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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q389-Q394):

NEW QUESTION # 389
A murmur has been discovered during the routine physical examination of a 1-year-old child. The parent is extremely concerned about this diagnosis. Which of the following explanations by the nurse indicates understanding of this dysfunction?

A. Most atrial septal defects close spontaneously.
B. Surgical closure by suture or patch is recommended before school age.
C. The child can be treated medically with antibiotics to prevent bacterial endocarditis.
D. The blood shifts from the right to the left atrium.

Answer: B

Explanation:
Explanation
(A) Because the left atrial pressure is greater than right atrial pressure, oxygenated blood flows from the left to the right atria. (B) Because of the risk of pulmonary obstructive diseases and congestive heart failure later in life, surgery is usually performed between age 4 and 6 years, with essentially no operative mortality or postoperative complications. (C) Many ventricular septal defects close spontaneously (20-60%) as a result of growth and proliferation of the muscular septum or formation of a membrane across the opening. (D) This management is usually recommended with children with mild pulmonary stenosis.

NEW QUESTION # 390
The nurse is teaching a mother care of her child's spica cast. The mother states that he complains of itching under the edge of the cast. One nonpharmacological technique the nurse might suggest would be:

A. "Guide a towel under and through the cast and move it back and forth to relieve the itch."
B. "Slide a ruler under the cast and scratch the area."
C. "Blowing air under the cast using a hair dryer on cool setting often relieves itching."
D. "Gently thump on cast to dislodge dried skin that causes the itching."

Answer: C

Explanation:
Section: Questions Set B
Explanation:
(A) Cool air will often relieve pruritus without damaging the cast or irritating the skin. (B) The nurse should never force anything under the cast, because the cast may become damaged and skin breakdown may occur.
(C) Forcing an object under the cast could lead to cast damage and skin breakdown. The object may become lodged under the cast necessitating cast removal. (D) This technique does not dislodge skin cells. It could damage the cast and cause skin breakdown.

NEW QUESTION # 391
A physician tells the nurse that he wants to orally intubate a client with a No. 8 endotracheal tube. The finding of normal breath sounds on the right side of the chest and diminished, distant breath sounds on the left side of the chest of a newly intubated client is probably due to:

A. An inadequate mechanical ventilator
B. A left hemothorax
C. A right hemothorax
D. Intubation of the right mainstem bronchus

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) Although a left hemothorax could cause diminished and distant breath sounds, it is irrelevant to this situation. (B) A right hemothorax will not cause diminished and distant breath sounds on the left side of the chest. (C) The right mainstem bronchus is most frequently intubated in error because the angle of the right mainstem bronchus is very small as compared with that of the left mainstem bronchus. Because ventilation is only occurring on the right side, the nurse would auscultate diminished and distant breath sounds on the left. (D) An inadequate mechanical ventilator has no relationship to this situation.

NEW QUESTION # 392
A client is taught to eat foods high in potassium. Which food choices would indicate that this teaching has been successful?

A. Chicken breast, rice, and green beans
B. Roast beef, baked potato, and diced carrots
C. Pork chop, baked acorn squash, brussel sprouts
D. Tuna casserole, noodles, and spinach

Answer: C

Explanation:
Section: Questions Set B
Explanation:
(A) Both acorn squash and brussels sprouts are potassium-rich foods. (B) None of these foods is considered potassium rich. (C) Only the baked potato is a potassium-rich food. (D) Spinach is the only potassium-rich food in this option.

NEW QUESTION # 393
The physician of an alcoholic client places him on a low-protein, high-carbohydrate diet. When choosing his menu, the client's best choice from the items below would be:

A. Waffles with butter and honey, orange juice
B. Baked chicken, baked potato with bacon bits, milk
C. Cheese omelette with ham and mushrooms, milk
D. Liver and onions, macaroni and cheese, tea with sugar

Answer: A

Explanation:
Explanation
(A, B, D) These foods are high in protein, which needs to be restricted. (C) Serum ammonia levels can be decreased by restricting dietary protein intake. Waffles, honey, and orange juice are high in carbohydrate and low or completely lacking in protein. Butter, a concentrated fat, will provide extra calories.

NEW QUESTION # 394
......

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