2023年更新のNCLEX Certificationが有効なNCLEX-PN問題集を無料提供しています
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質問 # 190
The anemias most often associated with pregnancy are:
- A. thalassemia and B12 deficiency.
- B. folic acid and iron deficiency.
- C. iron deficiency and thalassemia.
- D. folic acid deficiency and thalassemia.
正解：B
解説：
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 # 191
An 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. cold, burning, aching, and numbness
- B. aching, cold, burning and numbness
- C. cold, aching, burning and numbness
- D. burning, aching, cold, and numbness
正解：A
解説：
CBAN, cold, burn, ache, numbness
質問 # 192
A nurse is setting up a vision-screening program for a new school.
At what age will vision be 20/20 in children?
- A. 6-year-old
- B. 5-year-old
- C. 4-year-old
- D. 7-year-old
正解：A
解説：
Section: Health Promotion and Maintenance
Explanation:
6 years is the standard age of 20/20 vision potential.
質問 # 193
Which of the following services is not part of family consultation?
- A. helping families solve problems
- B. providing information about the client's illness
- C. assisting with vocational rehabilitation
- D. teaching effective communication
正解：C
解説：
Section: Psychosocial Integrity
Explanation:
Family consultation does not involve vocational rehabilitation. It involves helping families deal with their feelings, focus, and find solutions.
Choices "providing information about the client's illness", "teaching effective communication" and "helping families solve problems" are components of family consultation.
質問 # 194
The best definition of communication is:
- A. the effect of sending verbal messages.
- B. an ongoing, interactive form of transmitting transactions.
- C. the use of message variables to send information.
- D. the sending and receiving of messages.
正解：B
解説：
Explanation/Reference:
Explanation:
Communication is a personal, interactive system - a series of ever-changing, ongoing transactions in the environment. Transmissions are simultaneously received (decoded), sent (encoded), and influenced by the total of experiences and perceptions of the receivers and senders. Through communication and interaction with others, an individual develops a sense of identity and being. Communication is the basis of a person's self-concept and the relationship of this self to another individual, to a group of people, and to the world.
Psychosocial Integrity
質問 # 195
The LPN is caring for a patient newly diagnosed with HIV.
Which statement made by the patient regarding antiretroviral therapy (ART) would require correction from the nurse?
- A. "I know I will need to come back for blood draws so that I can begin ART when my CD4 count is over 1,000 cells/mm3."
- B. "If I start ART and use condoms, I'm less likely to transmit HIV to my partner."
- C. "I can still use ART even though I am Hepatitis C positive."
- D. "I will need to be on ART indefinitely."
正解：A
解説：
Section: Health Promotion and Maintenance
質問 # 196
A client was involved in a motor vehicle accident in which the seat belt was not worn. The client is exhibiting crepitus, decreased breath sounds on the left, complains of shortness of breath, and has a respiratory rate of 34/min. Which of the following assessment findings should concern the nurse the most?
- A. temperature of 102° F and a productive cough
- B. arterial blood gases (ABGs) with a PaO2 of 92 and PaCO2 of 40 mmHg
- C. trachea deviating to the right
- D. barrel-chested appearance
正解：C
解説：
Explanation/Reference:
Explanation:
A mediastinal shift is indicative of a tension pneumothorax along with the other symptoms in the question.Because the individual was involved in an MVA, assessment is targeted at acute traumatic injuries to the lungs, heart, or chest wall rather than other conditions indicated in the other choices. Choice
1 is common with pneumonia. Values in Choice 2 are not alarming. Choice 4 is typical of someone with chronic obstructive pulmonary disease (COPD). A tension pneumothorax is a dangerous complication and a medical emergency where entering air cannot escape by the same route and pressure within the pleural cavity increases, resulting in complete collapse of the lung. A mediastinal shift to the unaffected side and a downward displacement of the diaphragm can be observed. Physiological Adaptation
質問 # 197
Which of the following instructions should a nurse give a client who is about to undergo pelvic ultrasonography?
- A. "Urinate prior to the test."
- B. "Have someone drive you home."
- C. "Drink plenty of water."
- D. "Do not drink after midnight."
正解：C
解説：
Explanation/Reference:
Explanation:
A full bladder is required to serve as a landmark to define pelvic organs. No sedation is given, so the client may drive herself home after the test. Reduction of Risk Potential
質問 # 198
A patient has been ordered to get Klonapin for the first time.
Which of the following side effects is not associated with Klonapin?
- A. Diplopia
- B. Ataxia
- C. Drowsiness
- D. Salivation elevated
正解：A
解説：
Section: Physiological Integrity
Explanation:
Drowsiness, Ataxia, Salivation elevated are associated side effects of Klonapin.
質問 # 199
A client with Parkinson's disease has difficulty performing voluntary movements. This is known as:
- A. chorea.
- B. dyskinesia.
- C. akinesia.
- D. dystonia.
正解：B
解説：
Explanation/Reference:
Explanation:
Dyskinesia is an impairment of the ability to execute voluntary muscles. Physiological Adaptation
質問 # 200
A central venous pressure reading of 11cm/H(2)0 of an IV of normal saline is determined by the nurse caring for the patient. The patient has a diagnosis of pericarditis. Which of the following is the most applicable:
- A. Pericarditis may cause pressures greater than 10cm/H(2)0 with testing of CVP.
- B. Not enough fluid has been given to the patient.
- C. The patient may have a condition of arteriosclerosis.
- D. The patient has a condition of hypovolemia.
正解：A
解説：
Explanation/Reference:
Explanation:
>10cm/H(2)0 may indicate a condition of pericarditis
質問 # 201
Which isolation procedure will be followed for secretions and blood?
- A. Contact Isolation
- B. Respiratory
- C. Droplet
- D. Standard Precautions
正解：D
解説：
Explanation/Reference:
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. Safety and Infection Control
質問 # 202
A central venous pressure reading of 11 cmH2O of an IV of normal saline is determined by the nurse caring for the patient. The patient has a diagnosis of pericarditis.
Which of the following is the most applicable?
- A. Pericarditis may cause pressures greater than 10 cmH2O with testing of CVP.
- B. Not enough fluid has been given to the patient.
- C. The patient may have a condition of arteriosclerosis.
- D. The patient has a condition of hypovolemia.
正解：A
解説：
Section: Safe and Effective Care Environment
Explanation:
>10 cmH2O may indicate a condition of pericarditis
質問 # 203
As part of a routine health screening, the nurse notes the play of a 2-year-old child. Which of the following is an example of age-appropriate play at this age?
- A. tries to color within the lines
- B. tries to jump rope
- C. says "Mine!" when playing with toys
- D. builds towers with several blocks
正解：C
解説：
Toddlers are possessive and struggle for independence. The other play activities are too advanced for a 2-year-old child.Health Promotion and Maintenance
質問 # 204
The family carries out its health care functions in which of the following ways?
- A. Family pays for most health services.
- B. Family provides very little preventive health care to its members at home.
- C. Family provides sick care to its members.
- D. Family decides when and where to hospitalize its members.
正解：C
解説：
Section: Safe and Effective Care Environment
Explanation:
The family provides sick care to its members.
The other options are incorrect.
質問 # 205
Tricyclics (Antidepressants) sometimes have which of the following adverse affects on patients that have a diagnosis of depression?
- A. Shortness of breath
- B. Distal muscular weakness
- C. Fainting
- D. Large Intestine ulcers
正解：C
解説：
Fainting and hypotension can be caused by Tricyclics.
質問 # 206
Which of the following vaccines is a live virus?
- A. DTaP
- B. varicella
- C. hepatitis B
- D. IPV
正解：B
解説：
Explanation/Reference:
Explanation:
Varicella is a live virus, as is OPV. IPV is an inactivated polio vaccine. Health Promotion and Maintenance
質問 # 207
A Hispanic client brings her father to the clinic because he is becoming more forgetful. He is diagnosed with Alzheimer's disease. The woman tells the nurse that she wants to try ginkgo biloba for her father, before using prescription medications.
Which of the following is an appropriate response by the nurse?
- A. "I will let the physician know of your wishes."
- B. "That herb won't do your father any good."
- C. "It is wiser to start a prescription."
- D. "You can't expect an herb to treat Alzheimer's."
正解：A
解説：
Section: Physiological Integrity
Explanation:
The culturally sensitive response is to notify the physician of the family member's wishes and to determine whether it is feasible.
Ginkgo biloba has been shown to be of some benefit in treating dementia.
The other statements are not culturally sensitive.
質問 # 208
The nurse should make which of the following responses when questioned by a client about the role of leptin in the body?
- A. It increases food intake in clients, thereby promoting obesity.
- B. It might decrease the total fat mass in the bodies of people who are obese.
- C. It assists in the regulation of steroids.
- D. It increases the total fat mass of people who are obese.
正解：B
解説：
Explanation/Reference:
Explanation:
Leptin (recessive obesity gene - protein hormone) is expressed in fat cell coding for the protein that reacts to the percentage of fat cells in the body. Leptin is associated with increased energy expenditure and decreased food intake via hypothalamic control. Obese clients might have insensitivity or resistance to the effects of leptin. Leptin can affect other body hormones such as insulin. Genetic factors include leptin, uncoupling proteins, and the amount of brown/white fat in the body. Physiological Adaptation
質問 # 209
The NSAID that is comparable to morphine in efficacy is:
- A. Elavil.
- B. Feldene.
- C. Stodal.
- D. Toradol.
正解：D
解説：
Explanation/Reference:
Explanation:
Toradol is the first injectable NSAID equal to morphine in efficacy. Basic Care and Comfort
質問 # 210
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