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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q156-Q161):

NEW QUESTION # 156
A client is taught to eat foods high in potassium. Which food choices would indicate that this teaching has been successful?

A. Chicken breast, rice, and green beans
B. Roast beef, baked potato, and diced carrots
C. Pork chop, baked acorn squash, brussel sprouts
D. Tuna casserole, noodles, and spinach

Answer: C

Explanation:
(A) Both acorn squash and brussels sprouts are potassium-rich foods. (B) None of these foods is considered potassium rich. (C) Only the baked potato is a potassium-rich food. (D) Spinach is the only potassium-rich food in this option.

NEW QUESTION # 157
What specific hormone must be present in serum or urine laboratory tests used to diagnose pregnancy?

A. Estrogen
B. Sphingomyelin
C. Human chorionic gonadotropin
D. -fetoprotein

Answer: C

Explanation:
(A) Human chorionic gonadotropin is the biochemical basis for pregnancy tests. It is produced by the placenta to help maintain the corpus luteum. Its levels climb rapidly following conception, peaking at about 8 weeks and then gradually decreasing to low levels after 16 weeks. (B) Estrogen does steadily rise throughout pregnancy, increasing to 30 times that of prepregnancy levels. Although estrogen levels do change during pregnancy, it is not used as the main hormone of evaluation in pregnancy tests. (C) -Fetoprotein is the major protein in the serum of theembryo. It is initially produced by the yolk sac. (D) Lecithin and sphingomyelin are two phospholipids of which fetal lung surfactant is composed. Levels are evaluated to determine fetal lung maturity.

NEW QUESTION # 158
A dose of theophylline may need to be altered if a client with COPD:

A. Is concurrently on cimetidine for ulcers
B. Is allergic to morphine
C. Has a history of arthritis
D. Operates machinery

Answer: A

Explanation:
Explanation
(A) The effects of morphine or an allergic response to the drug will not affect theophylline clearance. (B) Xanthines are used cautiously in clients with severe cardiac disease, liver disease, cor pulmonale, hypertension, or hyperthyroidism. Arthritis does not influence the dosage of theophylline. (C) Theophylline does not cause sedation or drowsiness. Conversely, its side effects may be exhibited by central nervous system stimulation. (D) Cimetidine decreases theophylline clearance from the system and increases theophylline levels in the blood, thus increasing the risk of toxicity.

NEW QUESTION # 159
An 11-year-old boy has received a partial-thickness burn to both legs. He presents to the emergency room approximately 15 minutes after the accident in excruciating pain with charred clothing to both legs. What is the first nursing action?

A. Apply ice packs to both legs.
B. Immerse both legs in cool water.
C. Apply Silvadene cream (silver sulfadiazine).
D. Begin debridement by removing all charred clothing from wound.

Answer: B

Explanation:
(A)
Ice creates a dramatic temperature change in the tissue, which can cause further thermal injury. (B) Charred clothing should not be removed from wound first. This creates further tissue damage. Debridement is not the first nursing action. (C) Applying silver sulfadiazine cream first insulates heat in injured tissue and increases potential for infection.
(D)
Emergency care of a thermal burn is immersing both legs in cool water. Cool water permits gradual temperature change and prevents further thermal damage.

NEW QUESTION # 160
A client with a C-3-4 fracture has just arrived in the emergency room. The primary nursing intervention is:

A. Stabilization of the cervical spine
B. Confirmation of spinal cord injury
C. Airway assessment and stabilization
D. Normalization of intravascular volume

Answer: C

Explanation:
Section: Questions Set A
Explanation:
(A) If cervical spine injury is suspected, the airway should be maintained using the jaw thrust method that also protects the cervical spine. (B) Primary intervention is protection of the airway and adequate ventilation. (C, D) All other interventions are secondary to adequate ventilation.

NEW QUESTION # 161
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