Associate NCLEX-RN Level Exam - NCLEX-RN Valid Exam Forum

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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q820-Q825):

NEW QUESTION # 820
A 4 year old has an imaginary playmate, which concerns the mother. The nurse's best response would be:

A. "I understand your concern and will assist you with a referral."
B. "Just ignore the behavior and it should disappear by age 8."
C. "Try not to worry because you will just upset your child."
D. "This is appropriate behavior for a preschooler and should not be a concern."

Answer: D

Explanation:
(A) This is normal for a preschooler, and a referral is not appropriate. (B) Telling a parent not to worry is unhelpful. This response does not address the mother's concern. (C) This response is incorrect. The behavior is normal and will usually disappear by the time the child enters school. (D) This behavior is normal development for a preschooler.

NEW QUESTION # 821
Assessment of the client with pericarditis may reveal which of the following?

A. Pericardial friction rub and pain on deep inspiration
B. Pericardial tamponade and widened pulse pressure
C. Narrowed pulse pressure and shortness of breath
D. Ventricular gallop and substernal chest pain

Answer: A

Explanation:
(A) No S3 or S4 are noted with pericarditis. (B) No change in pulse pressure occurs. (C) The symptoms of pericarditis vary with the cause, but they usually include chest pain, dyspnea, tachycardia, rise in temperature, and friction rub caused by fibrin or other deposits. The pain seen with pericarditis typically worsens with deep inspiration. (D) Tamponade is not typically seen early on, and no change in pulse pressure occurs.

NEW QUESTION # 822
A client tells the nurse that he has been hearing voices that tell him to kill his girlfriend because she is a spy.
He further states that he is having difficulty not obeying the voices because, if he does not, his house will be burned down. The highest priority nursing diagnosis for him at this time is:

A. Potential for violence directed at others
B. Sensory-perceptual alteration: auditory command hallucinations
C. Alteration in thought processes: paranoid delusions
D. Impaired verbal communication: loose associations

Answer: A

Explanation:
Explanation
(A) Although the client is having command hallucinations, this is second in priority to real or potential violence, which can be a threat to life itself. (B) Although the client is experiencing delusions, this is also a lower priority than his potential or actual loss of control. (C) Whether real or potential, violence directed at self or others is always high priority. (D) There is no evidence of loosening of associations.

NEW QUESTION # 823
A 35-year-old client is admitted to the hospital with diabetic ketoacidosis. Results of arterial blood gases are pH
7.2, PaO2 90, PaCO2 45, and HCO3 16. The nursing assessment of arterial blood gases indicate the presence of:

A. Respiratory acidosis
B. Metabolic acidosis
C. Respiratory alkalosis
D. Metabolic alkalosis

Answer: B

Explanation:
Section: Questions Set C
Explanation:
(A) Respiratory alkalosis is determined by elevated pH and low PaCO2. (B) Respiratory acidosis is determined by low pH and elevated PaCO2. (C) Metabolic alkalosis is determined by elevated pH and HCO3.(D) Metabolic acidosis is determined by low pH and HCO3.

NEW QUESTION # 824
The nurse is admitting a client with folic acid deficiency anemia. Which of the following questions is most important for the nurse to ask the client?

A. "Do you drink alcohol on a regular basis?"
B. "Do you take aspirin on a regular basis?"
C. "Do you eat red meat?"
D. "Have your stools been normal?"

Answer: A

Explanation:
Explanation
(A) Aspirin does not affect folic acid absorption. (B) Folic acid deficiency is strongly associated with alcohol abuse. (C) Because folic acid is a coenzyme for single carbon transfer purines, calves liver or other purines are the meat sources. (D) Folic acid does not affect stool character.

NEW QUESTION # 825
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