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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q465-Q470):

NEW QUESTION # 465
As the nurse assesses a male adolescent with chlamydia, the nurse determines that a sign of chlamydia is:

A. Epididymitis
B. Enlarged penis
C. Secondary lymphadenitis
D. Hepatomegaly

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) An enlarged penis is not a sign of chlamydia. (B) Secondary lymphadenitis is a complication of lymphogranuloma venereum. (C) Untreated chlamydial infection can spread from the urethra, causing epididymitis, which presents as a tender, scrotal swelling. (D) Hepatomegaly is not a complication.

NEW QUESTION # 466
A 45-year-old client has a permanent colostomy. Which of the following foods should he avoid?

A. Corn beef and cabbage and boiled potatoes
B. Peanut butter and jelly sandwich and milk
C. Tuna on whole-wheat bread and iced tea
D. Oatmeal, whole-wheat toast, and milk

Answer: A

Explanation:
Explanation
(A, C, D) These foods are allowed with a colostomy. (B) Gasforming foods such as cabbage should be avoided.

NEW QUESTION # 467
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. "No, but you must be able to ride on a stationary bicycle while the test is being performed."
B. "Your physician has ordered medicine, which you will be given before you go for the test, which will make you sleepy."
C. "No, but you will have to lie still and the gel that is used may be cool."
D. "Yes, but your physician will be there and will order pain medicine for you."

Answer: C

Explanation:
Explanation/Reference:
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 # 468
The nurse is caring for a client with pancreatitis. Which of the following IV medications would the nurse expect the physician to prescribe for control of pain in this client?

A. Meperidine (Demerol)
B. Promethazine (Phenergan)
C. Morphine sulfate
D. Kerolac tromethamine (Toradol)

Answer: A

Explanation:
(A) Morphine sulfate is contraindicated in clients with pancreatitis because it may cause spasms of the sphincter of Oddi and increase pancreatic pain. (B) Ketorolac tromethamine is currently not approved by the Food and Drug Administration for IV use. (C) Promethazine is a medication that has no analgesic properties. (D) Meperidine is the drug of choice for clients with pancreatitis. It will not cause spasms at the sphincter of Oddi, which can lead to increased pancreatic pain.

NEW QUESTION # 469
The most appropriate method of evaluating whether the diet of a child with cystic fibrosis is meeting his caloric needs is:

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

Answer: C

Explanation:
Section: Questions Set D
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 # 470
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