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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q44-Q49):

NEW QUESTION # 44
A 9-month-old infant visits her pediatrician for a routine visit. A developmental assessment was initiated by the nurse. Which skill would cause the nurse to be concerned about the infant's developmental progression?

A. She stands while holding onto furniture.
B. She pulls herself to her feet with help.
C. She creeps and crawls.
D. She sits briefly alone with assistance.

Answer: D

Explanation:
Section: Questions Set D
Explanation:
(A) The 9-month-old infant can sit alone for long periods. By the age of 6 months, many infants can pull themselves to a sitting position. (B, C, D) This skill represents normal development.

NEW QUESTION # 45
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. "If you do not follow the rules, you will be transferred to the closed, locked unit."
B. "It is not easy, but the rules must be followed so that everyone can get a fair chance."
C. "Break the rules, all you want, but don't get caught again!"
D. "You are not being fair to the other clients by getting them involved in your deviant behavior."

Answer: B

Explanation:
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.

NEW QUESTION # 46
A client is hyperactive and not sleeping. She will not remain at the table during mealtime. She is getting very limited calories and is using a lot of energy in her hyperactive state. The most therapeutic nursing action is to:

A. Offer to go to the dining room with her and allow her to open the food and inspect what she eats.
B. Insist that she remain at the table and eat a balanced diet.
C. Provide nutritious finger foods several times a day.
D. Order a high-calorie diet with supplements.

Answer: C

Explanation:
(A)
The client is not able to sit for long periods. Forcing her to remain at the table will increase her anxiety and cause her to become hostile. (B) This action will not ensure that the client eats what is ordered. Dietary orders are not within the nurse's scope of practice.
(C)
Providing finger foods increases the likelihood of eating for hyperactive persons. They may be eating "on the run." (D) These clients are not suspicious of the food or insecure in moving about the unit alone.

NEW QUESTION # 47
Nursing care for the parents of a child with a congenital heart defect would include:

A. Encouraging the parents not to tell the child about the seriousness of the congenital heart defect, so the child will function as normally as possible
B. Acknowledging the fear and concern surrounding their child's health and assisting the parents through the grieving process as they mourn the loss of their fantasized healthy child
C. Identifying anger and resentment as destructive emotions that serve no purpose
D. Expressing to the parents after the corrective surgery has been completed successfully that all their grief feelings will resolve

Answer: B

Explanation:
(A) It is important to discuss with parents the need to treat the child as they would any other children, but they must be truthful and honest with the child about the heart defect. As the child grows older, explanations can go into greater depth. (B) Parents of children with congenital heart defects go through a grieving process over the loss of their "healthy" child. The nurse needs to recognize these feelings and give the parents a role in the child's care when they are ready. (C) Anger and resentment are normal feelings that must be dealt with appropriately. (D) Parents may go through a second grieving process after the repair of the cardiac defect. During this grieving period, they mourn the loss of the "defective" child who now may be essentially "normal."

NEW QUESTION # 48
The most appropriate method of evaluating whether the diet of a child with cystic fibrosis is meeting his caloric needs is:

A. Keeping a strict account of the number of calories ingested
B. Keeping a careful account of the amount of pancreatic enzymes ingested
C. Careful monitoring of weight loss or gain
D. Carefully recording amounts and types of foods ingested

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) Consistent weight gain, even if it is slow, is an indication that the child is eating and digesting sufficient calories. (B) Recording how much the child eats is useful, but it is not an indicator of how well his body is using the foods consumed. (C) Counting calories will indicate how much he is eating, but it will not reflect whether or not the foods are properly digested. (D) Keeping track of the enzyme intake will indicate compliance with medication but not whether the child is getting sufficient calories.

NEW QUESTION # 49
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