100% Pass Quiz 2026 High Hit-Rate NCLEX NCLEX-RN: National Council Licensure Examination(NCLEX-RN) Reliable Study Guide

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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q341-Q346):

NEW QUESTION # 341
A 52-year-old client who underwent an exploratory laparotomy for a bowel obstruction begins to complain of hunger on the third postoperative day. His nasogastric (NG) tube was removed this morning, and he has an IV of D5W with 0.45% normal saline running at 125 mL/hr. He asks when he can get rid of his IV and start eating. The nurse recognizes that he will be able to begin taking oral fluids and nourishment when:

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) The absence of wound infection is related to his surgical wound and not to postoperative GI functioning and return of peristalsis. (B) Routine postoperative protocol involves detection of bowel sounds and return of peristalsis before introduction of clear liquids, followed by progression of full liquids and a regular diet versus a full regular meal first. (C) Routine postoperative protocol for bowel obstruction is to assess for the return of bowel sounds within 72 hours after major surgery, because that is when bowel sounds normally return. If unable to detect bowel sounds, the surgeon should be notified immediately and have the client remain NPO. (D) Routine postoperative protocol for bowel obstruction and other major surgeries involves frequent monitoring of vital signs in the immediate postoperative period (in recovery room) and then every
4 hours, or more frequently if the client is unstable, on the nursing unit. This includes assessing for signs of hypovolemic shock. Vital signs usually stabilize within the first 24 hours postoperatively.


NEW QUESTION # 342
A female client is started on warfarin (Coumadin) 5 mg po bid. To adequately evaluate the effectiveness of the warfarin therapy, the nurse must know that this medication:

Answer: D

Explanation:
Explanation
(A) Thrombolytic agents (e.g., streptokinase) directly activate plasminogen, dissolving fibrin deposits, which in turn dissolves clots that have already formed. (B) Heparin prevents the formation of clots by potentiating the effects of antithrombin III and the conversion of prothrombin to thrombin. (C) Warfarin prevents the formation of clots by interfering with the hepatic synthesis of the vitamin K-dependent clotting factors. (D) Platelets initiate the coagulation of blood by adhering to each other and the site of injury to form platelet plugs.


NEW QUESTION # 343
On the third postpartum day, the nurse would expect the lochia to be:

Answer: B

Explanation:
Section: Questions Set G
Explanation:
(A) This discharge occurs from delivery through the 3rd day. There is dark red blood, placental debris, and clots. (B) This discharge occurs from days 4-10. The lochia is brownish, serous, and thin. (C) This discharge occurs from day 10 through the 6thweek. The lochia is yellowish white. (D) This is not a classification of lochia but relates to the amount of discharge.


NEW QUESTION # 344
When assessing a client, the nurse notes the typical skin rash seen with systemic lupus erythematosus. Which of the following descriptions correctly describes this rash?

Answer: C

Explanation:
Explanation
(A) The appearance of small, round or oval reddish brown macules scattered over the entire body is characteristic of rubeola. (B) The appearance of scattered clusters of macules, papules, and vesicles throughout the body is characteristic of chickenpox. (C) Palmar redness is seen in clients with cirrhosis of the liver. (D) The characteristic butterfly rash over the cheek and nose and into the scalp is seen with systemic lupus erythematosus.


NEW QUESTION # 345
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:
Explanation/Reference:
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 # 346
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