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NCLEX NCLEX-RN Exam Syllabus Topics:

Section	Weight	Objectives
Topic 1: Psychosocial Integrity	6–12%	- Behavioral Interventions - End-of-Life Support - Mental Health Concepts - Coping Mechanisms - Therapeutic Communication - Chemical Dependency and Substance Use Disorders - Family Dynamics - Grief and Loss
Topic 2: Health Promotion and Maintenance	6–12%	- Health Promotion Programs - Developmental Stages and Transitions - Physical Assessment Techniques - Disease Prevention and Health Screening - Self-Care - Antepartum, Intrapartum, Postpartum and Newborn Care - Aging Process
Topic 3: Safe and Effective Care Environment	26–38%	- Safety and Infection Control 1. Infection Control 2. Use of Restraints and Safety Devices 3. Standard Precautions 4. Error Prevention 5. Hazardous Materials Handling 6. Accident Prevention - Management of Care 1. Case Management 2. Delegation and Prioritization 3. Advocacy 4. Ethical Practice 5. Continuity of Care 6. Client Rights 7. Legal Responsibilities 8. Quality Improvement
Topic 4: Physiological Integrity	43–67%	- Physiological Adaptation 1. Illness Management 2. Fluid and Electrolyte Imbalances 3. Respiratory Care 4. Pathophysiology 5. Medical Emergencies 6. Hemodynamics - Basic Care and Comfort 1. Elimination 2. Nutrition and Oral Hydration 3. Assistive Devices 4. Non-pharmacological Comfort Interventions 5. Personal Hygiene 6. Mobility and Immobility - Reduction of Risk Potential 1. Laboratory Values 2. Potential for Complications 3. Diagnostic Tests 4. Vital Signs 5. Therapeutic Procedures - Pharmacological and Parenteral Therapies 1. Pharmacological Pain Management 2. IV Therapy and Blood Products 3. Adverse Effects and Contraindications 4. Dosage Calculation 5. Medication Administration

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NCLEX-RN Prüfungsfragen, NCLEX-RN Fragen und Antworten, National Council Licensure Examination(NCLEX-RN)

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NCLEX National Council Licensure Examination(NCLEX-RN) NCLEX-RN Prüfungsfragen mit Lösungen (Q864-Q869):

864. Frage
The nurse provides a male client with diet teaching so that he can help prevent constipation in the future.
Which food choices indicate that this teaching has been understood?

A. Bagel with cream cheese
B. Cooked oatmeal and grapefruit half
C. Pancakes and syrup
D. Omelette and hash browns

Antwort: B

Begründung:
Explanation
(A) Eggs and hash browns do not provide much fiber and bulk, so they do not effectively prevent constipation.
(B) Pancakes and syrup also have little fiber and bulk, so they do not effectively prevent constipation. (C) Bagel and cream cheese do not provide intestinal bulk. (D) A combination of oatmeal and fresh fruit will provide fiber and intestinal bulk.

865. Frage
A male client is admitted to the psychiatric unit after experiencing severe depression. He states that he intends to kill himself, but he asks the nurse not to repeat his intentions to other staff members. Which response demonstrates understanding and appropriate action on the part of the nurse?

A. "This is very serious. I do not want any harm to come to you. I will have to report this to the rest of the staff."
B. "Don't do that, you have so much to live for. You have a wonderful wife and children. The client in the next room has no one."
C. "I understand you're depressed, but killing yourself is not a reasonable option."
D. "We need to discuss this further, but right now let's complete these forms."

Antwort: A

Begründung:
Explanation/Reference:
Explanation:
(A) To the client, suicide may be a reasonable action and the only one he can cope with at this time. (B) This response indicates to the client that his intention to commit suicide is not important to the nurse at this time. (C) The client is so depressed that he is not able to see the positive aspects of his life. At no time should the nurse discuss another client's problems in conversation. (D) This statement tells the client that the nurse recognizes his problem is of a serious nature and will take all steps necessary to help him.

866. Frage
The therapeutic blood-level range for lithium is:

A. 0.25-1.0 mEq/L
B. 0.5-1.5 mEq/L
C. 1.0-2.0 mEq/L
D. 2.0-2.5 mEq/L

Antwort: B

Begründung:
Explanation
(A) This range is too low to be therapeutic. (B) This is the therapeutic range for lithium. (C) This range is above the therapeutic level. (D) This range is toxic and may cause severe side effects.

867. Frage
Chorioamnionitis is a maternal infection that is usually associated with:

A. Postterm deliveries
B. Prolonged rupture of membranes
C. Maternal pyelonephritis
D. Maternal dehydration

Antwort: B

Begründung:
Explanation
(A) Chorioamnionitis is an inflammation of the chorion and amnion that is generally associated with premature or prolonged rupture of membranes. (B) Postterm deliveries have not been shown to increase the risk of chorioamnionitis unless there has been prolonged rupture of membranes. (C) Pyelonephritis is a kidney infection that develops in 20%-40% of untreated maternal UTIs. (D) Maternal dehydration, though of great concern, is not related to chorioamnionitis.

868. Frage
As soon as a child has been diagnosed as "hearing impaired," special education should begin. Which of the following special education tasks is the most difficult for a severely hearing-impaired child?

A. Lip reading
B. Auditory training
C. Signing
D. Speech

Antwort: D

Begründung:
Explanation/Reference:
Explanation:
(A) With the slight and mild hard of hearing, auditory training is beneficial. (B) Speech is the most difficult task because it is learned by visual and auditory stimulation, imitation, and reinforcement. (C, D) Lip reading and signing are aimed at establishing communicative skills, but they are learned more easily by visual stimulation.

869. Frage
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