NCLEX-RN Test Guide - NCLEX-RN Valid Test Experience

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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q495-Q500):

NEW QUESTION # 495
Which of the following statements relevant to a suicidal client is correct?

A. A client who is unsuccessful at a first suicide attempt is not likely to make future attempts.
B. A client who threatens suicide is just seeking attention and is not likely to attempt suicide.
C. The more specific a client's plan, the more likely he or she is to attempt suicide.
D. Nurses who care for a client who has attempted suicide should not make any reference to the word
"suicide" in order to protect the client's ego.

Answer: C

Explanation:
Section: Questions Set A
Explanation:
(A) This is a high-risk factor for potential suicide. (B) A previous suicide attempt is a definite risk factor for subsequent attempts. (C) Every threat of suicide should be taken seriously. (D) The client should be asked directly about his or her intent to do bodily harm. The client is never hurt by direct, respectful questions.

NEW QUESTION # 496
The nurse enters the playroom and finds an 8-year-old child having a grand mal seizure. Which one of the following actions should the nurse take?

A. Restrain the child so he will not injure himself.
B. Move furniture out of the way and place a blanket under his head.
C. Go to the nurses station and call the physician.
D. Place a tongue blade in the child's mouth.

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) The nurse should not put anything in the child's mouth during a seizure; this action could obstruct the airway. (B) Restraining the child's movements could cause constrictive injury. (C) Staying with the child during a seizure provides protection and allows the nurse to observe the seizure activity. (D) The nurse should provide safety for the child by moving objects and protecting the head.

NEW QUESTION # 497
A 52-year-old client's abdominal aortic aneurysm ruptured. She received rapid massive blood transfusions for bleeding. One potential complication of blood administration for which she is especially at risk is:

A. Air embolus
B. Hypocalcemia
C. Circulatory overload
D. Hypokalemia

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) Air embolism is a potential complication of blood administration, but it is fairly rare and can be prevented by using good IV technique. (B) Circulatory overload is a potential complication of blood administration, but because this client is actively bleeding, she is not at high risk for overload. (C) Hypocalcemia is a potential complication of blood administration that occurs in situations where massive transfusion has occurred over a short period of time. It occurs because the citrate in stored blood binds with the client's calcium. Another potential complication for which this client is especially at risk is hypothermia, which can be prevented by using a blood warmer to administer the blood. (D) Hypokalemia is not a complication of blood administration.

NEW QUESTION # 498
A client is now pregnant for the second time. Her first child weighed 4536 g at delivery. The client's glucose tolerance test shows elevated blood sugar levels. Because she only shows signs of diabetes when she is pregnant, she is classified as having:

A. Insulin-dependent diabetes
B. Type I diabetes mellitus
C. Gestational diabetes mellitus
D. Type II diabetes mellitus

Answer: C

Explanation:
(A) Insulin-dependent diabetes mellitus, also known as type I diabetes, usually appears before the age of 30 years with an abrupt onset of symptoms requiring insulin for management. It is not related to onset during pregnancy. (B) Non-insulin-dependent diabetes (type II diabetes) usually appears in older adults. It has a slow onset and progression of symptoms. (C) This type of diabetes is the same as insulin-dependent diabetes. (D) Gestational diabetes mellitus has its onset of symptoms during pregnancy and usually disappears after delivery. These symptoms are usually mild and not life threatening, although they are associated with increased fetal morbidity and other fetal complications.

NEW QUESTION # 499
A 30-year-old client in the third trimester of her pregnancy asks the nurse for advice about upper respiratory discomforts. She complains of nasal stuffiness and epistaxis, most noticeable on the left side. Which reply by the nurse is correct?

A. "This is most unusual. I'm sure your obstetrician will want you to see an ENT (ear, nose, throat) specialist."
B. "A good vaporizer will help; avoid the cool air kind. Also, try saline nose drops, and spend less time on your left side."
C. "It sounds as though you are coming down with a bad cold. I'll ask the doctor to prescribe a decongestant for relief of symptoms."
D. "These discomforts are all a result of increased blood supply; one of the pregnancy hormones, estrogen, causes them."

Answer: D

Explanation:
Explanation
(A) Decongestants may exaggerate the nasal stuffiness associated with pregnancy. Judicious use of decongestants and nasal sprays is advocated during pregnancy. (B) Cool air vaporizers and saline drops may help to relieve the nasal stuffiness. Positioning on either lateral side does not decrease nasal stuffiness or prevent epistaxis. (C) Increased estrogen levels result in nasal mucosa edema with subsequent nasal stuffiness.
Estrogen also promotes vasodilation, which contributes to epistaxis. The nurse may recommend cool air vaporizers and saline drops to help with the nasal stuffiness. (D) Increased estrogen levels result in nasal mucosa edema with subsequent nasal stuffiness. Estrogen also promotes vasodilation discomforts associated with pregnancy.

NEW QUESTION # 500
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