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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q720-Q725):

NEW QUESTION # 720
A baby is circumcised. Immediate postoperative care should include:

A. Taking the baby to his mother for cuddling
B. Keeping the baby NPO for 4 hours to avoid vomiting
C. Applying a loose diaper
D. Changing the dressing frequently using dry, sterile gauze

Answer: A

Explanation:
Explanation
(A) A pressure diaper should be applied to discourage hemorrhage. (B) The baby can be fed by his mother soon after the procedure, once it is assessed that he is not in any distress and is stable. (C) Dressing changes should not be dry. Dry dressing will stick. (D) Cuddling after the procedure will hopefully quiet the baby.
Feeding is also important if his feeding was withheld prior to the procedure or it is time for a feeding.

NEW QUESTION # 721
A 9-year-old child was in the garage with his father, who was repairing a lawnmower. Some gasoline ignited and caused an explosion. His father was killed, and the child has split-thickness and full-thickness burns over 40% of his upper body, face, neck, and arms. All of the following nursing diagnoses are included on his care plan. Which of these nursing diagnoses should have top priority during the first 24-48 hours postburn?

A. Fluid volume deficit related to increased capillary permeability
B. Potential for infection related to contamination of wounds
C. Potential for impaired gas exchange related to edema of respiratory tract
D. Pain related to tissue damage from burns

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A, B, C) These answers are all correct; however, maintenance of airway is the top priority. (D) Persons burned about the face and neck during an explosion are also likely to suffer burns of the respiratory tract, which can lead to edema and respiratory arrest.

NEW QUESTION # 722
A 23-year-old male client is admitted to the chemical dependency unit with a medical diagnosis of alcoholism. He reports that the last time he drank was 3 days ago, and that now he is starting to "feel kind of shaky." Based on the information given above, nursing care goals for this client will initially focus on:

A. Ineffective coping skills
B. Self-concept problems
C. Interpersonal issues
D. Physiological stabilization

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) Self-concept and self-esteem problems may emerge during the client's treatment, but these are not immediate concerns. (B) Interpersonal issues may become evident during the course of the client's treatment, but these are also not immediate areas of concern. (C) Improving individual coping skills is generally a primary focus in the treatment and nursing care of persons with substance abuse problems.
However, this is still not the immediate concern in this client situation. (D) Correction of fluid and electrolyte status and vitamin deficiencies, as well as prevention of delirium, is the immediate concern in the care of this client.

NEW QUESTION # 723
A 67-year-old client will be undergoing a coronary arteriography in the morning. Client teaching about postprocedure nursing care should include that:

A. The leg used for arterial puncture should be keptstraight for 8-12 hours
B. Some oozing of blood at the arterial puncture site is normal
C. Bed rest with bathroom privileges will be ordered
D. He will be kept NPO for 8-12 hours

Answer: A

Explanation:
Explanation
(A) Bed rest will be ordered for 8-12 hours postprocedure. Flexing of the leg at the arterial puncture site will occur if the client gets out of bed, and this is contraindicated after arteriography. (B) The client will be able to eat as soon as he is alert enough to swallow safely and that will depend on what medications areused for sedation during the procedure. (C) Oozing at the arterial puncture site is not normal and should be closely evaluated. (D) The leg where the arterial puncture occurred must be kept straight for 8-12 hours to minimize the risk of bleeding.

NEW QUESTION # 724
An 80-year-old widow is living with her son and daughter- in-law. The home health nurse has been making weekly visits to draw blood for a prothrombin time test. The client is taking 5 mg of coumadin per day. She appears more debilitated, and bruises are noted on her face. Elder abuse is suspected. Which of the following are signs of persons who are at risk for abusing an elderly person?

A. A lifelong friend of the client who is often confused
B. A family member who is having marital problems and is regularly abusing alcohol
C. A person with adequate communication and coping skills who is employed by the family
D. A friend of the family who wants to help but is minimally competent

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) This answer is correct. Two risk factors are identified in this answer. (B) This answer is incorrect.
Persons at risk tend to lack communication skills and effective coping patterns. (C) This answer is incorrect. Persons at risk are usually family members or those reluctant to provide care. (D) This answer is incorrect. This individual has a vested interest in providing care.

NEW QUESTION # 725
......

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