無料更新されたNCLEX NCLEX-PNテストエンジン問題には725問あります
ベストな問題集を使おうNCLEX Certification NCLEX-PN専門試験問題
NCLEX-PN（実務看護師のための全米試験委員会免許試験）は、実用看護の実践能力を決定するように設計された標準化された試験です。この試験は、看護卒業生の知識、スキル、能力を評価するために使用され、アメリカ合衆国のほとんどの州で免許に必要です。NCLEX-PNは、全米州立看護試験委員会（NCSBN）によって実施され、Pearson VUEテストセンターで年間を通じて受けることができます。
NCLEX-PN試験の準備は、挑戦的で時間のかかるプロセスになる可能性があります。候補者は、看護の概念を強く理解し、それらを現実世界の状況に適用できる必要があります。多くの看護プログラムは、学生が試験の準備を支援するために、レビューコースと学習資料を提供しています。さらに、候補者が試験の準備を支援するために利用可能な多くのオンラインリソースと研究ガイドがあります。
NCLEX-PN試験はコンピューター化された適応テスト（CAT）です。つまり、質問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。この試験は、安全で効果的なケア環境、健康増進と維持、心理社会的完全性、生理学的完全性など、4つの主要なカテゴリをカバーする複数選択の質問で構成されています。テストテイカーは、試験に合格するために、これらの各カテゴリの能力を示しなければなりません。
質問 # 206
A day care center has asked the nurse to provide education for parents regarding safety in the home. What type of preventive care does this represent?
- A. secondary
- B. tertiary
- C. health promotion
- D. primary
正解：D
解説：
Explanation/Reference:
Explanation:
Primary prevention involves activities that are utilized to promote wellness or prevent illness or injury.
There are many dangers in the home for small children. Providing education regarding the need for safety measures to prevent injury in the home is considered primary prevention. Secondary prevention involves early detection of a disease or illness and quick intervention to aid the client in maintenance of the disease or injury. Tertiary prevention involves the reduction of a disability and the promotion of the highest level of functioning for a client in relation to his or her disease or injury. Health promotion is any activity that increases a client's health and wellness. Health Promotion and Maintenance
質問 # 207
A contraindication for topical corticosteroid use in a client with atopic dermatitis (eczema) is:
- A. viral infection.
- B. parasite infection.
- C. spirochete infection.
- D. fungal infection.
正解：A
解説：
Topical agents produce a localized, rather than systemic, effect. When treating atopic dermatitis with a steroidal preparation, the site is vulnerable to invasion by organisms. Viruses, such as herpes simplex or varicella zoster, present a risk of disseminated infection. Educate the client using topical corticosteroids to avoid crowds or people known to have infections and to report even minor signs of an infection. Topical corticosteroid use results in little danger of concurrent infection with the agents in choices 1, 3, and 4.
Pharmacological Therapies
質問 # 208
The nurse should teach parents of small children that the most common type of first-degree burn is
__________.
- A. contact with flammable liquids or gases resulting in flash burns
- B. sunburn from lack of protection and overexposure
- C. scalding from hot bath water or spills
- D. contact with hot surfaces such as stoves and fireplaces
正解：B
解説：
Section: Safe and Effective Care Environment
Explanation:
The most common type of first-degree burn is sunburn, underscoring the need for education regarding the use of sunscreens and avoiding exposure.
質問 # 209
The nurse can promote relief of muscle pain, spasms, and tension by __________.
- A. having the client continue his activities as usual
- B. giving as much pain medication as needed to ease the muscle
- C. applying heat, cold, pressure, or vibration to the painful area
- D. immobilizing the client
正解：C
解説：
Section: Physiological Integrity
Explanation:
Superficial heat and cold, massage, pressure, or vibration can be applied to alleviate pain associated with muscle tension, pain, or spasms.
質問 # 210
A risk management program within a hospital is responsible for all of the following except:
- A. controlling financial loss due to malpractice claims.
- B. identifying risks.
- C. analyzing risks and trends to guide further interventions or programs.
- D. making sure that staff follow their job descriptions.
正解：D
解説：
Explanation/Reference:
Explanation:
Risk management is an organizationwide program to identify risks and control incidents and legal liability.
It does not have any direct supervisory or management responsibility for staff. Safety and Infection Control
質問 # 211
New parents ask their newborn's neonatal nurse about safety tips for their home with their new baby.
Which statement by the nurse is most appropriate?
- A. "Mattresses should be tight-fitting and crib bars should have at least 3 inches of space between each bar."
- B. "Have a blanket and a bumper in the crib for warmth and injury prevention."
- C. "Keep all stuffed animals, pillows, blankets, bumpers, etc. out of the crib."
- D. "Do not smoke in the baby's room. Other rooms are okay as long as the baby isn't in them."
正解：C
解説：
Section: Safe and Effective Care Environment
質問 # 212
The nurse is caring for a dying client who has persistently requested that the nurse "help her to die and be in peace." According to the Code of Ethics for Nurses, the nurse should __________.
- A. Tell the client that he or she will ask another nurse to care for her.
- B. Instruct the client that only a physician can legally assist a suicide.
- C. Ask the client whether she has signed the advance directives document.
- D. Try to make the client as comfortable as possible, but refuse to assist in death.
正解：D
解説：
Section: Psychosocial Integrity
Explanation:
Try to make the client as comfortable as possible but refuse to assist in death.
One of the competencies necessary for nurses to have in giving high quality care to clients/families during the end of life care is: apply legal and ethical principles in the analysis of complex issues and end-of-life care, recognizing the influence of personal values, profession codes, and client preferences.
質問 # 213
All of the following factors, when identified in the history of a family, are correlated with poverty except:
- A. frequent use of Emergency Departments.
- B. high infant mortality rate.
- C. low incidence of dental problems.
- D. consultation with folk healers.
正解：C
解説：
Dental problems are prevalent because of the lack of preventive care and access to care. High infant mortality is one of the most significant problems correlated with poverty. Pregnant women who do not have access to care might come to the Emergency Department when in labor. Those in poverty are likely to use Emergency Departments because they may not be turned away. Those in poverty might also turn to folk healers or other persons in their community for care who might be easier to access and might not demand payment.Health Promotion and Maintenance
質問 # 214
The LPN reviews a patient's ABG results:
pH 7.41,
PO2 86 mmHg,
PCO2 39 mmHg,
HCO3 32 mEq/L.
Which of the results is out of range?
- A. PO2
- B. HCO3
- C. PCO2
- D. pH
正解：B
解説：
Section: Physiological Integrity
質問 # 215
While admitting a client to an acute-care psychiatric unit, the nurse asks about substance abuse based on knowledge that __________.
- A. people with psychiatric disorders are more prone to substance abuse
- B. undetected substance problems have no real effect on treatment of psychiatric disorders
- C. substance disorders are easily detected and diagnosed in acute-care psychiatric settings
- D. psychiatric illness is more prevalent in addicted populations
正解：A
解説：
Section: Psychosocial Integrity
Explanation:
The failure to address substance abuse among clients with psychiatric disorders interferes with treatment effectiveness and contributes to relapse.
Misdiagnosis of a psychiatric disorder, suboptimal pharmacological treatment, neglect of appropriate interventions, or an inappropriate referral might also occur.
質問 # 216
Which of the following statements by a client indicates adequate understanding of preparation for a lipoprotein fractionation test?
- A. "I cannot eat or drink after midnight."
- B. "I need to limit my fluid intake."
- C. "I need to ingest a lipid solution."
- D. "I cannot eat for 12 hours before the test."
正解：D
解説：
Section: Physiological Integrity
Explanation:
For lipid fractionation, the client cannot eat for 12 hours prior to the test, but he or she can drink an unrestricted amount of water. No lipid solution is given.
Thus, the other choices are incorrect.
質問 # 217
Which of these medications has the least risk of causing tinnitus?
- A. Aspirin
- B. Lasix
- C. Gentamicin
- D. Fluoxetine
正解：D
解説：
Section: Physiological Integrity
質問 # 218
Which isolation procedure will be followed for secretions and blood?
- A. Standard Precautions
- B. Droplet
- C. Respiratory
- D. Contact Isolation
正解：A
解説：
Section: Safe and Effective Care Environment
Explanation:
Standard precautions are taken in all situations for all clients and involve all body secretions except sweat and are designed to reduce the rate of transmission of microbes from one host to another or one source (environment such as the client's bedside table) to another.
質問 # 219
A client tells the nurse that his wife's nagging really gets on his nerves. He asks the nurse to talk with her about her nagging during their family session tomorrow afternoon.
Which of the following responses is the most therapeutic for the client?
- A. "I'll help you think about how to bring this up yourself tomorrow afternoon."
- B. "Tell me more specifically about her complaints."
- C. "Can you think why she might nag you so much?"
- D. "Why do you want me to initiate this in tomorrow's session rather than you?"
正解：A
解説：
Section: Psychosocial Integrity
Explanation:
The client needs to learn how to communicate directly with his wife about her behavior. The nurse's assistance enables him to practice a new skill and communicates confidence in his ability to confront this situation.
Choices "Tell me more specifically about her complaints." and "Can you think why she might nag you so much?" inappropriately direct attention away from the client and toward his wife, who isn't present.
Choice "Why do you want me to initiate this in tomorrow's session rather than you?" implies that there might be a legitimate reason for the nurse to assume responsibility for something that rightfully belongs to the client.
Instead of focusing on his problems, he'll waste precious time convincing the nurse that he or she should do his work.
質問 # 220
Referral for client education in the community can be accomplished through all of the following except:
- A. home health care agencies.
- B. unlicensed massage therapists.
- C. parish nurses.
- D. community agencies such as the American Heart Association.
正解：B
解説：
Explanation/Reference:
Explanation:
Client education should be completed by an individual or individuals with acknowledged expertise in the subject area and credentials to support activity within the health care community. Coordinated Care
質問 # 221
Which of the following is one of the main goals for Healthy People 2010?
- A. determination of an acceptable morbidity rate
- B. reduction of health care costs
- C. elimination of health disparities
- D. investigation of substance abuse
正解：C
解説：
Section: Health Promotion and Maintenance
Explanation:
Healthy People 2010 has as its main goal elimination of health disparities among the U.S. population. Healthy People 2010 is a set of health objectives for the nation to achieve over the first decade of the twenty-first century and was developed by the Surgeon General's office.
Earlier editions of this report, Healthy People and Healthy People 2000: National Health Promotion and Disease Prevention Objectives established national health objectives and served as the basis for the development of state and community plans.
質問 # 222
The nurse should teach a client in the Emergency Department, who has suffered an ankle sprain, to:
- A. begin progressive passive and active range of motion exercises immediately.
- B. expect pain to decrease within 3 hours after injury.
- C. expect disability to decrease within the first 24 hours of injury.
- D. use cold applications to the sprain during the first 24-48 hours.
正解：D
解説：
Explanation/Reference:
Explanation:
Cold applications are believed to produce vasoconstriction and reduce development of edema. Disability and pain are anticipated to increase during the first 2-3 hours after injury. Progressive passive and active exercises may begin in 2-5 days, according to the physician's recommendation. A sprain is a traumatic injury to the tendons, muscles, or ligaments around a joint, characterized by pain, swelling, and discoloration of the skin over the joint. The duration and severity of the symptoms vary with the extent of damage to the supporting tissues.
Treatment requires support, rest, and alternating cold and heat. X-ray pictures are often indicated to be certain that no fracture has occurred.Physiological Adaptation
質問 # 223
Which of the following physical findings indicates that an 11-12-month-old child is at risk for developmental dysplasia of the hip?
- A. not pulling to a standing position
- B. refusal to walk
- C. negative Ortolani sign
- D. negative Trendelenburg sign
正解：A
解説：
The nurse might be concerned about developmental dysplasia of the hip if an 11-12month-old child doesn't pull to a standing position. An infant who does not walk by 15 months of age should be evaluated. Children should start walking between 11-15 months of age. Trendelenberg sign is related to weakness of the gluteus medius muscle, not hip dysplasia. Ortolani sign is used to identify congenital subluxation or dislocation of the hip in infants.Health Promotion and Maintenance
質問 # 224
All of the following tasks could be delegated to a nursing assistant or unlicensed assistive personnel (UAP) except:
- A. assisting a client to the bathroom.
- B. offering fluid intake every 1-2 hours.
- C. monitoring/recording the amount of fluid taken.
- D. monitoring intravenous infusion.
正解：D
解説：
Monitoring an intravenous infusion must be performed by an RN or LPN. Assisting during activity, offering fluids and recording intake are in the job scope of the nursing assistant.
Coordinated Care
質問 # 225
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