NCLEX-RN最新テスト、NCLEX-RN日本語版対応参考書

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NCLEX NCLEX-RN Exam Syllabus Topics:

SectionWeightObjectives
Psychosocial Integrity6–12%- Therapeutic Communication
- Behavioral Interventions
- Family Dynamics
- Coping Mechanisms
- Grief and Loss
- Chemical Dependency and Substance Use Disorders
- Mental Health Concepts
- End-of-Life Support
Safe and Effective Care Environment26–38%- Safety and Infection Control
  • 1. Standard Precautions
    • 2. Use of Restraints and Safety Devices
      • 3. Infection Control
        • 4. Hazardous Materials Handling
          • 5. Error Prevention
            • 6. Accident Prevention
              - Management of Care
              • 1. Continuity of Care
                • 2. Quality Improvement
                  • 3. Case Management
                    • 4. Ethical Practice
                      • 5. Delegation and Prioritization
                        • 6. Client Rights
                          • 7. Advocacy
                            • 8. Legal Responsibilities
                              Physiological Integrity43–67%- Reduction of Risk Potential
                              • 1. Therapeutic Procedures
                                • 2. Laboratory Values
                                  • 3. Vital Signs
                                    • 4. Diagnostic Tests
                                      • 5. Potential for Complications
                                        - Basic Care and Comfort
                                        • 1. Elimination
                                          • 2. Assistive Devices
                                            • 3. Mobility and Immobility
                                              • 4. Non-pharmacological Comfort Interventions
                                                • 5. Nutrition and Oral Hydration
                                                  • 6. Personal Hygiene
                                                    - Pharmacological and Parenteral Therapies
                                                    • 1. Pharmacological Pain Management
                                                      • 2. IV Therapy and Blood Products
                                                        • 3. Dosage Calculation
                                                          • 4. Adverse Effects and Contraindications
                                                            • 5. Medication Administration
                                                              - Physiological Adaptation
                                                              • 1. Pathophysiology
                                                                • 2. Hemodynamics
                                                                  • 3. Respiratory Care
                                                                    • 4. Fluid and Electrolyte Imbalances
                                                                      • 5. Illness Management
                                                                        • 6. Medical Emergencies
                                                                          Health Promotion and Maintenance6–12%- Aging Process
                                                                          - Antepartum, Intrapartum, Postpartum and Newborn Care
                                                                          - Health Promotion Programs
                                                                          - Developmental Stages and Transitions
                                                                          - Physical Assessment Techniques
                                                                          - Disease Prevention and Health Screening
                                                                          - Self-Care

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                                                                          NCLEX-RN日本語版対応参考書 & NCLEX-RN練習問題

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                                                                          NCLEX National Council Licensure Examination(NCLEX-RN) 認定 NCLEX-RN 試験問題 (Q259-Q264):

                                                                          質問 # 259
                                                                          In evaluating the effectiveness of magnesium sulfate (MgSO4), which of the following might indicate that the client was developing MgSO4 toxicity?

                                                                          正解：D

                                                                          解説：
                                                                          Explanation
                                                                          (A) Diminished (not accentuated) patellar tendon reflex is a sign of developing MgSO4 toxicity. A value of 21 is considered a normal tendon reflex; 3+ is considered brisker than normal. (B) MgSO4 is a central nervous system (CNS) depressant. It also relaxes smooth muscle. If the respiratory rate is <16 bpm magnesium toxicity may be developing. (C) Urine output of 40mL/hr is enough to allow elimination of toxic levels of magnesium.
                                                                          Urinary output of <100 mL in a 4-hour period may result in toxic levels of magnesium. (D) Presence of protein in the urine is a symptom of pregnancy-induced hypertension (PIH), a clinical syndrome for which magnesium sulfate is frequently used in medical management. Protein in the urine is not induced by magnesium sulfate intake.


                                                                          質問 # 260
                                                                          A client delivered a stillborn male at term. An appropriate action of the nurse would be to:

                                                                          正解：C

                                                                          解説：
                                                                          Explanation
                                                                          (A) This is not a supportive statement. There are also no data to indicate the family's religious beliefs. (B) Seeing their baby assists the parents in the grieving process. This gives them the opportunity to say
                                                                          "good-bye." (C) Parents need time to get to know their baby. (D) This is not a comforting statement when a baby has died. There are also no guarantees that the couple will be able to have another child.


                                                                          質問 # 261
                                                                          A client has just received an epidural block. She is laboring on her right side. The nurse notes that her blood pressure has dropped from 132/68 to 78/42 mm Hg. The nurse's first action would be to:

                                                                          正解：B

                                                                          解説：
                                                                          (A) Nursing measures to support fetal oxygenation and promote maternal blood pressure would precede calling the physician. (B) Systolic pressures below 100 mm Hg or a reduction in the systolic pressure of>30% necessitate treatment. Assessing the blood pressure in 5 minutes may allow for further fetal and/or maternal compromise. Turning the client on her left side will promote uteroplacental perfusion and is appropriate. (C) Oxytocin (Pitocin) increases the strength of uterine contractions and may cause maternal hypotension; thus it is an inappropriate drug for use in this clinical situation. IV fluids would be increased to expand the circulating blood volume and promote increased blood pressure. (D) Turning the mother to her left lateral side promotes uteroplacental perfusion.
                                                                          IV fluids are administered to increase the circulating blood volume, and O2 is administered to promote fetal oxygenation and decrease the nausea accompanying the hypotension.


                                                                          質問 # 262
                                                                          An infant weighing 15 lb has just been treated for severe diarrhea in the hospital. Discharge instructions by the nurse will include maintenance fluid requirements for the pediatric client. Which of the following values best indicates the nurse's understanding of normal fluid requirements for this infant?

                                                                          正解：B

                                                                          解説：
                                                                          (A, C, D) These answers are incorrect. (B) Normal fluid requirement for this pediatric client is based on the fact that 0-10 kg of weight equals 100 mL/kg per day. This infant weighs 15 pounds (6.8 kg). Thus, 100 mL X 6.8 = 680 mL/day.


                                                                          質問 # 263
                                                                          A client has begun to exhibit signs of alcohol withdrawal. Her blood pressure has risen from 120/60 to 190/100, pulse is increased from 88 to 110 bpm, and she is irritable and agitated and has gross motor tremors of the hands. The nurse notifies the doctor. The nurse can anticipate that the doctor will order which of the following?

                                                                          正解：A

                                                                          解説：
                                                                          (A)
                                                                          This answer is incorrect. Benzodiazepines are drugs of choice for alcohol withdrawal.
                                                                          (B)
                                                                          This answer is correct. The drug has a sedative effect, is safe, and has an anticonvulsant effect.(C) This answer is incorrect. Amitriptyline is an antidepressant. (D)
                                                                          This answer is incorrect. Chlorpromazine is most effective in psychotic disorders.


                                                                          質問 # 264
                                                                          ......

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