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NCLEX NCLEX-RN Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Psychosocial Integrity6–12%
Topic 2: Health Promotion and Maintenance6–12%
Topic 3: Physiological Integrity43–67%- Physiological Adaptation
- Pharmacological and Parenteral Therapies
- Basic Care and Comfort
- Reduction of Risk Potential
Topic 4: Safe and Effective Care Environment17–33%- Safety and Infection Control
- Management of Care

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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q799-Q804):

NEW QUESTION # 799
A 2-year-old child will undergo a cardiac catheterization tomorrow to evaluate his ventricular septal defect.
Based on his developmental stage, the nurse:

Answer: C

Explanation:
Explanation
(A) A toddler is not capable of conceptualizing about the inside of his body and is concerned about body intactness; therefore, diagrams would not be useful. Also, the previous evening is too far from the procedure for the toddler to remember the instructions. (B) A simple explanation the morning of the procedure is the best developmental strategy to use, because it focuses on the toddler's need for parental support, body intactness, and short attention span. (C) A relationship between the nurse and the child needs to develop. Also, misinformation may be given to the child if the parents explain the procedure to the child. (D) The parents are the child's support system and need to be there to strengthen the child.


NEW QUESTION # 800
The initial focus when providing nursing care for a child with rheumatic fever during the acute phase of the illness should be to:

Answer: B

Explanation:
Section: Questions Set G
Explanation:
(A) This goal is helpful, but rest is essential during the acute phase. (B) Rest is essential for healing to occur and for pain to be relieved. (C) This goal is important, but rest is essential. (D) This goal should be part of the plan of care, but it is not the priority during the acute phase.


NEW QUESTION # 801
A client is experiencing visual problems at school. She has complained of difficulty seeing the blackboard and squinting. She no longer likes to participate in physical activities such as softball. The client has displayed possible classic symptoms of which refractive error?

Answer: B

Explanation:
(A) Visual images are blurred and distorted. (B) Symptoms are headaches, burning eyes, fatigue, squinting, and difficulty reading. (C) These symptoms are classic for myopia. (D) Amblyopia is not a refractive error. It is a loss of vision in one or both eyes.


NEW QUESTION # 802
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: A

Explanation:
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 # 803
Before completing a nursing diagnosis, the nurse must first:

Answer: B

Explanation:
Explanation
(A) Goals and objectives are based on a nursing assessment and diagnosis. (B) Assessment is the first step of nursing process. (C) Interventions are nursing actions to meet goals and objectives. (D) Evaluation process follows nursing interventions.


NEW QUESTION # 804
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