NCLEX NCLEX-RN関連問題資料 & NCLEX-RN認定内容

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NCLEX NCLEX-RN Exam Syllabus Topics:

Section	Weight	Objectives
Management of Care	15-21%	- Management of Care 1. Advocacy 2. Assignment, Delegation and Supervision 3. Collaboration with Interdisciplinary Team 4. Ethical Practice 5. Case Management 6. Legal Rights and Responsibilities 7. Confidentiality and Information Security 8. Performance Improvement and Quality Assurance 9. Client Rights 10. Priority Setting 11. Advance Directives 12. Informed Consent 13. Continuity of Care
Reduction of Risk Potential	9-15%	- Reduction of Risk Potential 1. Diagnostic Tests 2. Monitoring and Assessment 3. Therapeutic Procedures 4. System-Specific Assessments 5. Changes in Vital Signs 6. Potential Complications
Psychosocial Integrity	6-12%	- Psychosocial Integrity 1. Coping Mechanisms 2. Support Systems 3. Family Dynamics 4. Therapeutic Communication 5. Crisis Intervention 6. Behavioral Interventions 7. Mental Health Concepts 8. Substance Use Disorders
Pharmacological and Parenteral Therapies	13-19%	- Pharmacological and Parenteral Therapies 1. Adverse Effects and Contraindications 2. Parenteral Therapies 3. Blood and Blood Products 4. Expected Actions and Outcomes 5. Medication Administration 6. Dosage Calculations 7. Central Venous Access Devices
Safety and Infection Control	10-16%	- Safety and Infection Control 1. Emergency Response Planning 2. Security Plans 3. Home Safety 4. Infection Prevention and Control 5. Handling Hazardous Materials 6. Safe Use of Equipment 7. Accident and Injury Prevention 8. Standard and Transmission-Based Precautions
Physiological Adaptation	11-17%	- Physiological Adaptation 1. Alterations in Body Systems 2. Unexpected Response to Therapies 3. Pathophysiology 4. Hemodynamics 5. Fluid and Electrolyte Imbalances 6. Medical Emergencies
Health Promotion and Maintenance	6-12%	- Health Promotion and Maintenance 1. Growth and Development 2. Disease Prevention 3. Health Promotion Programs 4. Prenatal, Intrapartum and Postpartum Care 5. Health Screening 6. Aging Process 7. Newborn Care
Basic Care and Comfort	6-12%	- Basic Care and Comfort 1. Mobility and Immobility 2. Assistive Devices 3. Elimination 4. Rest and Sleep 5. Activities of Daily Living 6. Nutrition and Oral Hydration 7. Personal Hygiene

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NCLEX National Council Licensure Examination(NCLEX-RN) 認定 NCLEX-RN 試験問題 (Q255-Q260):

質問 # 255
The nurse is caring for a 3-month-old girl with meningitis. She has a positive Kernig's sign. The nurse expects her to react to discomfort if she:

A. Flexes her spine
B. Dorsiflexes her ankle
C. Plantiflexes her wrist
D. Turns her head to the side

正解：A

解説：
(A) Discomfort with ankle dorsiflexion is not expected with meningitis. (B) Spinal flexion, flexing the neck or the hips with legs extended, causes discomfort if the meninges are irritated. (C) Discomfort with wrist flexion is not expected with meningitis. (D) Rotating the cervical spine may cause discomfort with meningitis, but pain with flexion is more indicative of meningeal irritation.

質問 # 256
A 1000-mL dose of D5W 1⁄2 normal saline is to be infused in 8 hours. The drop factor for the tubing is 60 gtt/min. How many drops per minute should the nurse administer?

A. 125 gtt/min
B. 150 gtt/min
C. 75 gtt/min
D. 100 gtt/min

正解：A

解説：
Explanation/Reference:
Explanation:
(A) This answer is a miscalculation. (B) This answer is a miscalculation. (C)125 gtt/min. (D) This answer is a miscalculation.

質問 # 257
A client is receiving IV morphine 2 days after colorectal surgery. Which of the following observations indicate that he may be becoming drug dependent?

A. He is asleep 30 minutes after receiving the IV morphine.
B. He asks for pain medication although his blood pressure and pulse rate are normal.
C. He is euphoric for about an hour after each injection.
D. The client requests pain medicine every 4 hours.

正解：C

解説：
Explanation/Reference:
Explanation:
(A) Frequent requests for pain medication do not necessarily indicate drug dependence after complex surgeries such as colorectal surgery. (B) Sleeping after receiving IV morphine is not an unexpected effect because the pain is relieved. (C) A person may be in pain even with normal vital signs. (D) A subtle sign of drug dependency is the tendency for the person to appear more euphoric than relieved of pain.

質問 # 258
The nurse is admitting a client with folic acid deficiency anemia. Which of the following questions is most important for the nurse to ask the client?

A. "Have your stools been normal?"
B. "Do you drink alcohol on a regular basis?"
C. "Do you take aspirin on a regular basis?"
D. "Do you eat red meat?"

正解：B

解説：
Section: Questions Set G
Explanation:
(A) Aspirin does not affect folic acid absorption. (B) Folic acid deficiency is strongly associated with alcohol abuse. (C) Because folic acid is a coenzyme for single carbon transfer purines, calves liver or other purines are the meat sources. (D) Folic acid does not affect stool character.

質問 # 259
A 16-year-old diabetic girl has been selected as a cheerleader at her school. She asks the nurse whether she should increase her insulin when she is planning to attend cheerleading practice sessions lasting from 8 to 11 AM. The most appropriate answer would be:

A. "You should ask your doctor about this."
B. "No, do not increase your insulin, but eating a snack prior to practice exercise will make insulin more effective and move more glucose into the cells."
C. "Yes, increase your insulin by 1 U for each hour of practice because exercise causes the body to need more insulin."
D. "No, do not increase your insulin. Exercise will not affect your insulin needs."

正解：B

解説：
(A) A nurse can give this information to a client. (B) Exercise makes insulin more efficient in moving more glucose into the cells. No more insulin is needed. (C) Exercise makes insulin more efficient unless the diabetes is poorly controlled. (D) Exercise makes insulin more efficient in moving more glucose into the cells.

質問 # 260
......

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