NCLEX-RN資格問題対応、NCLEX-RN試験時間

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NCLEX NCLEX-RN Exam Syllabus Topics:

Section	Weight	Objectives
Topic 1: Psychosocial Integrity	6–12%	- Therapeutic Communication - Family Dynamics - Coping Mechanisms - Chemical Dependency and Substance Use Disorders - Mental Health Concepts - End-of-Life Support - Behavioral Interventions - Grief and Loss
Topic 2: Safe and Effective Care Environment	26–38%	- Management of Care 1. Client Rights 2. Quality Improvement 3. Continuity of Care 4. Case Management 5. Delegation and Prioritization 6. Ethical Practice 7. Legal Responsibilities 8. Advocacy - Safety and Infection Control 1. Accident Prevention 2. Hazardous Materials Handling 3. Error Prevention 4. Infection Control 5. Use of Restraints and Safety Devices 6. Standard Precautions
Topic 3: Physiological Integrity	43–67%	- Physiological Adaptation 1. Fluid and Electrolyte Imbalances 2. Respiratory Care 3. Medical Emergencies 4. Hemodynamics 5. Pathophysiology 6. Illness Management - Pharmacological and Parenteral Therapies 1. Pharmacological Pain Management 2. Dosage Calculation 3. IV Therapy and Blood Products 4. Adverse Effects and Contraindications 5. Medication Administration - Reduction of Risk Potential 1. Laboratory Values 2. Diagnostic Tests 3. Vital Signs 4. Therapeutic Procedures 5. Potential for Complications - Basic Care and Comfort 1. Mobility and Immobility 2. Nutrition and Oral Hydration 3. Non-pharmacological Comfort Interventions 4. Personal Hygiene 5. Elimination 6. Assistive Devices
Topic 4: Health Promotion and Maintenance	6–12%	- Disease Prevention and Health Screening - Antepartum, Intrapartum, Postpartum and Newborn Care - Physical Assessment Techniques - Aging Process - Health Promotion Programs - Developmental Stages and Transitions - Self-Care

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NCLEX-RN試験時間 & NCLEX-RN資格認定試験

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NCLEX National Council Licensure Examination(NCLEX-RN) 認定 NCLEX-RN 試験問題 (Q532-Q537):

質問 # 532
A pregnant client experiences a precipitous delivery. The nursing action during a precipitous delivery is to:

A. Control the delivery by guiding expulsion of fetus
B. Cross client's legs tightly
C. Leave the room to call the physician
D. Push against the perineum to stop delivery

正解：A

解説：
Section: Questions Set C
Explanation:
(A) Controlling the rapid delivery will reduce the risk of fetal injury and perineal lacerations. (B) The nurse should always remain with a client experiencing a precipitous delivery. (C) Pushing against the perineum may cause fetal distress. (D) Crossing of legs may cause fetal distress and does not stop the delivery process.

質問 # 533
The physician prescribes a medical regimen of isoniazid, rifampin, and vitamin B6 for a tuberculosis client. The nurse instructs the client that B6 is given because it:

A. Increases activity of rifampin
B. Reduces peripheral neuropathy
C. Improves nutritional status
D. Increases activity of isoniazid

正解：B

解説：
(A) Vitamin B6does not enhance the activity of isoniazid. (B) Vitamin B6does not enhance the activity of rifampin. (C) A vitamin alone does not improve nutritional status. (D) Isoniazid leads to Vitamin B6deficiency, which is manifested as peripheral neuropathy.

質問 # 534
A client with severe PIH receiving MgSO4 is placed in a quiet, darkened room. The nurse bases this action on the following understanding:

A. Noise or bright lights may precipitate a convulsion.
B. The elevated blood pressure causes photophobia.
C. External stimuli are annoying to the client with PIH.
D. The client is restless.

正解：A

解説：
Explanation
(A) The client may be anxious and hyperresponsive to stimuli but not necessarily restless. (B) This is not a physiological response to an elevated blood pressure in PIH. (C) The nurse must know the nursing measures that decrease the potential for convulsions. A quiet, darkened room decreases stimuli and promotes rest. (D) External stimuli might induce a convulsion but are not annoying to the client with PIH.

質問 # 535
A client has a chest tube placed in his left pleural space to re-expand his collapsed lung. In a closed-chest drainage system, the purpose of the water seal is to:

A. Prevent fluid from entering the pleural space
B. Provide an indicator of respiratory effort
C. Prevent air from entering the pleural space
D. Provide a means to measure chest drainage

正解：C

解説：
Explanation
(A) A chest tube extends from the pleural space to a collection device. The tube is placed below the surface of the saline so that air cannot enter the pleural space. (B) Fluid may enter the pleural space as a result of injury or disease. A chest tube may drain fluid from the pleural space, but the water seal is not involved in this. (C) Chest drainage should be measured, but the water seal is not involved in this. (D) Fluctuations in the tube in the water-sealed bottle will give an indication of respiratory effort, but that is not the purpose of the water seal.

質問 # 536
During an examination, the nurse notes that an infant has diaper rash on the convex surfaces of his buttocks, inner thighs, and scrotum. Which of the following nursing interventions will be most effective in resolving the condition?

A. Using talcum powder on the inflamed areas to promote drying
B. Cleaning the inflamed area thoroughly with disposable wet "wipes" at each diaper change
C. Removing the diaper entirely for extended periods of time
D. Coating the inflamed areas with zinc oxide

正解：C

解説：
Explanation/Reference:
Explanation:
(A) Zinc oxide is not usually applied to inflamed areas because it contributes to sweat retention. (B) Talcum powder is of questionable benefit and poses a hazard of accidental inhalation. (C) Removing the diaper and exposing the area to air and light facilitate drying and healing. (D) Infants may be sensitive to one or more agents in the wet "wipes." It is better to simply clean with a wet cloth.

質問 # 537
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