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NCLEX NCLEX-RN Exam Syllabus Topics:

Section	Weight	Objectives
Topic 1: Safe and Effective Care Environment	17–33%	- Management of Care - Safety and Infection Control
Topic 2: Health Promotion and Maintenance	6–12%
Topic 3: Physiological Integrity	43–67%	- Basic Care and Comfort - Pharmacological and Parenteral Therapies - Reduction of Risk Potential - Physiological Adaptation
Topic 4: Psychosocial Integrity	6–12%

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q337-Q342):

NEW QUESTION # 337
A client is a depressed, 48-year-old salesman. A serious concern for the nurse working with depressed clients is the potential of suicide. The time that suicide is most likely to occur is:

A. In the acutely depressed state
B. During a manic episode
C. In the denial phase
D. When the depression starts to lift

Answer: D

Explanation:
Explanation
(A) The client may be too disorganized in the acute phase to make a workable plan. (B) When the depression starts to lift, the client is able to make a workable plan. (C) There usually is not a significant denial phase related to depression. Suicide occurs in a state of despair and hopelessness. (D) Suicide is uncommon in the manic state. In this state, clients do not feel hopeless, but euphoric and overly confident.

NEW QUESTION # 338
A female client at 30 weeks' gestation is brought into the emergency department after falling down a flight of stairs. On examination, the physician notes a rigid, boardlike abdomen; FHR in the 160s; and stable vital signs. Considering possible abdominal trauma, which obstetric emergency must be anticipated?

A. Massive uterine rupture
B. Ectopic pregnancy
C. Placenta previa
D. Abruptio placentae

Answer: D

Explanation:
(A) Abruptio placentae, the complete or partial separation of the placenta from the uterine wall, can be caused by external trauma. When hemorrhage is concealed, one sign is a rapid increase in uterine size with rigidity. (B) Ectopic pregnancy occurs when the embryo implants itself outside the uterine cavity. (C) Massive uterine rupture occurs during labor when the uterine contents are extruded through the uterine wall. It is usually due to weakness from a pre-existing uterine scar and trauma from instruments or an obstetrical intervention. (D) Placenta previa is the condition in which the placenta is implanted in the lower uterine segment and either completely or partially covers the cervical os.

NEW QUESTION # 339
A client has begun to exhibit signs of alcohol withdrawal. Her blood pressure has risen from 120/60 to
190/100, pulse is increased from 88 to 110 bpm, and she is irritable and agitated and has gross motor tremors of the hands. The nurse notifies the doctor. The nurse can anticipate that the doctor will order which of the following?

A. A phenothiazine such as chlorpromazine (Thorazine)
B. A tricyclic antidepressant such as amitriptyline (Elavil)
C. An opiate such as propoxyphene napsylate (Darvocet)
D. A benzodiazepine such as chlordiazepoxide (Librium)

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) This answer is incorrect. Benzodiazepines are drugs of choice for alcohol withdrawal. (B) This answer is correct. The drug has a sedative effect, is safe, and has an anticonvulsant effect.(C) This answer is incorrect. Amitriptyline is an antidepressant. (D) This answer is incorrect. Chlorpromazine is most effective in psychotic disorders.

NEW QUESTION # 340
Which of the following nursing orders should be included in the plan of care for a client with hepatitis C?

A. The nurse should administer an alcohol backrub at bedtime.
B. The client should be instructed to maintain a low semi-Fowler position when eating meals.
C. The nurse should use universal precautions when obtaining blood samples.
D. Total bed rest should be maintained until the client is asymptomatic.

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) The source of infection with hepatitis C is contaminated blood products. (B) Modified bed rest should be maintained while the client is symptomatic. Routine activities can be slowly resumed once the client is asymptomatic. (C) Nausea and vomiting occur frequently with hepatitis C A high Fowler position may decrease the tendency to vomit. (D) The buildup of bilirubin in the client's skin may cause pruritus. Alcohol is a drying agent.

NEW QUESTION # 341
A client delivered her first-born son 4 hours ago. She asks the nurse what the white cheeselike substance is under the baby's arms. The nurse should respond:

A. "This material, called vernix, covered the baby before it was born. It will disappear in a few days."
B. "This is a normal skin variation in newborns. It will go away in a few days."
C. "Babies sometimes have sebaceous glands that get plugged at birth. This substance is an example of that condition."
D. "Let me have a closer look at it. The baby may have an infection."

Answer: A

Explanation:
Explanation
(A) This response identifies the fact that vernix is a normal neonatal variation, but it does not teach the client medical terms that may be useful in understanding other healthcare personnel. (B) This response may raise maternal anxiety and incorrectly identifies a normal neonatal variation. (C) This response correctly identifies this neonatal variation and helps the client to understand medical terms as well as the characteristics of her newborn. (D) Blocked sebaceous glands produce milia, particularly present on the nose.

NEW QUESTION # 342
......

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