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| Section | Weight | Objectives |
|---|
| Safe and Effective Care Environment | 26–38% | - Management of Care
- 1. Quality Improvement
- 2. Advocacy
- 3. Client Rights
- 4. Legal Responsibilities
- 5. Delegation and Prioritization
- 6. Case Management
- 7. Ethical Practice
- 8. Continuity of Care
- Safety and Infection Control
- 1. Accident Prevention
- 2. Use of Restraints and Safety Devices
- 3. Infection Control
- 4. Standard Precautions
- 5. Hazardous Materials Handling
- 6. Error Prevention
|
| Health Promotion and Maintenance | 6–12% | - Health Promotion Programs - Developmental Stages and Transitions - Disease Prevention and Health Screening - Aging Process - Physical Assessment Techniques - Self-Care - Antepartum, Intrapartum, Postpartum and Newborn Care
|
| Psychosocial Integrity | 6–12% | - Therapeutic Communication - End-of-Life Support - Grief and Loss - Chemical Dependency and Substance Use Disorders - Coping Mechanisms - Mental Health Concepts - Behavioral Interventions - Family Dynamics
|
| Physiological Integrity | 43–67% | - Physiological Adaptation
- 1. Hemodynamics
- 2. Respiratory Care
- 3. Pathophysiology
- 4. Fluid and Electrolyte Imbalances
- 5. Illness Management
- 6. Medical Emergencies
- Basic Care and Comfort
- 1. Mobility and Immobility
- 2. Non-pharmacological Comfort Interventions
- 3. Personal Hygiene
- 4. Elimination
- 5. Assistive Devices
- 6. Nutrition and Oral Hydration
- Reduction of Risk Potential
- 1. Laboratory Values
- 2. Diagnostic Tests
- 3. Potential for Complications
- 4. Vital Signs
- 5. Therapeutic Procedures
- Pharmacological and Parenteral Therapies
- 1. Pharmacological Pain Management
- 2. Dosage Calculation
- 3. Medication Administration
- 4. Adverse Effects and Contraindications
- 5. IV Therapy and Blood Products
|
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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q351-Q356):
NEW QUESTION # 351
A complication for which the nurse should be alert following a liver biopsy is:
- A. Ascites
- B. Jaundice
- C. Shock
- D. Hepatic coma
Answer: C
Explanation:
(A) Hepatic coma may occur in liver disease due to the increased NH3levels, not due to liver biopsy. (B) Jaundice may occur due to increased bilirubin levels, not due to liver biopsy. (C) Ascites would occur due to portal hypertension, not due to liver biopsy. (D) Hemorrhage and shock are the most likely complications after liver biopsy because of already existing bleeding tendencies in the vascular makeup of the liver.
NEW QUESTION # 352
In assisting preconceptual clients, the nurse should teach that the corpus luteum secretes progesterone, which thickens the endometrial lining in which of the phases of the menstrual cycle?
- A. Proliferative phase
- B. Menstrual phase
- C. Ischemic phase
- D. Secretory phase
Answer: D
Explanation:
(A) Menses occurs during the menstrual phase, during which levels of both estrogen and progesterone are decreased. (B) The ovarian hormone responsible for the proliferative phase, during which the uterine endometrium enlarges, is estrogen. (C) The ovarian hormone responsible for the secretory phase is progesterone, which is secreted by the corpus luteum and causes marked swelling in the uterine endometrium. (D) The corpus luteum begins to degenerate in the ischemic phase, causing a fall in both estrogen and progesterone.
NEW QUESTION # 353
The primary reason that an increase in heart rate (100 bpm) detrimental to the client with a myocardial infarction (MI) is that:
- A. Decreased contractile strength will occur due to decreased filling time
- B. Stroke volume and blood pressure will drop proportionately
- C. Systolic ejection time will decrease, thereby decreasing cardiac output
- D. Decreased coronary artery perfusion due to decreased diastolic filling time will occur, which will increase ischemic damage to the myocardium
Answer: D
Explanation:
(A) Decreased stroke volume and blood pressure will occur secondary to decreased diastolic filling. (B) Tachycardia primarily decreases diastole; systolic time changes very little. (C) Contractility decreases owing to the decreased filling time and decreased time for fiber lengthening. (D) Decreased O2 supply due to decreased time for filling of the coronary arteriesincreases ischemia and infarct size. Tachycardia primarily robs the heart of diastolic
time, which is the primary time for coronary artery filling.
NEW QUESTION # 354
A male client has asthma and his physician has prescribed beclomethasone (Vanceril) 3 puffs tid in addition to his other medications. After taking his beclomethasone, the client should be instructed to:
- A. Drink a glass of water
- B. Use his bronchodilator inhaler
- C. Clean his inhaler with warm water and soak it in a 10% bleach solution
- D. Sit and rest
Answer: A
Explanation:
(A) Inhalers should be cleaned once a day. They should be taken apart, washed in warm water, and dried according to manufacturer's instructions. Soaking in bleach is inappropriate. (B) A common side effect of inhaled steroid preparations is oral candidal infection. This can be prevented by drinking a glass of water or gargling after using a steroid inhaler. (C) There is nothing wrong with sitting and resting after using a steroid inhaler, but it is not necessary. (D) If a person is using a steroid inhaler as well as a bronchodilator inhaler, the bronchodilator shouldalways be used first. The reason for this is that the bronchodilator opens up the person's airways so that when the steroid inhaler is used next, there will be better distribution of medication.
NEW QUESTION # 355
A male client was involved in a motor vehicle accident earlier in the day. The nurse caring for him on evenings notices that on admission to the hospital, he lost a lot of blood and required multiple blood transfusions. The nurse would anticipate which blood product would be ordered when a large blood loss has occurred?
- A. Fresh frozen plasma
- B. Platelets
- C. Whole blood
- D. Packed red blood cells
Answer: C
Explanation:
Explanation
(A) Whole blood is the transfusion component of choice when large volumes of blood need to be replaced.
Whole blood contains all blood components that are lost during active bleeding. (B) Platelet therapy is indicated for thrombocytopenia if the client's platelet count is below 15,000/mm3. (C) Infusion of fresh frozen plasma is required when the prothrombin time and partial thromboplastic time are prolonged. (D) Packed red blood cells are transfused in instances of anemia with decreases in hematocrit and hemoglobin.
NEW QUESTION # 356
......
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