NCLEX-PN PDF問題集リアル2023最近更新された問題
リリースNCLEX NCLEX-PN更新された問題PDF
NCLEX-PN試験は、看護分野の様々な領域における候補者の知識、スキル、および能力をテストするために設計された多肢選択式の問題から構成されています。テストは「安全で効果的なケア環境」、「健康促進および維持」、「心理社会的完全性」、「生理的完全性」の4つのカテゴリに分かれています。各カテゴリは、感染管理、薬剤投与、患者評価、およびコミュニケーションスキルなどの看護に関連するトピックをカバーしています。試験は挑戦的に設計されており、候補者は科目についての堅固な理解を示さなければ合格することはできません。 NCLEX-PN試験に合格することは、実務看護師としての免許を取得し、医療分野でのキャリアを追求する上で重要なステップです。
実用看護師（LPN）または許可された訓練看護師（LVN）になりたい方には、米国で必要とされる標準化された試験であるNational Council Licensure Examination for Practical Nurses（NCLEX-PN）があります。この試験は、患者への安全かつ効果的な看護ケアの提供における個人の知識、技能、能力を評価するために設計されています。
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。
質問 # 423
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：
Explanation/Reference:
Explanation:
The most common type of first-degree burn is sunburn, underscoring the need for education regarding the use of sunscreens and avoiding exposure. Safety and Infection Control
質問 # 424
A patient asks a nurse the following question. Exposure to TB can be identified best with which of the following procedures? Which of the following tests is the most definitive of TB?
- A. Breath sounds examination
- B. Sputum culture for gram-negative bacteria
- C. Chest x-ray
- D. Mantoux test
正解：D
解説：
Explanation/Reference:
Explanation:
The Mantoux is the most accurate test to determine the presence of TB.
質問 # 425
A mother that has never breast-feed a child before is having trouble getting the baby to latch on to the breast. The baby has lost 3% of its' birth weight within the first 2 days of life. The best statement is:
- A. A small amount of weight loss in the first few days is normal.
- B. I can get the charge nurse to come and talk to you about breast-feeding.
- C. The baby will eventually take to the breast.
- D. I can fix up a bottle if you want to try that.
正解：A
解説：
Explanation/Reference:
Explanation:
5-10% of birth weight loss following birth is normal for the first few days of life.
質問 # 426
Appropriate nursing strategies to assist a client in maintaining a sense of self include:
- A. using the client's first name when addressing the client.
- B. discouraging the use of personal items.
- C. treating the client with dignity.
- D. explaining procedures only if the client is attentive.
正解：C
解説：
Explanation/Reference:
Explanation:
All clients must be treated with dignity. Rather than a strategy, treating clients with dignity is a basic core value universal to nursing. Psychosocial Integrity
質問 # 427
When the nurse is determining the appropriate size of an oropharyngeal airway to insert, what part of a client's body should she measure?
- A. corner of the eye to the top of the ear
- B. corner of the mouth to the tragus of the ear
- C. tip of the chin to the sternum
- D. tip of the nose to the earlobe
正解：B
解説：
Explanation/Reference:
Explanation:
An oropharyngeal airway is measured from the corner of the client's mouth, to the tragus of the ear.
Reduction of Risk Potential
質問 # 428
Which of the following are necessary elements of malpractice? (Choose all that apply.)
- A. A breach of duty
- B. Foreseeability
- C. An intentional act
- D. Causation
- E. A nonintentional act
- F. Patient harm
正解：A、B、D、F
解説：
Section: Safe and Effective Care Environment
Explanation:
The necessary elements of malpractice are a duty to the patient, a breach of duty, foreseeability, causation, and patient harm.
The breach of duty can be intentional or nonintentional.
質問 # 429
During a routine health screening, the nurse should talk to the parents of a 1-year-old child
about which of the following?
- A. appropriate nutrition now that the child has been weaned from breast-feeding
- B. the potential hazards of accidents
- C. toilet training
- D. how to purchase appropriate shoes now that the child is walking
正解：B
解説：
Accidents are the primary source of injury in children and can be life threatening. Appropriate nutrition should have been discussed during the weaning process and while the purchase of appropriate shoes is important, it is not life threatening. One year of age is too early to discuss toilet training.Health Promotion and Maintenance
質問 # 430
A stool culture reveals Shigella. What corollary should the nurse recognize regarding this bacterial infection?
- A. People who have been in contact with the client need to be tested.
- B. Shigella is an airborne infection.
- C. Shigella is a bacteria sometimes found in stagnant water.
- D. The nurse should wear a one-way breathing apparatus when giving client care.
正解：C
解説：
Explanation/Reference:
Explanation:
Shigella is a bacteria sometimes found in stagnant water. Transmission of Shigella is typically oral-fecal, so good hand washing and the use of gloves are the best means of prevention when caring for a client with Shigella. The bacteria can be found in food and water contaminated by fecal material. Incidences of Shigella are reportable in many states. Safety and Infection Control
質問 # 431
The physician wants to know if a client is tolerating his total parenteral nutrition. Which of the following laboratory tests is likely to be ordered?
- A. a complete blood count
- B. liver function tests
- C. a glucose tolerance test
- D. triglyceride level
正解：B
解説：
The liver is the primary organ for digestion. Liver function tests measure the blood level of enzymes produced by the liver: prothrombin time/partial prothrombin time, serum glutamic oxaloacetic and pyruvic transaminases, gamma glutamyl transpeptidase, albumin, and alkalinephosphatase. Choice 1 measures the body's ability to clear triglycerides, the primary component of fats. Failure to clear triglycerides from the bloodstream indicates a problem with storage or the ingestion of too much fat. Choice 3 measures the blood glucose at intervals after a glucose-rich solution is ingested; it is used for diagnosing diabetes. Choice 4 is used to evaluate blood components.Pharmacological Therapies
質問 # 432
Which of the following statements describes the purpose of client restraint?
- A. Restraints are a therapeutic measure designed to positively reinforce client behavior.
- B. Restraints are a nursing measure used to maintain client control.
- C. Restraints are an emergency measure that can only be taken by a nurse under the direct supervision of a physician.
- D. Restraints are an emergency intervention taken as a last resort to protect a client from imminent danger.
正解：D
解説：
Section: Safe and Effective Care Environment
Explanation:
The use of restraints as an emergency measure is taken primarily as a last resort to protect a client from harm.
Typically, the nurse acts under a physician's order, but in an emergency, the nurse may restrain a client out of necessity for one hour prior to the client being seen by a physician or an advanced practice mental health provider.
質問 # 433
Which of the following is not a reason for pelvic ultrasonography?
- A. to detect foreign bodies
- B. to detect multiple pregnancies
- C. to measure renal size
- D. to measure uterine size
正解：C
解説：
The remainder of the responses are indications for pelvic ultrasonography.Reduction of Risk Potential
質問 # 434
The mother of a newborn child is very upset. The child has a cleft lip and palate. The type of crisis this mother is experiencing is:
- A. reactive.
- B. situational.
- C. adventitious.
- D. maturational.
正解：B
解説：
Explanation/Reference:
Explanation:
The arrival of the imperfect child that the mother had not envisioned places the mother in a situational crisis.
Choice 1 is not an option. Choice 2 is an identified specific time period in normal development when anxiety and stress increase. Choice 4 is a crisis that occurs outside the person's control so that the person has a disruption in social norms. Psychosocial Integrity
質問 # 435
Physical examination of a client regarding mobility status should:
- A. begin with the Tandem Walk test.
- B. begin with the Romberg test.
- C. be oriented to time, place, and person.
- D. begin with gait.
正解：D
解説：
Explanation/Reference:
Explanation:
Gait is usually assessed as the client walks into the room. Normal gait is smooth, flowing, and rhythmic without assistive devices. Basic Care and Comfort
質問 # 436
Which of the following is one of the main goals for Healthy People 2010?
- A. elimination of health disparities
- B. determination of an acceptable morbidity rate
- C. reduction of health care costs
- D. investigation of substance abuse
正解：A
解説：
Healthy People 2010has as its main goal elimination of health disparities among the U.S. population.Healthy People 2010is a set of health objectives for the nation to achieve over the first decade of the twenty-first centuryand was developed by the Surgeon General's office. Earlier editions of this report,Healthy PeopleandHealthy People 2000: National Health Promotion and Disease Prevention Objectivesestablished national health objectivesand served as the basis for the development of state and community plans.
Health Promotion and Maintenance
質問 # 437
The nurse uses prioritization to determine all the following except:
- A. appropriate interventions.
- B. the need for client education.
- C. time allotment for certain tasks.
- D. treatment procedures.
正解：D
解説：
Explanation/Reference:
Explanation:
Treatment procedures are standards of care as defined by the facility or nursing unit. If a treatment is indicated, the nurse is obligated to follow the established procedure to be compliant with practice standards. Established priorities contribute to the determination of time management, appropriate interventions, and the need for client education as a potential intervention. Coordinated Care
質問 # 438
Which of the following medications is not considered a neuromuscular blocker?
- A. Anectine
- B. Mivacron
- C. Pitressin
- D. Pavulon
正解：C
解説：
Explanation/Reference:
Explanation:
Pitressin is a hormone replacement medication.
質問 # 439
Which of the following vaccines are not part of the regular schedule of immunizations for children?
- A. hepatitis A
- B. MMR
- C. DTaP
- D. Hib
正解：A
解説：
Hepatitis A is not part of the regular immunization schedule for children. DTaP, MMR, and Hib are all regularly scheduled vaccines for children.Health Promotion and Maintenance
質問 # 440
Pain tolerance in an elderly client with cancer should:
- A. Decrease.
- B. Cancer should have no effect on pain tolerance for an elderly client.
- C. Increase.
- D. Stay the same.
正解：A
解説：
There is potential for a lowered pain tolerance to exist with diminished adaptative capacity.
Basic Care and Comfort
質問 # 441
A newborn has been delivered. An Apgar score is given. What does this scoring system indicate?
- A. heart rate, respiratory effort, color, muscle tone, reflex irritability
- B. bleeding, reflex, edema
- C. heart rate, bleeding, cyanosis, edema
- D. respiratory effort, heart rate, seizures
正解：A
解説：
The Apgar scoring system was put into place by Virginia Apgar, an anesthesiologist in New York, for the purpose of assessing newborns in the areas of heart rate, respiratory effort, color, muscle tone, and reflex irritability at 1, 5, and sometimes 10 minutes after birth.
Safety and Infection Control
質問 # 442
A 65-year-old female client is experiencing postmenopausal bleeding. Which type of physician should this client be encouraged to see?
- A. a physiatrist
- B. a gynecologist
- C. an oncologist
- D. a radiologist
正解：B
解説：
Explanation/Reference:
Explanation:
A gynecologist is the physician who treats and manages disease of the female reproductive organs. A radiologist evaluates X-rays. A physiatrist is the physician manager of a rehabilitation team. An oncologist treats clients with cancer. Coordinated Care
質問 # 443
A 64 year-old male who has been diagnosed with COPD, and CHF exhibits an increase in total body weight of 10 lbs. over the last few days. The nurse should:
- A. Check the patient's vitals every 2 hours.
- B. Check the intake and output on the patient's flow sheet.
- C. Contact the patient's physician immediately.
- D. Encourage the patient to ambulate to reduce lower extremity edema.
正解：B
解説：
Explanation/Reference:
Explanation:
Check the intake and output prior to making any decisions about patient care.
質問 # 444
The PN is preparing a patient for discharge and the discharge medications include phenobarbital.
Which of these patient statements would indicate a need for reinforced teaching about this medication?
- A. "It's best to take this medication with food."
- B. "I should try to take this medication at the same time every day."
- C. "I can't wait to get back to my nightly glass of wine."
- D. "I will need to avoid eating excessive leafy greens."
正解：C
解説：
Section: Physiological Integrity
質問 # 445
A client who is experiencing infertility says to the nurse, "I feel I will be incomplete as a man/woman if I cannot have a child." Which of the following nursing diagnoses is likely to be appropriate for this client?
- A. Ineffective Role Performance
- B. Risk for Self Harm
- C. Powerlessness
- D. Body Image Disturbance
正解：D
解説：
Section: Health Promotion and Maintenance
Explanation:
Of the nursing diagnoses listed, the client's statement most represents Body Image Disturbance because it directly refers to loss of the function of having a child.
Nothing in the statement indicates that the client is at risk for harming herself.
Ineffective Role Performance could be correct but is not the best choice because the statement does not reflect a disruption of the parent's role.
Powerlessness could be an appropriate nursing diagnosis if the client described feeling powerless about the infertility.
質問 # 446
A nurse assesses a 83 year-old female's venous ulcer for the second time that is located near the right medial malleolus. The wound is exhibiting purulent drainage and the patient has limited mobility in her home. Which of the options is the best course of action?
- A. Encourage warm water soaks to the right foot.
- B. Recommend increased activity to reduce the purulent drainage.
- C. Determine the patient's pulse in the right ankle.
- D. Notify the case manager of the purulent drainage.
正解：A
解説：
Explanation/Reference:
Explanation:
A determination of arterial blood flow should be made, prior to encouraging increased activity, or notifying additional team members.
質問 # 447
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