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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q409-Q414):

NEW QUESTION # 409
A physician's order reads: 0.25 normal saline at 50 mL/hr until discontinued. The nurse is using a microdrip tubing set. How many drops per minute should the nurse administer?

Answer: D

Explanation:
(A) This answer is a miscalculation. (B) This answer is a miscalculation. (C)50 gtt/min. (D) This answer is a miscalculation.


NEW QUESTION # 410
A 32-year-old female client is being treated for Guillain- Barre syndrome. She complains of gradually increasing muscle weakness over the past several days. She has noticed an increased difficulty in ambulating and fell yesterday. When conducting a nursing assessment, which finding would indicate a need for immediate further evaluation?

Answer: D

Explanation:
(A) Headaches are not associated with Guillain-Barre syndrome. (B) Loss of superficial and deep tendon reflexes is expected with this diagnosis. (C) Complaints of shortness of breath must be further evaluated. Forty percent of all clients have some detectable respiratory weakness and should be prepared for a possible tracheostomy. Pneumonia is also a common complication of this syndrome. (D) Facial paralysis is expected and is not considered abnormal.


NEW QUESTION # 411
A client diagnosed with severe anemia is to receive 2 U of packed red blood cells. Prior to starting the blood transfusion, the nurse must:

Answer: C

Explanation:
(A) A baseline set of vital signs is necessary to determine if any transfusion reactions occur as the blood product is being administered. (B) The only companion fluid to be used during a blood transfusion is normal saline. The calcium in Ringer's lactate can cause clotting. (C) Only a blood administration set should be used. A microdrip tube would cause lysis of the red blood cells. (D) Proper identification of the recipient and the blood product must be validated by at least two people.


NEW QUESTION # 412
A 40-year-old client has lived for 8 years with an abusive spouse. She married her husband in her senior year of high school after becoming pregnant. Shortly after the baby was born, he began to physically abuse her. She has attempted to leave him several times, but she has always returned. She is unable to support herself financially, and her husband threatens to kill her if she leaves him. This time, her husband has beaten her so badly she cannot stop the bleeding from the gash above her eye. She admits her husband caused her injury. In assessing a person after experiencing spousal abuse, which need has the highest priority?

Answer: D

Explanation:
Explanation
(A) Assessing the level of anxiety, coping responses, and support systems is very important, but not of highest priority at this time. (B) A history of physical abuse is an important part of assessment. The nurses must also always ask if there is abuse of the children. (C) Although all of these answers are very important in assessment, the highest priority is assessment of suicide potential, because this could cause the greatest harm to the client. Feeling there is no other way out, abused spouses may consider suicide. (D) The spouse may be self-medicating herself with alcohol or drugs to escape an awful situation. The abuser may also be abusing drugs or alcohol. If this is so, the nurse should encourage the spouse to seek counseling and not to return to the home.


NEW QUESTION # 413
In addition to changing the mother's position to relieve cord pressure, the nurse may employ the following measure (s) in the event that she observes the cord out of the vagina:

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) Saline should be warmed; waiting 15 minutes may not keep the cord moist. (B) This choice does not specify what the sponge was "wet" with. (C) This measure would stop circulation to the fetus. (D) The cord should be kept warm and moist to maintain fetal circulation. This measure is an accepted nursing action.


NEW QUESTION # 414
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