NCLEX-PN試験無料問題集（725題）「NCLEX National Council Licensure Examination(NCLEX-PN) 認定」

出題：1

Who should receive the hepatitis A vaccine?

A. people who travel to other countries

B. children who are 18 months of age

C. infants, who should receive the vaccination at birth

D. individuals who might come into contact with blood

正解：A 解答を投票する

解説: (GoShiken メンバーにのみ表示されます)

出題：2

A 93 year-old female with a history of Alzheimer's Disease gets admitted to an Alzheimer's unit. The patient has exhibited signs of increased confusion and limited stability with gait. Moreover, the patient is refusing to use a w/c. Which of the following is the most appropriate course of action for the nurse?

A. Recommend a speech therapy consult to the doctor.

B. Recommend the patient remain in her room at all times.

C. Recommend the patient attempt to walk pushing the w/c for safety.

D. Recommend family members bring pictures to the patient's room.

正解：D 解答を投票する

解説: (GoShiken メンバーにのみ表示されます)

出題：3

A nurse is performing a screening on a patient that has been casted recently on the left lower extremity. Which of the following statements should the nurse be most concerned about?

A. The patient reports, "The arthritis in my wrists is flaring up, when I put weight on my crutches."

B. The patient reports, "My left leg has really been itching."

C. The patient reports, "I have been having pain in my left calf."

D. The patient reports, "I didn't keep my extremity elevated like the doctor asked me to."

正解：C 解答を投票する

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出題：4

Following the change of shift report, the nurse should analyze the information and set priorities accordingly. When the plan has been formulated, at what point during the shift can or should the nurse's plan be altered or modified?

A. when needs change

B. halfway through the shift

C. after the top-priority tasks have been completed

D. at the end of the shift before the nurse reports off

正解：A 解答を投票する

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出題：5

Major competencies for the nurse giving end-oflife care include:

A. setting goals, expectations, and dynamic changes to care for the client.

B. demonstrating respect and compassion, and applying knowledge and skills in care of the family and the client.

C. assessing and intervening to support total management of the family and client.

D. keeping all sad news away from the family and client.

正解：B 解答を投票する

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出題：6

The physician orders the antibiotics ampicillin (Omnipen) and gentamicin (Garamycin) for a newly admitted client with an infection. The nurse should:

A. administer both medications simultaneously.

B. start one medication now and begin the other medication in 2-4 hours.

C. ask the physician or pharmacy which medication to give first and how long to wait before giving the other drug.

D. give the medications sequentially, and flush well between them.

正解：D 解答を投票する

解説: (GoShiken メンバーにのみ表示されます)

出題：7

A nurse is instructing a person who had a left CVA and right lower extremity hemiparesis to use a quad cane. Which of the following is the most appropriate gait sequence?

A. Place the cane in the patient's left upper extremity, encourage cane, then leftlower extremity, then right upper extremity gait sequence.

B. Place the cane in the patient's right upperextremity, encourage cane, thenright lower extremity, then left upper extremity gait sequence.

C. Place the cane in the patient's left upper extremity, encourage cane, then right lowerextremity, then left upper extremity gait sequence.

D. Place the cane in the patient's right upper extremity, encourage cane, thenleft lower extremity, then right upper extremity gait sequence.

正解：C 解答を投票する

解説: (GoShiken メンバーにのみ表示されます)

出題：8

A twenty-one year old man suffered a concussion and the MD ordered a MRI. The patient asks, "Will they allow me to sit up during the MRI?" The correct response by the nurse should be.

A. "I will have to talk to the doctor about letting you sit upright during the test."

B. "You will be positioned in the reverse Trendelenburg position to maximizethe view of the brain."

C. "The radiologist will let you know."

D. "You will have to lie down on your back during the test."

正解：D 解答を投票する

解説: (GoShiken メンバーにのみ表示されます)

出題：9

Appropriate care for a client with neutropenia includes:

A. wearing a mask when out of the room.

B. a semi-private room.

C. plenty of fresh fruits and vegetables.

D. routine hand washing.

正解：A 解答を投票する

解説: (GoShiken メンバーにのみ表示されます)

出題：10

The nurse is teaching a client about communicable diseases and explains that a portal of entry is:

A. a vector.

B. food.

C. the respiratory system.

D. a source, like contaminated water.

正解：C 解答を投票する

解説: (GoShiken メンバーにのみ表示されます)

出題：11

Which of the following foods can cause diarrhea when eaten by a client with an ileostomy?

A. eggs

B. fish

C. garlic

D. coffee

正解：D 解答を投票する

解説: (GoShiken メンバーにのみ表示されます)

出題：12

Which of the following is an inappropriate item to include in planning care for a severely neutropenic client?

A. Avoid administering rectal suppositories.

B. Prohibit vases of fresh flowers and plants in the client's room.

C. Exclude raw vegetables from the diet.

D. Transfuse netrophils (granulocytes) to prevent infection.

正解：D 解答を投票する

解説: (GoShiken メンバーにのみ表示されます)

出題：13

The intravenous route is potentially the most dangerous route of drug administration because:

A. it is expensive and nursing intensive.

B. the client always has more side effects.

C. rapid administration of a drug can lead to toxicity.

D. the IV might infiltrate.

正解：C 解答を投票する

解説: (GoShiken メンバーにのみ表示されます)

出題：14

The nurse is transferring a client from a wheelchair to the bed. Which is the correct procedure?

A. Stand the client on both legs, and push him toward the bed.

B. Push the client toward the bed, and pivot him on the affected limb.

C. Pull the client toward you, and pivot him on the unaffected limb.

D. Pull the client toward you, and pivot him on the affected limb.

正解：C 解答を投票する

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出題：15

The best lab test to diagnose disseminated intravascular coagulation (DIC) is:

A. platelet count.

B. D-dimer.

C. protime (PT).

D. partial thromboplastin time (PTT).

正解：B 解答を投票する

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出題：16

A client goes to the mental health center for difficulty concentrating, insomnia, and nightmares. The client reports being raped as a child. The nurse should assess the client for further signs of:

A. general anxiety disorder.

B. post-traumatic stress disorder.

C. bipolar disorder.

D. schizophrenia.

正解：B 解答を投票する

解説: (GoShiken メンバーにのみ表示されます)

出題：17

After breast reconstruction secondary to breast cancer, the nurse should recognize which of the following expected client outcomes as evidence of a favorable response to nursing interventions related to disturbed body image?

A. remaining free of infection

B. maintaining adequate tissue perfusion

C. restored body integrity

D. demonstrating behaviors that reduce fears

正解：C 解答を投票する

解説: (GoShiken メンバーにのみ表示されます)

出題：18

The client on Floxin must be alerted to which of the following adverse effects?

A. propensity of anovulatory uterine bleeding

B. tendon rupture

C. stunting of height in teens and young adults

D. intractable diarrhea