NCLEX NCLEX-RN Latest Exam Vce | Real NCLEX-RN Exam Questions

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NCLEX NCLEX-RN Exam Syllabus Topics:

SectionWeightObjectives
Health Promotion and Maintenance6-12%- Health Promotion and Maintenance
  • 1. Health Promotion Programs
  • 2. Disease Prevention
  • 3. Prenatal, Intrapartum and Postpartum Care
  • 4. Growth and Development
  • 5. Newborn Care
  • 6. Health Screening
  • 7. Aging Process
Basic Care and Comfort6-12%- Basic Care and Comfort
  • 1. Rest and Sleep
  • 2. Personal Hygiene
  • 3. Assistive Devices
  • 4. Elimination
  • 5. Activities of Daily Living
  • 6. Mobility and Immobility
  • 7. Nutrition and Oral Hydration
Safety and Infection Control10-16%- Safety and Infection Control
  • 1. Safe Use of Equipment
  • 2. Security Plans
  • 3. Emergency Response Planning
  • 4. Handling Hazardous Materials
  • 5. Standard and Transmission-Based Precautions
  • 6. Infection Prevention and Control
  • 7. Accident and Injury Prevention
  • 8. Home Safety
Pharmacological and Parenteral Therapies13-19%- Pharmacological and Parenteral Therapies
  • 1. Medication Administration
  • 2. Central Venous Access Devices
  • 3. Expected Actions and Outcomes
  • 4. Dosage Calculations
  • 5. Parenteral Therapies
  • 6. Adverse Effects and Contraindications
  • 7. Blood and Blood Products
Psychosocial Integrity6-12%- Psychosocial Integrity
  • 1. Substance Use Disorders
  • 2. Therapeutic Communication
  • 3. Coping Mechanisms
  • 4. Behavioral Interventions
  • 5. Support Systems
  • 6. Crisis Intervention
  • 7. Mental Health Concepts
  • 8. Family Dynamics
Management of Care15-21%- Management of Care
  • 1. Ethical Practice
  • 2. Collaboration with Interdisciplinary Team
  • 3. Priority Setting
  • 4. Legal Rights and Responsibilities
  • 5. Informed Consent
  • 6. Assignment, Delegation and Supervision
  • 7. Confidentiality and Information Security
  • 8. Case Management
  • 9. Client Rights
  • 10. Advance Directives
  • 11. Performance Improvement and Quality Assurance
  • 12. Advocacy
  • 13. Continuity of Care
Physiological Adaptation11-17%- Physiological Adaptation
  • 1. Medical Emergencies
  • 2. Fluid and Electrolyte Imbalances
  • 3. Hemodynamics
  • 4. Alterations in Body Systems
  • 5. Unexpected Response to Therapies
  • 6. Pathophysiology
Reduction of Risk Potential9-15%- Reduction of Risk Potential
  • 1. Monitoring and Assessment
  • 2. Changes in Vital Signs
  • 3. System-Specific Assessments
  • 4. Diagnostic Tests
  • 5. Therapeutic Procedures
  • 6. Potential Complications

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q738-Q743):

NEW QUESTION # 738
The mother of a client is apprehensive about taking home her 2 year old who was diagnosed with asthma after being admitted to the emergency room with difficulty breathing and cyanosis. She asks the nurse what symptoms she should look for so that this problem will not happen again. The nurse instructs her to watch for the following early symptoms:

Answer: A

Explanation:
Explanation
(A) The child with asthma may not have fever unless there is an underlying infection. (B) Edema of the eyes will not be present because the child with asthma is more likely to have dehydration related to excessive water loss during the work of breathing. (C) All of these symptoms indicate decreased oxygenation and are early symptoms of asthma. (D) Coughing and wheezing are not early signs of difficulty.


NEW QUESTION # 739
The physician prescribes amitriptyline (Elavil) for a client. What does the patient need to know about this medication?

Answer: D

Explanation:
(A) Phenothiazines cause extrapyramidal symptoms. (B) No amount of medication can relieve all anxiety in all cases. (C) The purpose of amitriptyline is to relieve the symptoms of depression because it is an antidepressant. It increases the action of norepinephrine and serotonin on nerve cells. (D) Periodic blood tests are done when lithium is prescribed.


NEW QUESTION # 740
An IDDM client's condition stabilizes. He begins to receive a daily injection of NPH insulin at 6:30 AM. The nurse can most likely expect a hypoglycemic reaction to occur that same day at:

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) This time describes the time of onset of NPH insulin's action, rather than its peak effect. (B) NPH insulin, an intermediateacting insulin, usually begins to lower serum glucose levels about 2 hours after administration. The action of NPH insulin peaks 8-14 hours after administration. It has a 20-30 hour duration. (C) The time stated is not the time of peak action for NPH insulin administered at 6:30 AM. (D) The time stated is not the time of peak action for NPH insulin administered at 6:30 AM.


NEW QUESTION # 741
A male client has asthma and his physician has prescribed beclomethasone (Vanceril) 3 puffs tid in addition to his other medications. After taking his beclomethasone, the client should be instructed to:

Answer: C

Explanation:
Explanation
(A) Inhalers should be cleaned once a day. They should be taken apart, washed in warm water, and dried according to manufacturer's instructions. Soaking in bleach is inappropriate. (B) A common side effect of inhaled steroid preparations is oral candidal infection. This can be prevented by drinking a glass of water or gargling after using a steroid inhaler. (C) There is nothing wrong with sitting and resting after using a steroid inhaler, but it is not necessary. (D) If a person is using a steroid inhaler as well as a bronchodilator inhaler, the bronchodilator shouldalways be used first. The reason for this is that the bronchodilator opens up the person's airways so that when the steroid inhaler is used next, there will be better distribution of medication.


NEW QUESTION # 742
Azulfidine (Sulfasalazine) may be ordered for a client who has ulcerative colitis. Which of the following is a nursing implication for this drug?

Answer: D

Explanation:
(A) Fluids up to 2500-3000 mL/day are needed to prevent kidney stones. (B) The client should be instructed to take oral preparations with meals or snacks to lessen gastric irritation. (C) Sulfasalazine causes skin rash and diarrhea. (D) Blood pressure and pulse are not altered by sulfasalazine.


NEW QUESTION # 743
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