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NCLEX NCLEX-RN Exam Syllabus Topics:
+-----------------------+-----------------------+-----------------------+ | Section | Weight | Objectives | +-----------------------+-----------------------+-----------------------+ | Topic 1: Safety and | 10-16% | - Safety and | | Infection Control | | Infection Control\ | | | | | | | | - 1. Safe Use of | | | | Equipment | | | | - 2. Infection | | | | Prevention and | | | | Control | | | | - 3. Standard and | | | | Transmission-Based | | | | Precautions | | | | - 4. Handling | | | | Hazardous Materials | | | | - 5. Accident and | | | | Injury Prevention | | | | - 6. Home Safety | | | | - 7. Emergency | | | | Response Planning | | | | - 8. Security Plans | +-----------------------+-----------------------+-----------------------+ | Topic 2: | 13-19% | - Pharmacological | | Pharmacological and | | and Parenteral | | Parenteral Therapies | | Therapies\ | | | | | | | | - 1. Blood and Blood | | | | Products | | | | - 2. Medication | | | | Administration | | | | - 3. Central Venous | | | | Access Devices | | | | - 4. Dosage | | | | Calculations | | | | - 5. Expected | | | | Actions and | | | | Outcomes | | | | - 6. Adverse Effects | | | | and | | | | Contraindications | | | | - 7. Parenteral | | | | Therapies | +-----------------------+-----------------------+-----------------------+ | Topic 3: Basic Care | 6-12% | - Basic Care and | | and Comfort | | Comfort\ | | | | | | | | - 1. Assistive | | | | Devices | | | | - 2. Personal | | | | Hygiene | | | | - 3. Rest and Sleep | | | | - 4. Nutrition and | | | | Oral Hydration | | | | - 5. Mobility and | | | | Immobility | | | | - 6. Activities of | | | | Daily Living | | | | - 7. Elimination | +-----------------------+-----------------------+-----------------------+ | Topic 4: | 11-17% | - Physiological | | Physiological | | Adaptation\ | | Adaptation | | | | | | - 1. Pathophysiology | | | | - 2. Medical | | | | Emergencies | | | | - 3. Unexpected | | | | Response to | | | | Therapies | | | | - 4. Fluid and | | | | Electrolyte | | | | Imbalances | | | | - 5. Hemodynamics | | | | - 6. Alterations in | | | | Body Systems | +-----------------------+-----------------------+-----------------------+ | Topic 5: Health | 6-12% | - Health Promotion | | Promotion and | | and Maintenance\ | | Maintenance | | | | | | - 1. Health | | | | Promotion Programs | | | | - 2. Prenatal, | | | | Intrapartum and | | | | Postpartum Care | | | | - 3. Aging Process | | | | - 4. Health | | | | Screening | | | | - 5. Newborn Care | | | | - 6. Growth and | | | | Development | | | | - 7. Disease | | | | Prevention | +-----------------------+-----------------------+-----------------------+ | Topic 6: Reduction of | 9-15% | - Reduction of Risk | | Risk Potential | | Potential\ | | | | | | | | - 1. Therapeutic | | | | Procedures | | | | - 2. Potential | | | | Complications | | | | - 3. Changes in | | | | Vital Signs | | | | - 4. Monitoring and | | | | Assessment | | | | - 5. System-Specific | | | | Assessments | | | | - 6. Diagnostic | | | | Tests | +-----------------------+-----------------------+-----------------------+ | Topic 7: Management | 15-21% | - Management of | | of Care | | Care\ | | | | | | | | - 1. Ethical | | | | Practice | | | | - 2. Assignment, | | | | Delegation and | | | | Supervision | | | | - 3. Performance | | | | Improvement and | | | | Quality Assurance | | | | - 4. Priority | | | | Setting | | | | - 5. Advance | | | | Directives | | | | - 6. Continuity of | | | | Care | | | | - 7. Client Rights | | | | - 8. Advocacy | | | | - 9. Case Management | | | | - 10. | | | | Confidentiality and | | | | Information | | | | Security | | | | - 11. Legal Rights | | | | and | | | | Responsibilities | | | | - 12. Collaboration | | | | with | | | | Interdisciplinary | | | | Team | | | | - 13. Informed | | | | Consent | +-----------------------+-----------------------+-----------------------+ | Topic 8: Psychosocial | 6-12% | - Psychosocial | | Integrity | | Integrity\ | | | | | | | | - 1. Support Systems | | | | - 2. Behavioral | | | | Interventions | | | | - 3. Coping | | | | Mechanisms | | | | - 4. Mental Health | | | | Concepts | | | | - 5. Family Dynamics | | | | - 6. Substance Use | | | | Disorders | | | | - 7. Therapeutic | | | | Communication | | | | - 8. Crisis | | | | Intervention | +-----------------------+-----------------------+-----------------------+
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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q863-Q868):
NEW QUESTION # 863\ A 32-year-old female client is being treated for Guillain- Barre syndrome. She complains of gradually increasing muscle weakness over the past several days. She has noticed an increased difficulty in ambulating and fell yesterday. When conducting a nursing assessment, which finding would indicate a need for immediate further evaluation?
- A. Facial paralysis
- B. Complaints of a headache
- [C. Complaints of shortness of breath]{style="COLOR: red"}
- D. Loss of superficial and deep tendon reflexes
Answer: C
\
NEW QUESTION # 864\ A 48-year-old male client is hospitalized with mild ascites, bruising, and jaundice. He has a 20-year history of alcohol abuse. The client is diagnosed with cirrhosis. His serum ammonia level is high, indicating hepatic encephalopathy. He has esophageal varices. Which of the following may cause the varices to rupture?
- A. Ingestion of barbiturates
- B. Walking briskly
- [C. Lifting heavy objects]{style="COLOR: red"}
- D. Ingestion of antacids
Answer: C
Explanation:\ Explanation\ (A) Lifting heavy objects will increase intrathoracic pressure, thus placing the client at risk for rupturing esophageal varices. (B, C, D) This activity will not cause an increase in intrathoracic pressure.
\
NEW QUESTION # 865\ During the active phase of rheumatic fever, the nurse teaches parents of a child with acute rheumatic fever to assist in minimizing joint pain and promoting healing by:
- A. Putting all joints through full range-of-motion twice daily
- [B. Immobilizing the joints in functional position using splints, rolls, and pillows]{style="COLOR: red"}
- C. Applying warm water bottle or heating pads over involved joints
- D. Massaging the joints briskly with lotion or liniment after bath
Answer: B
Explanation:\ (A) Any movement of the joint causes severe pain. (B) Touching or moving the joint causes severe pain. (C) Immobilization in a functional position allows the joint to rest and heal. (D) Pressure from the warm water bottle or pads can cause severe pain or burning of the skin.
\
NEW QUESTION # 866\ In evaluating the laboratory results of a client with severe pressure ulcers, the nurse finds that her albumin level is low. A decrease in serum albumin would contribute to the formation of pressure ulcers because:
- A. The iron stores needed for tissue repair are inadequate.
- [B. The proteins needed for tissue repair are diminished.]{style="COLOR: red"}
- C. A decreased serum albumin level indicates kidney disease.
- D. A decreased serum albumin causes fluid movement into the blood vessels, causing dehydration.
Answer: B
Explanation:\ Explanation\ (A) Serum albumin levels indicate the adequacy of protein stores available for tissue repair. (B) Serum albumin does not measure iron stores. (C) Serum albumin levels do not measure kidney function. (D) A decreased serum albumin level would cause fluid movement out of blood vessels, not into them.
\
NEW QUESTION # 867\ A client tells the nurse that she has had a history of urinary tract infections. The nurse would do further health teaching if she verbalizes she will:
- A. Drink at least 8 oz of cranberry juice daily
- [B. Limit her fluid intake after 6 PM so that there is not a great deal of urine in her bladder while she sleeps]{style="COLOR: red"}
- C. Maintain a fluid intake of at least 2000 mL daily
- D. Wash her hands before and after voiding
Answer: B
Explanation:\ Explanation\ (A) Cranberry juice helps to maintain urine acidity, thereby retarding bacterial growth. (B) A generous fluid intake will help to irrigate the bladder and to prevent bacterial growth within the bladder. (C) Hand washing is an effective means of preventing pathogen transmission. (D) Restricting fluid intake would contribute to urinary stasis, which in turn would contribute to bacterial growth.
\
NEW QUESTION # 868\ ......
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