NCLEX-RN 関連資格試験対応 & NCLEX-RN 試験解説問題


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試験科目:National Council Licensure Examination(NCLEX-RN)
問題と解答:全865問 NCLEX-RN 過去問題

>> NCLEX-RN 過去問題


NO.1 On admission, the client has signs and symptoms of pulmonary edema. The nurse places the
client in the most appropriate position for a client in pulmonary edema, which is:
A. High Fowler
B. Sitting in a chair
C. Supine with feet elevated
D. Lying on the left side
Answer: A
(A) High Fowler position decreases venous return to the heart and permits greater lung expansion so
that oxygenation is maximized. (B) Lying on the left side may improve perfusion to the left lung but
does not promote lung expansion. (C) Sitting in a chair will decrease venous return and promote
maximal lung expansion. However, clients with pulmonary edema can deteriorate quickly and require
intubation and mechanical ventilation. If a client is sitting in achair when this deterioration happens,
it will be difficult to intervene quickly. (D) The supine with feet elevated position increases venous
return and will worsen pulmonary edema.

NO.2 The pediatrician has diagnosed tinea capitis in an 8- year-old girl and has placed her on oral
griseofulvin. The nurse should emphasize which of these instructions to the mother and/or child?
A. Observe for headaches, dizziness, and anorexia.
B. May discontinue medication when the child experiences symptomatic relief.
C. Administer oral griseofulvin on an empty stomach for best results.
D. Discontinue drug therapy if food tastes funny.
Answer: A

NCLEX-RN ソフト   
(A) Giving the drug with or after meals may allay gastrointestinal discomfort. Giving the drug with a
fatty meal (ice cream or milk) increases absorption rate. (B) Griseofulvin may alter taste sensations
and thereby decrease the appetite. Monitoring of food intake is important, and inadequate nutrient
intake should be reported to the physician. (C) The child may experience symptomatic relief after 48-
96 hours of therapy. It is important to stress continuing the drug therapy to prevent relapse (usually
about 6 weeks). (D) The incidence of side effects is low; however, headaches are common. Nausea,
vomiting, diarrhea, and anorexia may occur. Dizziness, although uncommon, should be reported to
the physician.

NO.3 In acute episodes of mania, lithium is effective in 1-2 weeks, but it may take up to 4 weeks, or
even a few months, to treat symptoms fully. Sometimes an antipsychotic agent is prescribed during
the first few days or weeks of an acute episode to manage severe behavioral excitement and acute
psychotic symptoms. In addition to the lithium, which one of the following medications might the
physician prescribe?
A. Alprazolam (Xanax)
B. Sertraline (Zoloft)
C. Haloperidol (Haldol)
D. Diazepam (Valium)
Answer: C

NCLEX-RN 勉強   
(A) Diazepam is an antianxiety medication and is not designed to reduce psychotic symptoms. (B)
Haloperidol is an antipsychotic medication and may be used until the lithium takes effect. (C)
Sertraline is an antidepressant and is used primarily to reduce symptoms of depression. (D)
Alprazolam is an antianxiety medication and is not designed to reduce psychotic symptoms.

NO.4 The primary focus of nursing interventions for the child experiencing sickle cell crisis is aimed
A. Maintaining an adequate level of hydration
B. Providing pain relief
C. O2 therapy
D. Preventing infection
Answer: A

NCLEX-RN 情報   
(A) Maintaining the hydration level is the focus for nursing intervention because dehydration
enhances the sickling process. Both oral and parenteral fluids are used. (B) The pain is a result of the
sickling process. Analgesics or narcotics will be used for symptom relief, but the underlying cause of
the pain will be resolved with hydration. (C) Serious bacterial infections may result owing to splenic
dysfunction. This is true at all times, not just during the acute period of a crisis. (D) O2 therapy is used
for symptomatic relief of the hypoxia resulting from the sickling process. Hydration is the primary
intervention to alleviate the dehydration that enhances the sickling process.

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