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NCLEX NCLEX-RN Exam Syllabus Topics:

SectionWeightObjectives
Reduction of Risk Potential9-15%- Reduction of Risk Potential
  • 1. Changes in Vital Signs
  • 2. Diagnostic Tests
  • 3. Monitoring and Assessment
  • 4. Potential Complications
  • 5. Therapeutic Procedures
  • 6. System-Specific Assessments
Pharmacological and Parenteral Therapies13-19%- Pharmacological and Parenteral Therapies
  • 1. Expected Actions and Outcomes
  • 2. Medication Administration
  • 3. Adverse Effects and Contraindications
  • 4. Blood and Blood Products
  • 5. Parenteral Therapies
  • 6. Central Venous Access Devices
  • 7. Dosage Calculations
Safety and Infection Control10-16%- Safety and Infection Control
  • 1. Home Safety
  • 2. Emergency Response Planning
  • 3. Standard and Transmission-Based Precautions
  • 4. Handling Hazardous Materials
  • 5. Infection Prevention and Control
  • 6. Accident and Injury Prevention
  • 7. Safe Use of Equipment
  • 8. Security Plans
Health Promotion and Maintenance6-12%- Health Promotion and Maintenance
  • 1. Growth and Development
  • 2. Prenatal, Intrapartum and Postpartum Care
  • 3. Disease Prevention
  • 4. Newborn Care
  • 5. Aging Process
  • 6. Health Screening
  • 7. Health Promotion Programs
Psychosocial Integrity6-12%- Psychosocial Integrity
  • 1. Therapeutic Communication
  • 2. Crisis Intervention
  • 3. Mental Health Concepts
  • 4. Coping Mechanisms
  • 5. Family Dynamics
  • 6. Support Systems
  • 7. Substance Use Disorders
  • 8. Behavioral Interventions
Basic Care and Comfort6-12%- Basic Care and Comfort
  • 1. Nutrition and Oral Hydration
  • 2. Elimination
  • 3. Activities of Daily Living
  • 4. Mobility and Immobility
  • 5. Personal Hygiene
  • 6. Rest and Sleep
  • 7. Assistive Devices
Physiological Adaptation11-17%- Physiological Adaptation
  • 1. Medical Emergencies
  • 2. Unexpected Response to Therapies
  • 3. Hemodynamics
  • 4. Fluid and Electrolyte Imbalances
  • 5. Alterations in Body Systems
  • 6. Pathophysiology
Management of Care15-21%- Management of Care
  • 1. Client Rights
  • 2. Confidentiality and Information Security
  • 3. Advocacy
  • 4. Case Management
  • 5. Collaboration with Interdisciplinary Team
  • 6. Priority Setting
  • 7. Advance Directives
  • 8. Performance Improvement and Quality Assurance
  • 9. Legal Rights and Responsibilities
  • 10. Informed Consent
  • 11. Ethical Practice
  • 12. Continuity of Care
  • 13. Assignment, Delegation and Supervision

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q130-Q135):

NEW QUESTION # 130
A 40-year-old client is admitted to the hospital for tests to diagnose cancer. Since his admission, he has become dependent and demanding to the nursing staff. The nurse identifies this behavior as which defense mechanism?

Answer: B

Explanation:
(A) Denial is the disowning of consciously intolerable thoughts. (B) Displacement is the referring of a feeling or emotion from one person, object, or idea to another. (C) Regression is returning to an earlier stage of development. (D) Projection is attributing one's own thoughts, feelings, or impulses to another person.


NEW QUESTION # 131
A 48-year-old female client is going to have a cholecystectomy in the morning. In planning for her postoperative care, the nurse is aware that a priority nursing diagnosis for her will be high risk for:

Answer: A

Explanation:
(A) The client may have a knowledge deficit, but reducing the risk for knowledge deficit is not a priority nursing diagnosis postoperatively. (B) The client will have a Foley catheter for a day or two after surgery. Urinary retention is usually not a problem once the Foley catheter is removed. (C) A client having a cholecystectomy should not be physically impaired. In fact, the client is encouraged to begin ambulating soon after surgery. (D) Because of the location of the incision, the client having a cholecystectomy is reluctant to breathe deeply and is at risk for developing pneumonia. These clients have to be reminded and encouraged to take deep breaths.


NEW QUESTION # 132
A burn victim's immunization history is assessed by the nurse. Which immunization is of priority concern?

Answer: C

Explanation:
Explanation
(A) Oral poliovirus vaccine is given to prevent polio. Polio is transmitted by direct contact with an infected person. (B) Inactivated poliovirus vaccine is given to adults and immunosuppressed individuals. Polio is transmitted by direct contact with an infected person. (C) Tetanus toxoid prevents tetanus. Tetanus is transmitted through contaminated wounds. (D) Hepatitis B vaccine prevents hepatitis B infection. Hepatitis B is transmitted through contact with infected blood or body fluids.


NEW QUESTION # 133
A client was admitted to the hospital after falling in her home. At the time of admission, her blood alcohol level was 0.27 mg%. Her family indicates that she has been drinking a fifth of vodka a day for the past 9 months.
She had her last drink 30 minutes prior to admission. Alcohol withdrawal symptoms would most likely be exhibited by her:

Answer: C

Explanation:
Section: Questions Set D
Explanation:
(A) This answer is incorrect. Alcohol withdrawal usually begins approximately 6-8 hours after the last drink. (B) This answer is correct. It takes approximately 6-8 hours for metabolism of alcohol. (C) This answer is incorrect.
The alcohol is still in the system, as indicated by the high blood alcohol level. (D) This answer is incorrect.
Symptoms of alcohol withdrawal usually begin within 6-8 hours of the last drink.


NEW QUESTION # 134
When interviewing parents who are suspected of child abuse, the nurse would use which of the following interview techniques?

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) The nurse must be honest, direct, professional, and attentive in her interview to gain the parent's trust.
(B) The nurse should approach the parents in private, away from the child. (C) Asking them to relive and evaluate the situation may be looked at as placing blame on the parents for the child's "accident." At this point, the parents may get defensive and stop communicating. (D) Although you may call child protective services, the nurse should inform the parents of their responsibility to do this and explain the process to them.


NEW QUESTION # 135
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