION # 705
The primary reason that an increase in heart rate (100 bpm) detrimental to the client with a myocardial infarction (MI) is that:

A. Systolic ejection time will decrease, thereby decreasing cardiac output
B. Stroke volume and blood pressure will drop proportionately
C. Decreased contractile strength will occur due to decreased filling time
D. Decreased coronary artery perfusion due to decreased diastolic filling time will occur, which will increase ischemic damage to the myocardium

Answer: D

Explanation:
(A) Decreased stroke volume and blood pressure will occur secondary to decreased diastolic filling. (B) Tachycardia primarily decreases diastole; systolic time changes very little. (C) Contractility decreases owing to the decreased filling time and decreased time for fiber lengthening. (D) Decreased O2 supply due to decreased time for filling of the coronary arteriesincreases ischemia and infarct size. Tachycardia primarily robs the heart of diastolic
time, which is the primary time for coronary artery filling.

NEW QUESTION # 706
At 32 weeks' gestation, a client is scheduled for a fetal activity test (nonstress test). She calls the clinic and asks the RN, "How do I prepare for the test I am scheduled for?" The RN will most likely inform her of the following instructions to help prepare her for the test:

A. "You will need to drink 6 to 8 glasses of water to fill your bladder."
B. "You need to know that an IV is always started before the test."
C. "You will have to remain as still as you possibly can."
D. "Do not eat any food or drink any liquids before the test is started."

Answer: C

Explanation:
Section: Questions Set C
Explanation:
(A) An IV line is not started in a nonstress test, because this test is used as an indicator of fetal well-being. This test measures fetal activity and heart rate acceleration. (B) The bladder does not have to be full prior to this test. It is not a sonogram test where a full bladder enables other structures to be scanned. (C) It has been proved that eating or drinking liquids prior to the test can assist in increasing fetal activity. (D) Any maternal activity will interfere with the results of the test.

NEW QUESTION # 707
A violent client remains in restraints for several hours. Which of the following interventions is most appropriate while he is in restraints?

A. Assess skin integrity and circulation of extremities before applying restraints and as they are removed.
B. Measure vital signs at least every 4 hours.
C. Give fluids if the client requests them.
D. Release restraints every 2 hours for client to exercise.

Answer: D

Explanation:
Explanation
(A) Fluids (nourishment) should be offered at regular intervals whether the client requests (or refuses) them or not. (B) Skin integrity and circulation of the extremities should be checked regularly while the client is restrained, not only before restraints are applied and after they are removed. (C) Vital signs should be checked at least every 2 hours. If the client remains agitated in restraints, vital signs should be monitored even more closely, perhaps every 1-2 hours. (D) Restraints should be released every 2 hours for exercise, one extremity at a time, to maintain muscle tone, skin and joint integrity, and circulation.

NEW QUESTION # 708
......

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