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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q109-Q114):

NEW QUESTION # 109
A client has been instructed in how to take her nitroglycerin tablets. The nurse giving her instructions knows the client understands the information when she tells her:

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) Headaches may occur after taking nitroglycerin because of vasodilation. (B) The tablets do not need to be refrigerated. The client should carry them with her. (C) The client should contact the physician if repeated doses of nitroglycerin do not relieve the discomfort. (D) Nitroglycerin tablets should be dissolved under the tongue, not swallowed.


NEW QUESTION # 110
A 3-month-old infant has had a unilateral cleft lip repair. He has resumed feedings of oral formula. The nurse should feed the infant with:

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) A gavage tube may damage suture line. It is the most invasive and should be the last measure. (B) A nipple and bottle require sucking, which may damage sutures. (C) A 3-month-old infant is not able to drink from a straw. (D) A syringe allows for the formula to be placed to the side and back of the mouth. This minimizes the amount of sucking needed.


NEW QUESTION # 111
At 38 weeks' gestation, a client is in active labor. She is using her Lamaze breathing techniques. The RN is coaching her breathing and encouraging her to relax and work with her contractions. Which one of the following complaints by the client will alert the RN that she is beginning to hyperventilate with her breathing?

Answer: C

Explanation:
Section: Questions Set C
Explanation:
(A) Cold is not a symptom of hyperventilation. This could be due to the temperature of the room. (B) Backache is not a symptom of hyperventilation. This is probably due to the gravid uterus and its effect on the back muscles, or it may be due to the client's position in bed. (C) Dizziness is the first symptom of hyperventilation. It occurs because the body is eliminating too much CO2. (D) Nausea is not a symptom of hyperventilation. It could be a symptom of pain.


NEW QUESTION # 112
A 14-year-old boy has a head injury with laceration of his scalp over his ear. The nurse should call the physician to report:

Answer: C

Explanation:
Section: Questions Set F
Explanation:
(A) This change in blood pressure may not be significant and does not indicate a widening pulse pressure, a late sign of increased ICP. It is important to continue to monitor for change in blood pressure. (B) Acetaminophen may be ineffective in relieving headache after head injury. Stronger analgesics are contraindicated because they mask neurological signs and may depress the CNS. (C) Pulse rates between 68 bpm and 76 bpm are within normal limits for a 14-year-old child. It is important to monitor for a consistent drop in pulse rate, which is a late sign of increasing ICP. (D) An elevated temperature is abnormal and requires further assessment and medical intervention. The temperature may be unrelated to the head injury, but CNS infection is serious and difficult to control.


NEW QUESTION # 113
A 16-year-old client reports a weight loss of 20% of her previous weight. She has a history of food binges followed by self-induced vomiting (purging). The nurse should suspect a diagnosis of:

Answer: D

Explanation:
(A) Anorexia nervosa is characterized by self-starvation. (B) Anorexia hysteria is not a known disease or disorder. (C) Bulimia is characterized by food binges and self-induced vomiting. (D) Conversion reaction is a defense mechanism.


NEW QUESTION # 114
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