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NCLEX NCLEX-RN Exam Syllabus Topics:

SectionWeightObjectives
Safe and Effective Care Environment26–38%- Management of Care
  • 1. Delegation and Prioritization
    • 2. Continuity of Care
      • 3. Client Rights
        • 4. Legal Responsibilities
          • 5. Ethical Practice
            • 6. Case Management
              • 7. Advocacy
                • 8. Quality Improvement
                  - Safety and Infection Control
                  • 1. Error Prevention
                    • 2. Infection Control
                      • 3. Use of Restraints and Safety Devices
                        • 4. Accident Prevention
                          • 5. Hazardous Materials Handling
                            • 6. Standard Precautions
                              Psychosocial Integrity6–12%- Grief and Loss
                              - Behavioral Interventions
                              - Therapeutic Communication
                              - Family Dynamics
                              - Coping Mechanisms
                              - Chemical Dependency and Substance Use Disorders
                              - Mental Health Concepts
                              - End-of-Life Support
                              Physiological Integrity43–67%- Physiological Adaptation
                              • 1. Pathophysiology
                                • 2. Hemodynamics
                                  • 3. Fluid and Electrolyte Imbalances
                                    • 4. Respiratory Care
                                      • 5. Medical Emergencies
                                        • 6. Illness Management
                                          - Reduction of Risk Potential
                                          • 1. Laboratory Values
                                            • 2. Therapeutic Procedures
                                              • 3. Vital Signs
                                                • 4. Potential for Complications
                                                  • 5. Diagnostic Tests
                                                    - Basic Care and Comfort
                                                    • 1. Elimination
                                                      • 2. Personal Hygiene
                                                        • 3. Non-pharmacological Comfort Interventions
                                                          • 4. Mobility and Immobility
                                                            • 5. Assistive Devices
                                                              • 6. Nutrition and Oral Hydration
                                                                - Pharmacological and Parenteral Therapies
                                                                • 1. Dosage Calculation
                                                                  • 2. Pharmacological Pain Management
                                                                    • 3. Adverse Effects and Contraindications
                                                                      • 4. IV Therapy and Blood Products
                                                                        • 5. Medication Administration
                                                                          Health Promotion and Maintenance6–12%- Aging Process
                                                                          - Disease Prevention and Health Screening
                                                                          - Health Promotion Programs
                                                                          - Antepartum, Intrapartum, Postpartum and Newborn Care
                                                                          - Developmental Stages and Transitions
                                                                          - Self-Care
                                                                          - Physical Assessment Techniques

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                                                                          NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q40-Q45):

                                                                          NEW QUESTION # 40
                                                                          A client is being discharged with albuterol (Proventil) and beclomethasone dipropionate (Vanceril) to be administered via inhalation three times a day and at bedtime. Client teaching regarding the sequential order in which the drugs should be administered includes:

                                                                          Answer: D

                                                                          Explanation:
                                                                          (A) The client would not receive therapeutic effects of the glucocorticoid when it is inhaled through constricted airways. (B) Bronchodilating the airways first allows for the glucocorticoid to be inhaled through open airways and increases the penetration of the steroid for maximum effectiveness of the drug. (C) Inac- Inaccurate use of the inhalers will lead to decreased effectiveness of the treatment. (D) Client teaching regarding the use and effects of inhalers will promote client understanding and compliance.


                                                                          NEW QUESTION # 41
                                                                          A 4-year-old child has Down syndrome. The community health nurse has coordinated a special preschool program. The nurse's primary goal is to:

                                                                          Answer: C

                                                                          Explanation:
                                                                          Explanation/Reference:
                                                                          Explanation:
                                                                          (A) Respite care for the family may be needed, but it is not the primary goal of a preschool program. (B) Facilitation of optimal growth and development is essential for every child. (C) A demanding and challenging educational program may predispose the child to failure. Children with retardation should begin with simple and challenging educational programs. (D) Mental retardation associated with Down syndrome may not permit mainstream education. A preschoolprogram's primary goal is not preparation for mainstream education but continuation of optimal development.


                                                                          NEW QUESTION # 42
                                                                          A male client is undergoing cardiac tests. He has been instructed to wear a Holter monitor. The nurse knows she has included the appropriate information in her teaching when the client tells her:

                                                                          Answer: B

                                                                          Explanation:
                                                                          Explanation
                                                                          (A) The client should leave the electrodes in place during the entire time the test is ordered. He should not even remove the electrodes for bathing. (B) The Holter monitor will record cardiac electrical activity but will not record damage to his myocardium. (C) The client should keep a record of all of his activities so the physician can correlate the ECG findings with his activities. (D) The client should continue doing his regular activities. The purpose of the Holter monitor is to record heart activity during routine activities.


                                                                          NEW QUESTION # 43
                                                                          A female client plans to bottle-feed her newborn. Her physician has ordered bromocriptine (Parlodel) to suppress lactation. Which of the following instructions about bromocriptine should be given by the nurse?

                                                                          Answer: D

                                                                          Explanation:
                                                                          Explanation
                                                                          (A) Bromocriptine inhibits the secretion of prolactin. (B) Hypotension is a side effect of this drug; hypertension is not. (C) Bromocriptine is generally taken for 14 days. (D) The administration of bromocriptine is delayed at least 4 hours postpartum and given only when the client's blood pressure is stable, because it can cause hypotension and syncope.


                                                                          NEW QUESTION # 44
                                                                          A female client has been hospitalized for several months following major abdominal surgery for a ruptured colon. A colostomy was created, and the large abdominal wound was left open and allowed to heal through granulation. She is receiving gentamicin IV for treatment of wound infection. Knowing this drug is ototoxic, the nurse would implement which of the following measures?

                                                                          Answer: D

                                                                          Explanation:
                                                                          Explanation
                                                                          (A) The first nursing measure is to instruct the client in which drug side effects to report. (B) Discontinuing the drug is not an independent nursing intervention and may compromise client care. (C) Audiometric testing will detect hearing loss, but it does not indicate a potential cause. (D) Equalizing middle ear pressure will not prevent hearing loss.


                                                                          NEW QUESTION # 45
                                                                          ......

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