あなたを必ず合格させるNCLEX-PN問題集PDF 2023年最新のに更新されたのは725問あります
NCLEX NCLEX-PNリアル試験問題と解答を無料で提供いたします
NCLEX-PN試験は、実用看護に関連する広範なトピックをカバーする多肢選択問題から構成されています。これらのトピックには、基本的な看護ケア、薬理学、患者評価、および看護介入が含まれます。この試験はコンピュータ適応型であり、問題の難易度は候補者のパフォーマンスに基づいて調整されます。試験は、候補者がライフスパン全体の患者に対して、さまざまな医療設定で安全かつ効果的な看護を提供する能力を試験するために設計されています。
NCLEX-PN試験は、健康促進、アセスメント、薬理学、患者ケアなど、看護実践に関連する幅広いトピックをカバーする複数の選択肢の問題で構成されています。この試験はコンピュータ化され、適応型であり、テストを受ける人の回答に基づいて問題の難易度が変化します。この適応型テストの目的は、各受験者が個別の知識と能力に応じて公平かつ正確に評価されることを保証することです。
質問 # 216
Local anesthetics block the conduction of pain impulses to the spinal cord. Their duration of action:
- A. is usually short (10 minutes).
- B. is determined by the rate of diffusion and absorption at the site of administration.
- C. is always longer than general anesthesia.
- D. varies, depending on the client's weight.
正解：B
解説：
Diffusion and absorption depend on the chemical properties of the anesthetic and other factors such as local pH and blood flow. Duration might or might not be longer than general anesthesia. Duration can be short if the type of local anesthetic is a short-acting agent. Client weight is not a factor.Pharmacological Therapies
質問 # 217
A client with major head trauma is receiving bolus enteral feeding. The most important nursing order for this client is:
- A. increase enteral feeding.
- B. measure intake and output.
- C. check albumin level.
- D. monitor glucose levels.
正解：B
解説：
Explanation/Reference:
Explanation:
It is important to measure intake (I) and output (O), which should be approximately equal. Enteral feedings are hyperosmotic agents pulling fluid from cells into the vascular bed. Water given before feeding presents a hyperosmotic diuresis. I and O measures assess fluid balance. Basic Care and Comfort
質問 # 218
A client begins a regimen of chemotherapy. Her platelet counts fall to 98,000.
Which action is least likely to increase the risk of hemorrhage?
- A. Test all excreta for occult blood.
- B. Avoid IM injections.
- C. Use a soft toothbrush or foam cleaner for oral hygiene.
- D. Implement reverse isolation.
正解：D
解説：
Section: Physiological Integrity
Explanation:
Reverse isolation does not affect the risk of hemorrhage.
質問 # 219
The anemias most often associated with pregnancy are:
- A. folic acid and iron deficiency.
- B. iron deficiency and thalassemia.
- C. thalassemia and B12 deficiency.
- D. folic acid deficiency and thalassemia.
正解：A
解説：
Explanation/Reference:
Explanation:
Folic acid and iron deficiency anemia are the most common anemias, prevalent in women of childbearing age with 50% of pregnant women having this type of anemia. Iron deficiency anemia during pregnancy is a result (usually) of the increase in the plasma level during pregnancy but not in the constituent level. Also, if a woman has this type of anemia prepregnancy, it gets worse during pregnancy. Physiological Adaptation
質問 # 220
A physician orders a serum creatinine for a hospitalized client. The nurse should explain to the client and his family that this test:
- A. reflects the fluid volume status of a person.
- B. is a better indicator of renal function than the BUN.
- C. can be elevated with increased protein intake.
- D. is normal if the level is 4.0 to 5.5 mg/dl.
正解：B
解説：
Explanation/Reference:
Explanation:
A serum creatinine level should be 0.7 to 1.5 mg/dl, and it does not vary with increased protein intake, so it is a better indicator of renal function than the BUN.Physiological Adaptation
質問 # 221
Which type of dressing is recommended to place over a site when a chest tube is removed by the physician?
- A. petrolatum gauze
- B. colloidal dressing
- C. nonadherent dressing
- D. transparent dressing
正解：A
解説：
Petrolatum gauze is recommended to place over a site when a chest tube is removed by the physician. This is because it forms an airtight seal, which the other choices do not.
Reduction of Risk Potential
質問 # 222
How long can women lactate for?
- A. 18 to 24 months
- B. 12 to 18 months
- C. 30 to 36 months
- D. Indefinitely
正解：D
解説：
Section: Health Promotion and Maintenance
Explanation:
A woman can lactate indefinitely; however, it puts them at risk of developing osteoporosis due to the calcium depletion from the bones and teeth.
Letting the baby wean itself is ideal. Ideally, all babies should be exclusively breastfed for six months with the gradual introduction of solid foods while continuing to breastfeed.
Most women in the United States stop breastfeeding following the twelfth month of life.
質問 # 223
The school nurse is conducting health screenings on schoolchildren. During the screening, she identifies a child with the behavioral characteristics of attention deficit disorder. Which of the following behaviors is consistent with this disorder?
- A. overreaction to stimuli from the surroundings
- B. slow speech development
- C. inability to carry on a conversation
- D. concrete thinking
正解：A
解説：
Children with attention deficit disorder are easily distracted but are able to carry on a conversation. Concrete thinking is more indicative of age, and slow speech development has more to do with other learning disabilities.Health Promotion and Maintenance
質問 # 224
A nurse is working in an outpatient orthopedic clinic. During the patient's history the patient reports, "I tore
3 of my 4 Rotator cuff muscles in the past." Which of the following muscles cannot be considered as possibly being torn?
- A. Supraspinatus
- B. Teres major
- C. Infraspinatus
- D. Teres minor
正解：B
解説：
Explanation/Reference:
Explanation:
Teres Minor, Infraspinatus, Supraspinatus, and Subscapularis make up the Rotator Cuff.
質問 # 225
Which of the following lab values is elevated first after a client has a myocardial infarction?
- A. SGOT
- B. LDH
- C. troponin
- D. CPK
正解：C
解説：
The troponin level is the first to rise in a client who has had a myocardial infarction,
followed by CPK, SGOT,
and LDH.Reduction of Risk Potential
質問 # 226
A gastroenterologist should be consulted for clients suffering from __________.
- A. female reproductive system diseases
- B. nervous system diseases
- C. urinary system diseases
- D. digestive system diseases
正解：D
解説：
Section: Safe and Effective Care Environment
Explanation:
A gastroenterologist cares for clients with digestive system diseases.
A urologist cares for clients with urinary system diseases.
A gynecologist cares for clients with female reproductive system diseases.
A neurologist cares for clients with nervous system diseases.
質問 # 227
A nurse is instructing a patient on the order of sensations with the application of an ice water bath for a swollen right ankle.
Which of the following is the correct order of sensations experienced with an ice water bath?
- A. burning, aching, cold, and numbness
- B. aching, cold, burning and numbness
- C. cold, burning, aching, and numbness
- D. cold, aching, burning and numbness
正解：C
解説：
Section: Physiological Integrity
Explanation:
CBAN, cold, burn, ache, numbness
質問 # 228
Hazards of improper splinting include:
- A. all of the above.
- B. delay in transport of a client with a lifethreatening injury.
- C. aggravation of a bone or joint injury.
- D. reduced distal circulation.
正解：A
解説：
Hazards of improper splinting include aggravation of a bone or joint injury, reduced distal circulation, and delay in transport of a client with a life-threatening injury.Basic Care and Comfort
質問 # 229
A nurse is assessing a patient's breath sounds. The patient has had a pneumonectomy to the right lung performed 48 hours ago. Which of the following conditions most likely exists?
- A. Decreased breath sound volume
- B. Elevated respiratory capacity
- C. Elevated tidal volume
- D. Wheezing
正解：A
解説：
Explanation/Reference:
Explanation:
Breath sounds would be softer.
質問 # 230
The PN is preparing a patient who has undergone cataract surgery on the right eye for discharge.
Which of these statements indicates that the patient understands his or her post-surgical instructions?
- A. "I need to sleep on my left side."
- B. "I need to sleep flat on my back."
- C. "I can sleep in any position I find comfortable."
- D. "I need to sleep on my right side."
正解：A
解説：
Section: Physiological Integrity
質問 # 231
A thirty-seven year-old female in room 307 has a diagnosis of acquired immune deficiency syndrome (AIDS). Which of the following situations requires nurse intervention?
- A. A certified nursing assistant states, "Dr. Jones hasn't made rounds this morning."
- B. A nursing assistant at the nursing station states, "The patient in 307 has a respiratory rate of 16."
- C. A certified nursing assistant states, "The patient in 307 is not wearing gloves shaving her legs."
- D. A nursing student in the cafeteria states, "Dr.Jones told the patient in room 307 that she was going to die."
正解：D
解説：
Explanation/Reference:
Explanation:
Patient confidentiality should be observed, especially in public places. The nurse should tell the nursing student do not discuss confidential information in public.
質問 # 232
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