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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) NCLEX-RN Prüfungsfragen mit Lösungen (Q302-Q307):

302. Frage
In planning daily care for a client with multiple sclerosis, the nurse would take into consideration that multiple sclerosis:

A. Responds quickly to antimicrobial therapy
B. Is rapidly fatal
C. Becomes progressively debilitating without remission
D. Has unpredictable remissions and exacerbations

Antwort: D

Begründung:
(A) Multiple sclerosis eventually becomes debilitating, but it is characterized by remission of symptoms. (B) Remissions and exacerbations are unpredictable with multiple sclerosis.
The client experiences progressive dysfunction after each exacerbation episode. (C) Multiple sclerosis is usually slowly progressive. (D) Multiple sclerosis is an autoimmune disease. Antimicrobial therapy has no effect on its course.

303. Frage
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. "Break the rules, all you want, but don't get caught again!"
C. "You are not being fair to the other clients by getting them involved in your deviant behavior."
D. "If you do not follow the rules, you will be transferred to the closed, locked unit."

Antwort: A

Begründung:
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.

304. Frage
An elective saline abortion has been performed on a 3-week primigravida. Following the procedure, the nurse should be alert for which early side effect?

A. Water satiety
B. Edema
C. Thirst
D. Diabetes insipidus

Antwort: C

Begründung:
Section: Questions Set C
Explanation:
(A) If the client is experiencing water satiety, there is no more desire for water. (B) Absorption of saline into circulation rather than into amniotic sac increases serum sodium and desire for water. (C) Edema can be a late side effect caused by water intoxication. (D) Diabetes insipidus occurs as a result of deficient antidiuretic hormone.

305. Frage
The mother of a child taking phenytoin will need to plan appropriate mouth care and gingival stimulation.
When tooth-brushing is contraindicated, the next most effective cleansing and gingival stimulation technique would be:

A. Rinsing with water
B. Using a water pik
C. Rinsing with baking soda
D. Rinsing with hydrogen peroxide

Antwort: B

Begründung:
Explanation
(A) This technique provides effective rinsing and gingival stimulation. (B) This technique does not provide gingival stimulation. (C) This technique provides effective rinsing but not gingival stimulation. Using peroxide is not pleasant for the child. (D) This technique provides effective rinsing but not gingival stimulation.

306. Frage
A client's prenatal screening indicated that she has no immunity to rubella. She is now 10 weeks pregnant.
The best time to immunize her is:

A. Within 72 hours postpartum
B. In the immediate postpartum period
C. After the first trimester
D. At 28 weeks' gestation

Antwort: B

Begründung:
Explanation/Reference:
Explanation:
(A) The rubella vaccine is made with attenuated virus and is given in the immediate postpartal period to prevent infection during pregnancy and subsequent adverse fetal and neonatal sequelae. Mothers are advised to prevent pregnancy for 3 months following immunization. (B) Rubella infection during the second trimester may result in permanent hearing loss for the fetus. (C) RhoGam is the drug generally administered at 28 weeks' gestation to Rh-negative women. It is contraindicated to administer rubella vaccine during pregnancy. (D) RhoGam is the drug administered within 72 hours postpartum to Rh- negative women to prevent the development of antibodies to fetal cells.

307. Frage
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