NCLEX-RN日本語参考、NCLEX-RN試験復習

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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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試験の準備方法-実際的なNCLEX-RN日本語参考試験-高品質なNCLEX-RN試験復習

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NCLEX National Council Licensure Examination(NCLEX-RN) 認定 NCLEX-RN 試験問題 (Q477-Q482):

質問 # 477
The nurse is caring for a 6-week-old girl with meningitis. To help her develop a sense of trust, the nurse should:

A. Leave the door open to her room
B. Pick her up when she cries
C. Give her a small soft blanket to hold
D. Give her good perineal care after each diaper change

正解：B

解説：
(A) A soft blanket may be comforting, but it is not directed toward developing a sense of trust. (B) Good perineal care is important, but it is not directed toward developing a sense of trust. (C) An infant with meningitis needs frequent attention, but leaving the door open does not foster trust. (D) Consistently picking her up when she cries will help the child feel trust in her caregivers.

質問 # 478
A male client is experiencing extreme distress. He begins to pace up and down the corridor. What nursing intervention is appropriate when communicating with the pacing client?

A. Help him to recognize his anxiety.
B. Walk with him as he paces.
C. Ask him to sit down. Speak slowly and use short, simple sentences.
D. Increase the level of his supervision.

正解：B

解説：
Explanation/Reference:
Explanation:
(A) The nurse should not ask him to sit down. Pacing is the activity he has chosen to deal with his anxiety.
The nurse dealing with this client should speak slowly and with short, simplesentences. (B) The client may already recognize the anxiety and is attempting to deal with it. (C) Walk with the client as he paces. This gives support while he uses anxiety-generated energy. (D) Increasing the level of supervision may be appropriate after he stops pacing. It would minimize self-injury and/or loss of control.

質問 # 479
When inspecting a cardiovascular client, the nurse notes that he needs to sit upright to breathe. This behavior is most indicative of:

A. Pericarditis
B. Congestive heart failure
C. Anxiety
D. Angina

正解：B

解説：
(A) Pericarditis can cause dyspnea but primarily causes chest pain. (B) Anxiety can cause dyspnea resulting in SOB, yet it is not typically influenced by degree of head elevation. (C) The inability to oxygenate well without being upright is most indicative of congestive heart failure, due to alveolar drowning. (D) Angina causes primarily chest pain; any SOB associated with angina is not influenced by body position.

質問 # 480
A 14-year-old teenager is hospitalized for anorexia nervosa. She is admitted to the adolescent mental health unit and placed on a behavior modification program. Nursing interventions for the teenager will most likely include:

A. Requiring the client to eat more during meals
B. Checking the client's room frequently
C. Establishing routine tasks and activities around mealtimes
D. Administering medications such as lithium

正解：C

解説：
Explanation
(A) Providing a more structured, supportive environment addresses safety and comfort needs, thereby helping the anorexic client develop more internal control. (B) Medications (commonly antidepressants) are frequently ordered for the anorexic client. However, lithium (used primarily with bipolar disorder) is not commonly used to treat the anorexic client. (C) Requiring and/or demanding that the anorexic client "eat more" at mealtimes increases the client's feelings of powerlessness. (D) Like the previous strategy, checking the client's room frequently contributes to the client's feelings of powerlessness.

質問 # 481
An alcoholic client who is completing the inpatient segment of a substance abuse program was placed on disulfiram (Antabuse) drug therapy. What should the nurse include in the discharge instructions?

A. Disulfiram works on the desensitization principle.
B. The effects of disulfiram can be triggered by alcohol 5 days to 2 weeks after the drug is discontinued.
C. If disulfiram is taken and alcohol ingested, the client experiences nausea, vomiting and elevated blood pressure.
D. Disulfiram is most effective when prescribed as late as possible in a recovery program.

正解：B

解説：
Explanation/Reference:
Explanation:
(A) When alcohol is ingested with disulfiram therapy, the client experiences nausea, vomiting, and a potentially serious drop in blood pressure. (B) Disulfiram is most successful when used early in the recovery process while the individual makes major lifestyle changes necessary for long-term recovery. (C) Disulfiram works on the classical conditioning principle. (D) The effects of disulfiram can be felt when alcohol is ingested 1-2 weeks after disulfiram is discontinued.

質問 # 482
......

どのようにすればもっと楽にNCLEXのNCLEX-RN認定試験に合格することができるかについて考えたことがありますか。試験に合格する秘密を見つけましたか。それを行う方法がわからない場合、私は教えてあげましょう。実際には、認定試験に合格できる方法が多くあります。試験に関連する知識を一生懸命習得することがただ一つの方法です。今はそのようにしていますか。しかし、これが一番時間を無駄にして、望ましい効果を得られない方法です。それに、毎日仕事で忙しいあなたは、恐らく試験に準備する充分な時間がないでしょう。では、PassTestのNCLEX-RN問題集を試しましょう。この試験参考書はきっとあなたに思えぬ良い結果を与えられます。

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