注册护士执照考试(NCLEX-RN)考试大纲

NCLEX-RN考试是根据“满足病人需要”的框架进行安排的，病人的需要有四个大类和六个小类，此消息来源于NCLEX-RN的组织者，国家护士洲考委员会。
一．安全有效的护理环境
㈠．护理管理，占考试的13-19%，包括：
事前指示Advanced directives
拥趸Advocacy
病例管理Case management
病人权力Client rights
多学科协作Collaboration with multidisciplinary team
管理概念Concepts of management
保密性Confidentiality
咨询Consultation
护理的连续性Continuity of care
任务分派Delegation
建立优先性Establishing priorities
伦理实践Ethical practice
知情同意Informed consent
法律权利和义务Legal rights and responsibilities
操作提高（质量保证）Performance improvement (Quality assurance)
转诊Referrals
资源管理Resource management
人员培训Staff education
监督Supervision
下面是这一小类的典型试题
Which of the following assignments, if made by the registered nurse, would be appropriate for a LPV/LVN?
1.        A 34-yaer-old woman with low back pain scheduled for a myelogram in the afternoon.
2.        A 41-year-old woman in traction with a fractured femur
3.        A newly diagnosed 43-year-old woman with type 1 diabetes mellitus.
4.        A 56-year-old man with emphysema scheduled to be discharged later today.
正确答案是②，此病人状态稳定，可以在RN的监督下由LPN护理
下面是另一道护理管理的问题：
After receiving report from night nurse, which of the following patients should the nurse see FIRST？
①．        A 31-year-old woman refusing Carafate before breakfast.
②．        A 40-year-old man with left-sided weakness asking for assistance to the commode.
③．        A 52-year-old woman complaining of chills who is scheduled for a cholecystectomy.
④．        A 65-year-old man with a nasogastric tube who had a bowel resection yesterday.
 
正确答案是③，此人病情最不稳定
㈡．安全与感染的控制，占考试题目的8-14%，包括：
意外预防accident prevention
灾难计划disaster planning
应急反应计划emergency response plan
差错预防error prevention
处理有害及传染性材料handling hazardous and infectious materials
家庭安全home safety
伤害预防injury prevention
内科及外科无菌medical and surgical asepsis
事故、事件、异常情况及病情变化的报告reporting of incident/event/irregular occurrence/ variance
仪器的安全使用safety use of equipment
安全计划security plan
标准/按传播方式/其它防护措施standard/transmission-based/ and other precautions
束缚/安全装置的使用use of restraints/safety devices
下面是这一小类的例题
The physician orders tobramycin sulfate (Nebucin) 3mg/kg IV every 8 hours for a 3-year-old boy. The nurse enters the patient’s room to administer the medication and

discovers that the boy does not have an identification bracelet. What should the nurse do?
①.        Ask the parents at the child’s bedside to state their child’s name.
②.        Ask the child to say his first and last name.
③.        Have a co-worker identify the child before giving the medication.
④.        Hold the medication until an identification bracelet can be obtained.
正确答案是①，这个行为能使护士正确的确认孩子的身份，并及时给药。