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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q698-Q703):

NEW QUESTION # 698
A 14-year-old boy has a head injury with laceration of his scalp over his ear. The nurse should call the physician to report:

A. Pulse rate ranges between 68 bpm and 76 bpm
B. Blood pressure increase from 100/80 to 115/85 after lunch
C. Temperature rise to 102_F rectally
D. Headache that is unresponsive to acetaminophen (Tylenol)

Answer: C

Explanation:
Explanation
(A) This change in blood pressure may not be significant and does not indicate a widening pulse pressure, a late sign of increased ICP. It is important to continue to monitor for change in blood pressure. (B) Acetaminophen may be ineffective in relieving headache after head injury. Stronger analgesics are contraindicated because they mask neurological signs and may depress the CNS. (C) Pulse rates between 68 bpm and 76 bpm are within normal limits for a 14-year-old child. It is important to monitor for a consistent drop in pulse rate, which is a late sign of increasing ICP. (D) An elevated temperature is abnormal and requires further assessment and medical intervention. The temperature may be unrelated to the head injury, but CNS infection is serious and difficult to control.

NEW QUESTION # 699
After 3 weeks of treatment, a severely depressed client suddenly begins to feel better and starts interacting appropriately with other clients and staff. The nurse knows that this client has an increased risk for:

A. Exacerbation of depressive symptoms
B. Suicide
C. Violence toward others
D. Psychotic behavior

Answer: B

Explanation:
Explanation
(A) When the severely depressed client suddenly begins to feel better, it often indicates that the client has made the decision to kill himself or herself and has developed a plan to do so. (B) Improvement in behavior is not indicative of an exacerbation of depressive symptoms. (C) Thedepressed client has a tendency for self-violence, not violence toward others. (D) Depressive behavior is not always accompanied by psychotic behavior.

NEW QUESTION # 700
A male client receives 10 U of regular human insulin SC at 9:00 AM. The nurse would expect peak action from this injection to occur at:

A. 9:30 AM
B. 10:30 AM
C. 4:00 PM
D. 12 noon

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) This is too early for peak action to occur. (B) This is too early for peak action to occur. (C) Regular insulin peak action occurs 2-4 hours after administration. (D) This is too late for peak action to occur.

NEW QUESTION # 701
A 15-year-old client is admitted to the adolescent unit. The nurse recognizes that encouraging a client to speak openly depends on how clearly questions are phrased. Which of the following statements is most desirable in eliciting information from an adolescent client?

A. "Do you communicate with your parents?"
B. "You don't hate your family, do you?"
C. "Do you get along well with your family?"
D. "What is it like between you and your family?"

Answer: D

Explanation:
Explanation
(A, B) This statement can be answered with a simple yes or no. (C) This statement is asked in a negative manner and therefore has a negative connotation. (D) This statement is open ended and positively stated.

NEW QUESTION # 702
A 49-year-old obese woman has been admitted to the general surgery unit with choledocholithiasis. As the nurse is admitting her to the unit, she states, "The doctor said I have stones that need to be removed; where are they?" The nurse knows that the best explanation for this is to tell her that:

A. There are stones present in her common bile duct
B. There are stones present in her gallbladder
C. There are stones present in her kidneys
D. There are no stones, but her gallbladder is irritated and caused her nausea, vomiting, and pain

Answer: A

Explanation:
(A)Cholelithiasisis the correct term used to describe the presence of stones in the gallbladder. (B)Nephrolithiasis,orrenal calculi,is the correct term used to describe the presence of stones in the kidney. (C)Choledocholithiasisis the correct term used to describe the presence of stones in the common bile duct. (D)Cholecystitisis the correct term used to describe inflammation of the gallbladder and can be associated with cystic duct obstructions from impacted stones.

NEW QUESTION # 703
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