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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q418-Q423):

NEW QUESTION # 418
A 17-year-old client has a T-4 spinal cord injury. At present, he is learning to catheterize himself. When he says, "This is too much trouble. I would rather just have a Foley.'' An appropriate response for the RN teaching him would be:

A. "You need to learn this because your doctor ordered it.''
B. "It is not too much trouble. This is the best way to manage urination.''
C. "I know. It is a lot to learn. In the long run, though, you will be able to reduce infections if you do an intermittent catheterization program.''
D. "OK. I'll ask your physician if we can replace the Foley.''

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) This response acknowledges the client's feelings, gives him factual information, and acknowledges that the final decision is his. (B) This response is judgmental and discourages the client from expressing his feelings about the procedure. (C) Catheterization is a procedure thattakes time to learn, but which, for the spinal cord-injured client, can significantly reduce the incidence of urinary tract infections. A young client with a T-4 injury has the hand function to learn this procedure fairly easily. (D) The final decision about bladder elimination management ultimately rests with the client and not the physician.

NEW QUESTION # 419
A client confides to the nurse that he tasted poison in his evening meal. This would be an example of what type of hallucination?

A. Visceral
B. Auditory
C. Gustatory
D. Olfactory

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) Auditory hallucinations involve sensory perceptions of hearing. (B) Gustatory hallucinations involve sensory perceptions of taste. (C) Olfactory hallucinations involve sensory perceptions of smell. (D) Visceral hallucinations involve sensory perceptions of sensation.

NEW QUESTION # 420
A client had a myocardial infarction 5 days ago. His physician has ordered an echocardiogram to determine how his myocardial infarction has affected his ventricular wall motion. When the client asks if this test is painful, an appropriate response is:

A. "Yes, but your physician will be there and will order pain medicine for you."
B. "No, but you must be able to ride on a stationary bicycle while the test is being performed."
C. "Your physician has ordered medicine, which you will be given before you go for the test, which will make you sleepy."
D. "No, but you will have to lie still and the gel that is used may be cool."

Answer: D

Explanation:
Section: Questions Set C
Explanation:
(A) Riding a stationary bicycle or walking on a treadmill is done during a stress test. (B) During an echocardiogram, the client must lie supine while a technician performs the test. To perform the test, the technician uses a conductive gel and a transducer to obtain ultrasound tracings of the heart. (C) A physician need not be present during an echocardiogram, and it is neither invasive nor painful. (D) There is no premedication required for an echocardiogram.

NEW QUESTION # 421
The physician has prescribed metoclopramide (Reglan). When assessing the client, the nurse would expect to find which of the following responses?

A. Drowsiness
B. Increase in peristalsis
C. Disorientation
D. Increase in gastric secretions

Answer: B

Explanation:
(A) Metoclopramide does not stimulate gastric secretions. (B) This response is expected with metoclopramide, in addition to increasing gastric emptying. (C) Disorientation is a symptom of metoclopramide overdose. The drug should be discontinued. (D) Drowsiness is a symptom of metoclopramide overdose and the drug should be discontinued.

NEW QUESTION # 422
A 16-year-old client with anorexia nervosa is on an inpatient psychiatric unit. She has a fear of gaining weight and is refusing to eat sufficient amounts to maintain body weight for her age, height, and stature. To assist with the problem of powerlessness and plan for the client to no longer need to withhold food to feel in control, the nurse uses the following strategy:

A. Do frequent room checks to be sure that the client is not hiding food or throwing it away.
B. Distract the client during meals to get her to eat because she must take in sufficient amounts to keep from starving.
C. Listen attentively and participate in in-depth discussions about food, because these actions may encourage her to eat.
D. Establish a structured environment with routine tasks and activities. Also, serve meals at the same time each day.

Answer: D

Explanation:
Section: Questions Set C
Explanation:
(A) Anorexia nervosa clients feel out of control. Providing a structured environment offers safety and comfort and can help them to develop internal control, thus reducing their need to control by self-starvation. (B) Distraction does not focus on the client's need for control. (C) Doing frequent room checks reinforces feelings of powerlessness and the need to continue with the dysfunctional behavior. (D) Participating in long discussions about food does not make the client want to eat, but rather this strategy allows her to indulge in her preoccupation and to continue with the dysfunctional behavior.

NEW QUESTION # 423
......

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