ちなみに、JPNTest NCLEX-RNの一部をクラウドストレージからダウンロードできます：https://drive.google.com/open?id=1C4zfxa2jOpbzFLAmnhT1U-C3Aq-GMcis
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NCLEX-RN試験は、ヘルスケア業界で最も難しいライセンス試験の1つとして広く認知されています。学生は、看護の概念や臨床実践を学び、テスト対策を徹底的に行い、サンプル問題や練習問題で練習するなど、広範な準備とトレーニングが必要です。
この情報の時代には、NCLEX業界にとても注目され、この強い情報技術業界にNCLEX人材が得難いです。こうしてNCLEX-RN認定試験がとても重要になります。でも、この試験がとても難しくてNCLEX通になりたい方が障害になっています。
NCLEX-RN試験は、看護の実践、クライアントの必要性、および看護プロセスの候補者の知識を評価する多肢選択問題から構成されています。これらの問題は包括的で、薬理学、解剖学および生理学、看護プロシージャを含む幅広いトピックをカバーする場合があります。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知識レベルに適応します。
NCLEX-RN 試験は、コンピューター化された適応型テスト（CAT）であり、質問は受験者の回答に基づいて選択されます。受験者は適度な難易度の質問から始め、次の質問は前の質問に対する回答によって決定されます。試験はこのように続き、コンピュータプログラムが受験者の能力レベルを決定するまで続きます。試験は、健康促進、心理社会的完全性、生理的適応、薬理学および親血管療法など、幅広い看護トピックをカバーしています。NCLEX-RN 試験は、広範な勉強と準備を必要とする難しい試験です。しかし、試験に合格することは、ライセンスを取得し、看護職の充実したキャリアに進むための重要なステップです。
質問 # 439
A 2-year-old boy is in the hospital outpatient department for observation after falling out of his crib and hitting his head. The nurse calls the physician to report:
正解：D
解説：
Section: Questions Set F
Explanation:
(A) Perineal irritation needs to be addressed, but it is probably not necessary to call the physician. (B) This fall in pulse rate remains within normal limits and is probably insignificant. It is important to monitor for continued change. (C) This rise in pulse rate is probably not significant, but it is important to monitor for continued change. (D) This temperature is above normal limits and needs medical investigation. It may or may not be related to the head injury.
質問 # 440
A client is receiving IV morphine 2 days after colorectal surgery. Which of the following observations indicate that he may be becoming drug dependent?
正解：B
解説：
(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 # 441
Following a gastric resection, which of the following actions would the nurse reinforce with the client in order to alleviate the distress from dumping syndrome?
正解：B
解説：
(A) Six small meals are recommended. (B) Liquids after meals increase the time food empties from the stomach. (C) Lying down after meals is recommended to prevent gravity from producing dumping. (D) A low-carbohydrate diet will prevent a hypertonic bolus, which causes dumping.
質問 # 442
A pregnant client comes to the office for her first prenatal examination at 10 weeks. She has been pregnant twice before; the first delivery produced a viable baby girl at 39 weeks 3 years ago; the second pregnancy produced a viable baby boy at 36 weeks 2 years ago. Both children are living and well. Using the GTPAL system to record her obstetrical history, the nurse should record:
正解：A
解説：
Explanation
(A) This answer is an incorrect application of the GTPAL method.
One prior pregnancy was a preterm birth at 36 weeks (T =1, P= 1; not T = 2). (B) This answer is an incorrect application of the GTPAL method. The client is currently pregnant for the third time (G = 3, not 2), one prior pregnancy was preterm (T= 1, P= 1; not T= 2), and she has had no prior abortions (A =0). (C) This answer is the correct application of GTPAL method. The client is currently pregnant for the third time (G =3), her first pregnancy ended at term (>37 weeks) (T = 1), her second pregnancy ended preterm 20-33 weeks) (P = 1), she has no history of abortion (A=0), and she has two living children (L = 2). (D) This answer is an incorrect application of the GTPAL method. The client is currently pregnant for the third time (G =3, not 2).
質問 # 443
A female client is anticipating a visit with her parents over the Thanksgiving holidays. She has recently begun experiencing periods of extreme shortness of breath, which her physician has labeled as panic attacks. Which of the following statements by the nurse would enhance therapeutic communication?
正解：D
解説：
(A) Asking the client to provide an explanation for her feelings is often intimidating. (B) This response is probing and may make the client feel used and valued only for the information she can provide. (C) This underrates the client's feelings and belittles her concerns. It may cause the client to stop sharing feelings for fear that they will be ridiculed. (D) The emphasis is on working with the client. It shows that there is hope for change through collaboration.
質問 # 444
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