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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q455-Q460):

NEW QUESTION # 455
A 56-year-old psychiatric inpatient has had recurring episodes of depression and chronic low self-esteem. She feels that her family does not want her around, experiences a sense of helplessness, and has a negative view of herself. To assist the client in focusing on her strengths and positive traits, a strategy used by the nurse would be to:

A. Increase the client's self-esteem by asking that she make all decisions regarding attendance in group activities
B. Not allow any dependent behaviors by the client because she must learn independence and will have to ask for any assistance from staff
C. Encourage or direct client to attend activities that offer simple methods to attain success
D. Tell the client to attend all structured activities on the unit

Answer: C

Explanation:
(A) The nurse should encourage activities gradually, as client's energy level and tolerance for shared activities improve. (B) Activities that focus on strengths and accomplishments, with uncomplicated tasks, minimize failure and increase self-worth. (C) Asking a client to set a goal to make all decisions about attending group activities is unrealistic, and such decisions are not always under the client's control; this sets up the client for further failure and possibly decreased self-worth. (D) Encouragement toward independence does promote increased feelings of selfworth; however, clients may need assistance with decision making and problem solving for various situations and on an individual basis.

NEW QUESTION # 456
A client is pregnant for the fourth time and has had three normal vaginal deliveries. She is in active labor and fully dilated. Suddenly she calls, "Nurse, the baby is coming." As the nurse responds to her call, which one of the following observations should the nurse make first?

A. Time the contractions.
B. Inspect the perineum.
C. Prepare a sterile area for delivery.
D. Auscultate for fetal heart rate (FHR).

Answer: B

Explanation:
Explanation
(A) The nurse must assess the labor status to determine if birth is imminent. The nurse may note perineal bulging, crowning, or birth of the head to ascertain labor status. (B) Assessing uterine contractions is one intervention to ascertain labor status. Based on the client's cry, it is not the intervention of choice. (C) If delivery of the infant is imminent, preparing a clean or sterile area for delivery is appropriate, but labor status must be established, whether delivery is imminent, by perineal assessment. (D) Assessing FHR is one intervention to ascertain fetal well-being. Based on the client's cry, this is not the intervention of choice.

NEW QUESTION # 457
A schizophrenic client who is experiencing thoughts of having special powers states that "I am a messenger from another planet and can rule the earth." The nurse assesses this behavior as:

A. Delusions of grandeur
B. Delusions of persecution
C. Thought broadcasting
D. Ideas of reference

Answer: A

Explanation:
Explanation
(A) Clients experiencing ideas of reference believe that information from the environment (e.g., the television) is referring to them. (B) Clients experiencing delusions of persecution believe that others in the environment are plotting against them. (C) Clients experiencing thought broadcasting perceive that others can hear their thoughts. (D) Clients experiencing delusions of grandeur think that they are omnipotent and have superhuman powers.

NEW QUESTION # 458
Which of the following nursing actions is essential to prevent drug-resistant tuberculosis?

A. Assess knowledge of respiratory isolation.
B. Monitor compliance with drug therapy.
C. Monitor liver function.
D. Monitor renal function.

Answer: B

Explanation:
Section: Questions Set D
Explanation:
(A) Monitoring liver function will not prevent the development of drug-resistant organisms. (B) Monitoring renal function will not prevent the development of drug-resistant organisms. (C) Knowledge of respiratory isolation will reduce transmission of tuberculosis but will not prevent development of drug-resistant organisms. (D) Noncompliance with prescribed antituberculosis drug regimen is the primary cause of drug-resistant organisms. Noncompliance permits the mutation of organisms.

NEW QUESTION # 459
A client with severe PIH receiving MgSO4 is placed in a quiet, darkened room. The nurse bases this action on the following understanding:

A. Noise or bright lights may precipitate a convulsion.
B. External stimuli are annoying to the client with PIH.
C. The elevated blood pressure causes photophobia.
D. The client is restless.

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) The client may be anxious and hyperresponsive to stimuli but not necessarily restless. (B) This is not a physiological response to an elevated blood pressure in PIH. (C) The nurse must know the nursing measures that decrease the potential for convulsions. A quiet, darkened room decreases stimuli and promotes rest. (D) External stimuli might induce a convulsion but are not annoying to the client with PIH.

NEW QUESTION # 460
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