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How Can You Pass NCLEX NCLEX-RN Certification Exam With Flying Colors?

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NCLEX NCLEX-RN Exam Syllabus Topics:

Topic
Details

Topic 1

Psychosocial Integrity: This section of the exam measures skills of Mental Health Nurses and covers emotional, mental, and social well-being. It includes assessing psychological needs, substance use, abuse, grief, and coping challenges. The nurse must use therapeutic communication, recognize psychosocial stressors, and support clients with behavioral disorders while maintaining cultural sensitivity.

Topic 2

Health Promotion and Maintenance: This section of the exam measures skills of Clinical Nurse Educators and covers strategies to support wellness and prevent disease. It includes client education across age groups, prenatal and postnatal care, and community health promotion. Nurses are tested on performing screenings, recognizing risk factors, and adapting education based on learning needs and readiness.

Topic 3

Safe and Effective Care Environment: This section of the exam measures skills of Registered Nurses and covers how to manage client care while maintaining a safe and effective healthcare environment. It includes Management of Care, which assesses coordination with interdisciplinary teams, delegation, legal responsibilities, and resource utilization. It also includes Safety and Infection Control, focusing on minimizing risk to clients and staff through infection prevention, safe equipment use, emergency procedures, and addressing environmental hazards.

Topic 4

Physiological Integrity: This section of the exam measures skills of Acute Care Nurses and focuses on maintaining physical health through four subdomains. Basic Care and Comfort assesses support with daily living tasks and comfort measures. Pharmacological and Parenteral Therapies covers safe medication administration and client monitoring. Reduction of Risk Potential evaluates the ability to detect and prevent complications. Physiological Adaptation tests management of clients with acute, chronic, or life-threatening health conditions using clinical interventions.

The National Council Licensure Examination (NCLEX-RN) is an essential exam that aspiring nurses must pass to become licensed nurses in the United States. The NCLEX-RN is a standardized test that measures a candidate's knowledge and skills in the field of nursing. NCLEX-RN exam is administered by the National Council of State Boards of Nursing (NCSBN) and is recognized by all U.S. state and territorial nursing boards.

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NCLEX-RN exam is a critical test for any aspiring registered nurse in the United States. It is administered by the National Council of State Boards of Nursing (NCSBN) and is designed to test the competency and readiness of individuals who wish to practice as registered nurses. The test is computerized and adaptive, meaning that the difficulty of the questions increases or decreases based on the candidate's responses.

NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q271-Q276):

NEW QUESTION # 271
The usual treatment for diabetes insipidus is with IM or SC injection of vasopressin tannate in oil. Nursing care related to the client receiving IM vasopressin tannate would include:

A. Limit fluid intake to 500 mL/day.
B. Weigh once a week and report to the physician any weight gain of10 lb.
C. Hold the vial under warm water for 10-15 minutes and shake vigorously before drawing medication into the syringe.
D. Store the medication in a refrigerator and allow to stand at room temperature for 30 minutes prior to administration.

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) Weight should be obtained daily. (B) Fluid is not restricted but is given according to urine output. (C) The medication does not have to be stored in a refrigerator. (D) Holding the vial under warm water for 10-
15 minutes or rolling between your hands and shaking vigorously before drawing medication into the syringe activates the medication in the oil solution.

NEW QUESTION # 272
The nurse would need to monitor the serum glucose levels of a client receiving which of the following medications, owing to its effects on glycogenolysis and insulin release?

A. Dobutamine (Dobutrex)
B. Propranolol (Inderal)
C. Norepinephrine (Levophed)
D. Epinephrine (Adrenalin)

Answer: D

Explanation:
Explanation/Reference:
Explanation:
(A) Norepinephrine's side effects are primarily related to safe, effective care environment and include decreased peripheral perfusion and bradycardia. (B) Dobutamine's side effects include increased heart rate and blood pressure, ventricular ectopy, nausea, and headache. (C) Propranolol's side effects include elevated blood urea nitrogen, serum transaminase, alkaline phosphatase, and lactic dehydrogenase. (D) Epinephrine increases serum glucose levels by increasing glycogenolysis and inhibiting insulin release.
Prolonged use can elevate serum lactate levels, leading to metabolic acidosis, increased urinary catecholamines, false elevation of blood urea nitrogen, and decreased coagulation time.

NEW QUESTION # 273
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. Go to the nurses station and call the physician.
C. Move furniture out of the way and place a blanket under his head.
D. Place a tongue blade in the child's mouth.

Answer: C

Explanation:
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 # 274
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. Gestational diabetes mellitus
B. Type I diabetes mellitus
C. Type II diabetes mellitus
D. Insulin-dependent diabetes

Answer: A

Explanation:
Section: Questions Set D
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 # 275
A client has been in labor for 10 hours. Her contractions have become hypoactive and slowed in duration. The fetus is at 0 station, cervix is dilated 8 cm and effaced 90%. The physician orders an oxytocin (Pitocin) infusion to be started at once. The RN begins the oxytocin infusion. It is important that the RN discontinue the infusion if which one of the following occur?

A. The client's contractions are <2 minutes apart.
B. Duration of the contractions are 60 seconds.
C. The client complains that she is tired.
D. The uterus relaxes between contractions.

Answer: A

Explanation:
(A) It is very important that there is a resting phase or relaxation period between the contractions. During this period, the uterus, placenta, and umbilical vessels re-establish blood flow. No resting phase between contractions can lead to fetal bradycardia, fetal hypoxia, and acidosis. It can also result in a tetanic contraction, which can cause uterine rupture. (B) The goal of the oxytocin infusion is to help establish a contraction pattern lasting 45-60 seconds occurring every 2 minutes and a uterine tonus of 60-70 mm Hg. (C) This choice is correct. The uterus has time to recover from the contraction. (D) The client's tiring is no indication to stop the infusion. She will be tired even without the infusion.

NEW QUESTION # 276
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