NCLEX-RN試験問題解説集、NCLEX-RN試験情報

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NCLEX NCLEX-RN Exam Syllabus Topics:

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

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                                                                          NCLEX NCLEX-RN試験情報、NCLEX-RN日本語サンプル

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                                                                          NCLEX National Council Licensure Examination(NCLEX-RN) 認定 NCLEX-RN 試験問題 (Q377-Q382):

                                                                          質問 # 377
                                                                          On morning rounds, the nurse found a manic-depressive client who is taking lithium in a confused mental state, vomiting, twitching, and exhibiting a coarse hand tremor. Which one of the following nursing actions is essential at this time?

                                                                          正解：A

                                                                          解説：
                                                                          Explanation
                                                                          (A) The client has lithium toxicity, and the nurse must withhold further dosages. (B) Because of her level of toxicity, further lithium could cause coma and death. The nurse needs further orders from the physician to stabilize the client's lithium level. (C) Ensuring adequate intake of sodium chloride will promote excretion of lithium and will assist in managing the client's lithiumtoxicity. (D) A lithium blood level must be drawn immediately to determine the seriousness of the toxicity and to provide the physician with data for medical orders.


                                                                          質問 # 378
                                                                          A client returns to the cardiovascular intensive care unit following his coronary artery bypass graft. In planning his care, the most important electrolyte the nurse needs to monitor will be:

                                                                          正解：B

                                                                          解説：
                                                                          Explanation/Reference:
                                                                          Explanation:
                                                                          (A) Chloride, HCO3, and sodium will need to be monitored, but monitoring these electrolytes is not as important as potassium monitoring. (B) Chloride, HCO3, and sodium will need to be monitored, but monitoring these electrolytes is not as important as potassium monitoring. (C) Potassium will need to be closely monitored because of its effects on the heart. Hypokalemia could result in supraventricular tachyarrhythmias. (D) Chloride, HCO3, and sodium will need to be monitored, but monitoring these electrolytes is not as important as potassium monitoring.


                                                                          質問 # 379
                                                                          A male client is admitted to the medical-surgical unit from the emergency room with a diagnosis of acute pancreatitis. The nurse performs the admission nursing assessment. He is NPO with IV fluids infusing at 100 mL/hour. He is experiencing excruciating abdominal pain. Based on an analysis of these data, which nursing diagnosis would receive the highest priority?

                                                                          正解：B

                                                                          解説：
                                                                          Section: Questions Set E
                                                                          Explanation:
                                                                          (A) Relief of pain is the primary goal of nursing intervention because this client is experiencing acute pain. (B) Fluid volume deficit is being treated with IV fluid replacement. (C) Knowledge deficit will not be addressed at this time because a client in acute pain is not ready to learn. (D) Alteration in nutrition is the third priority after relief of pain and fluid volume deficit.


                                                                          質問 # 380
                                                                          A 5-year-old child cries continually in her bed. Her parents have been unsuccessful in assisting her in expressing her feelings. Which activity should the nurse provide the child to assist her in expressing her feelings?

                                                                          正解：B

                                                                          解説：
                                                                          Explanation
                                                                          (A) Books increase cognition, assist with fine motor skills, and augment language development. (B) Music provides auditory stimulation and large-muscle activity. (C) Riding toys provide large-muscle activity. (D) Puppets allow expression of feelings and fears that otherwise could not be directly communicated.


                                                                          質問 # 381
                                                                          Which of the following findings would be abnormal in a postpartal woman?

                                                                          正解：B

                                                                          解説：
                                                                          (A) Frequently the mother experiences a shaking chill immediately after delivery, which is related to a nervous response or to vasomotor changes. If not followed by a fever, it is clinically innocuous. (B) The pulse rate during the immediate postpartal period may be low but presents no cause for alarm. The body attempts to adapt to the decreased pressures intra-abdominally as well as from the reduction of blood flow to the vascular bed. (C) Urinary output increases during the early postpartal period (12-24 hours) owing to diuresis. The kidneys must eliminate an estimated 2000-3000 mL of extracellular fluid associated with a normal pregnancy. (D) A temperature of 100.4F (38C) may occur after delivery as a result of exertion and dehydration of labor. However, any temperature greater than 100.4F needs further investigation to identify any infectious process.


                                                                          質問 # 382
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