,Note All Answers at the end of each chapter
BODY OF KNOWLEDGE
The NCLEX-RN covers four Client Needs Categories : Safe and Effective Care
Environment, Health Promotion and Maintenance, Psychosocial Integrity, and
Physiological Integrity.
Safe and Effective Care Environment is further broken down into two
subcategories: Management of Care and Safety and Infection Control.
Likewise, Physiological Integrity is broken down into four subcategories:
Basic Care and Comfort, Pharmacological and Parenteral Therapies, Reduction
of Risk Potential, and Physiological Adaptation.
Each question on the NCLEX-RN falls into one of these categories or
subcategories. However, questions, or items , are not divided by type on the
NCLEX-RN. That is, they are not marked by category or subcategory.
CLIENT NEEDS CONTENT
Percentage of Items on the
Client Needs Category/Subcategory
NCLEX-RN
Safe and Effective Care
I.
Environment
A. Management of Care 17 – 23%
B. Safety and Infection Control 9 – 15%
II. Health Promotion and Maintenance 6 – 12%
III. Psychosocial Integrity 6 – 12%
IV. Physiological Integrity
A. Basic Care and Comfort 6 – 12%
Pharmacological and Parenteral
B. 12 – 18%
Therapies
C. Reduction of Risk Potential 9 – 15%
D. Physiological Adaptation 11 – 17%
,Diagnostic Test
Read the question, and then choose the most correct answer.
Safe and Effective Care Environment—
Management of Care
1. The nurse is delegating tasks to an unlicensed assistive
personnel (UAP). Which client task should the nurse delegate
to the UAP?
A. a client whose IV infiltrated and needs replacing
B. a client on BiPAP who needs arterial blood gases
(ABGs) drawn
C. a client with mild dementia who needs assistance with
her food tray
D. a client who needs a wet-to-dry dressing change on an
abdominal incision
2. A nurse is preparing a client scheduled for a right mastectomy.
Which statement indicates the need for further intervention?
A. The client refuses to sign the blood consent since she
is a Jehovah’s Witness.
B. The client identifies the right breast as the surgical site
for a right mastectomy.
C. The client signs the consent form with an X, which is
witnessed by two licensed personnel.
, D. The tclient texpresses tdoubt tover ther tdecision tand tasks
tthe tnurse tto texplain tmore tabout tthe tprocedure.
3. An texternal tweather tdisaster thas tflooded tthe temergency
tdepartment twith tseveral tnew tclients. tWhich tclient tshould tthe
tnurse tsee tfirst t?
A. the tclient tcomplaining tof tchest tpain tand tnausea twho tis
tdiaphoretic
B. the tclient twith ta tsimple tfracture tof tthe tradius tfrom ta tfall
ton ta tstaircase
C. the tclient tcomplaining tof tslight tredness tand titching tat
tthe tIV tsite tin this thand
D. the tclient tpresenting twith ta tsprained tankle tfrom ta ttree
tbranch tfalling ton thim
4. A tnurse tis tworking twith tan tunlicensed tassistive tpersonnel
t(UAP) tto tperform ta tbed tbath ton ta tclient. tThe tnurse tnotes tthe
tsmell tof talcohol ton tthe tUAP’s tbreath. tWhich tis tthe tpriority
tnursing taction?
A. Work tclosely twith tthe tUAP tduring tthe tshift tand tobserve
tfor tany tsigns tof timpairment.
B. Complete tthe tbed tbath twithout tcomment. tThe tunit tis
talready tshort tone tstaff tmember.
C. Offer tchewing tgum tto tthe tUAP. tSince tshe tdoes tnot tgive
tmedications, t she t can t do t her t job t as t she t does t not
tappear timpaired.
D. Call tfor tanother tnurse tto tcomplete tthe tbath tand
timmediately treport tthe tUAP tto tthe tcharge tnurse tor tunit
tmanager.
5. The tnurse thas treceived treport ton tthe tassigned tnight-shift
tclients. tWhich tclient tshould tthe tnurse tsee tfirst t?
A. a tmildly tconfused tclient tdue tfor ta tdressing tchange ton ta
tdiabetic tulcer tto tthe theel
BODY OF KNOWLEDGE
The NCLEX-RN covers four Client Needs Categories : Safe and Effective Care
Environment, Health Promotion and Maintenance, Psychosocial Integrity, and
Physiological Integrity.
Safe and Effective Care Environment is further broken down into two
subcategories: Management of Care and Safety and Infection Control.
Likewise, Physiological Integrity is broken down into four subcategories:
Basic Care and Comfort, Pharmacological and Parenteral Therapies, Reduction
of Risk Potential, and Physiological Adaptation.
Each question on the NCLEX-RN falls into one of these categories or
subcategories. However, questions, or items , are not divided by type on the
NCLEX-RN. That is, they are not marked by category or subcategory.
CLIENT NEEDS CONTENT
Percentage of Items on the
Client Needs Category/Subcategory
NCLEX-RN
Safe and Effective Care
I.
Environment
A. Management of Care 17 – 23%
B. Safety and Infection Control 9 – 15%
II. Health Promotion and Maintenance 6 – 12%
III. Psychosocial Integrity 6 – 12%
IV. Physiological Integrity
A. Basic Care and Comfort 6 – 12%
Pharmacological and Parenteral
B. 12 – 18%
Therapies
C. Reduction of Risk Potential 9 – 15%
D. Physiological Adaptation 11 – 17%
,Diagnostic Test
Read the question, and then choose the most correct answer.
Safe and Effective Care Environment—
Management of Care
1. The nurse is delegating tasks to an unlicensed assistive
personnel (UAP). Which client task should the nurse delegate
to the UAP?
A. a client whose IV infiltrated and needs replacing
B. a client on BiPAP who needs arterial blood gases
(ABGs) drawn
C. a client with mild dementia who needs assistance with
her food tray
D. a client who needs a wet-to-dry dressing change on an
abdominal incision
2. A nurse is preparing a client scheduled for a right mastectomy.
Which statement indicates the need for further intervention?
A. The client refuses to sign the blood consent since she
is a Jehovah’s Witness.
B. The client identifies the right breast as the surgical site
for a right mastectomy.
C. The client signs the consent form with an X, which is
witnessed by two licensed personnel.
, D. The tclient texpresses tdoubt tover ther tdecision tand tasks
tthe tnurse tto texplain tmore tabout tthe tprocedure.
3. An texternal tweather tdisaster thas tflooded tthe temergency
tdepartment twith tseveral tnew tclients. tWhich tclient tshould tthe
tnurse tsee tfirst t?
A. the tclient tcomplaining tof tchest tpain tand tnausea twho tis
tdiaphoretic
B. the tclient twith ta tsimple tfracture tof tthe tradius tfrom ta tfall
ton ta tstaircase
C. the tclient tcomplaining tof tslight tredness tand titching tat
tthe tIV tsite tin this thand
D. the tclient tpresenting twith ta tsprained tankle tfrom ta ttree
tbranch tfalling ton thim
4. A tnurse tis tworking twith tan tunlicensed tassistive tpersonnel
t(UAP) tto tperform ta tbed tbath ton ta tclient. tThe tnurse tnotes tthe
tsmell tof talcohol ton tthe tUAP’s tbreath. tWhich tis tthe tpriority
tnursing taction?
A. Work tclosely twith tthe tUAP tduring tthe tshift tand tobserve
tfor tany tsigns tof timpairment.
B. Complete tthe tbed tbath twithout tcomment. tThe tunit tis
talready tshort tone tstaff tmember.
C. Offer tchewing tgum tto tthe tUAP. tSince tshe tdoes tnot tgive
tmedications, t she t can t do t her t job t as t she t does t not
tappear timpaired.
D. Call tfor tanother tnurse tto tcomplete tthe tbath tand
timmediately treport tthe tUAP tto tthe tcharge tnurse tor tunit
tmanager.
5. The tnurse thas treceived treport ton tthe tassigned tnight-shift
tclients. tWhich tclient tshould tthe tnurse tsee tfirst t?
A. a tmildly tconfused tclient tdue tfor ta tdressing tchange ton ta
tdiabetic tulcer tto tthe theel
