NCLEX NCLEX-RN試験解答、NCLEX-RN英語版

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NCLEX NCLEX-RN Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|
| Physiological Integrity | 43–67% | - Basic Care and Comfort
- 1. Mobility and Immobility
- 2. Personal Hygiene
- 3. Elimination
- 4. Nutrition and Oral Hydration
- 5. Non-pharmacological Comfort Interventions
- 6. Assistive Devices
- Physiological Adaptation
- 1. Illness Management
- 2. Fluid and Electrolyte Imbalances
- 3. Hemodynamics
- 4. Respiratory Care
- 5. Medical Emergencies
- 6. Pathophysiology
- Pharmacological and Parenteral Therapies
- 1. Adverse Effects and Contraindications
- 2. Dosage Calculation
- 3. Pharmacological Pain Management
- 4. IV Therapy and Blood Products
- 5. Medication Administration
- Reduction of Risk Potential
- 1. Laboratory Values
- 2. Vital Signs
- 3. Diagnostic Tests
- 4. Therapeutic Procedures
- 5. Potential for Complications
|
| Health Promotion and Maintenance | 6–12% | - Aging Process - Antepartum, Intrapartum, Postpartum and Newborn Care - Disease Prevention and Health Screening - Physical Assessment Techniques - Health Promotion Programs - Self-Care - Developmental Stages and Transitions
|
| Psychosocial Integrity | 6–12% | - Mental Health Concepts - Chemical Dependency and Substance Use Disorders - Family Dynamics - End-of-Life Support - Behavioral Interventions - Coping Mechanisms - Grief and Loss - Therapeutic Communication
|
| Safe and Effective Care Environment | 26–38% | - Safety and Infection Control
- 1. Use of Restraints and Safety Devices
- 2. Accident Prevention
- 3. Infection Control
- 4. Error Prevention
- 5. Standard Precautions
- 6. Hazardous Materials Handling
- Management of Care
- 1. Legal Responsibilities
- 2. Advocacy
- 3. Quality Improvement
- 4. Case Management
- 5. Continuity of Care
- 6. Delegation and Prioritization
- 7. Client Rights
- 8. Ethical Practice
|
>> NCLEX NCLEX-RN試験解答 <<
NCLEX-RN試験の準備方法|権威のあるNCLEX-RN試験解答試験|最新のNational Council Licensure Examination(NCLEX-RN)英語版
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NCLEX National Council Licensure Examination(NCLEX-RN) 認定 NCLEX-RN 試験問題 (Q297-Q302):
質問 # 297
A 54-year-old client is admitted to the hospital with a possible gastric ulcer. He is a heavy smoker. When discussing his smoking habits with him, the nurse should advise him to:
- A. Chew gum instead
- B. Smoke low-tar, filtered cigarettes
- C. Smoke only right after meals
- D. Smoke cigars instead
正解:C
解説:
Explanation/Reference:
Explanation:
(A, B, D) Cigarettes, cigars, and chewing gum would stimulate gastric acid secretion. (C) Smoking on a full stomach minimizes effect of nicotine on gastric acid.
質問 # 298
A pregnant client is having a nonstress test (NST). It is noted that the fetal heart beat rises 20 bpm, lasting 20 seconds, every time the fetus moves. The nurse explains that:
- A. The fetus is distressed
- B. The test is normal and the fetus is reacting appropriately
- C. Further testing is needed
- D. The test is inconclusive and should be repeated
正解:B
解説:
Explanation
(A) The test results were normal, so there would be no need to repeat to determine results. (B) There are no data to indicate further tests are needed, because the result of the NST was normal. (C) An NST is reported as reactive if there are two to three increases in the fetal heart rate of 15 bpm, lasting at least 15 seconds during a
15-minute period. (D) The NST results were normal, so there was no fetal distress.
質問 # 299
A child sustains a supracondylar fracture of the femur. When assessing for vascular injury, the nurse should be alert for the signs of ischemia, which include:
- A. Generalized swelling, pain, and diminished functional use with muscle rigidity and crepitus
- B. Pain, pallor, pulselessness, paresthesia, and paralysis
- C. Increase in serum levels of creatinine, alkaline phosphatase, and aspartate transaminase
- D. Bleeding, bruising, and hemorrhage
正解:B
解説:
Explanation
(A) Bleeding, bruising, and hemorrhage may occur due to injury but are not classic signs of ischemia. (B) An increase in serum levels of creatinine, alkaline phosphatase, and aspartate transaminase is related to the disruption of muscle integrity. (C) Classic signs of ischemia related to vascular injury secondary to long bone fractures include the five "P's": pain, pallor, pulselessness, paresthesia, and paralysis. (D) Generalized swelling, pain, and diminished functional use with muscle rigidity and crepitus are common clinical manifestations of a fracture but not ischemia.
質問 # 300
A 42-year-old male client has been treated at an alcoholic rehabilitation center for physiological alcohol dependence. The nurse will be able to determine that he is preparing for discharge and is effectively coping with his problem when he shares with her the following information:
- A. "It really wasn't my fault that I had to come here. If my wife hadn't left, I wouldn't have needed those drinks."
- B. "I know that I can only drink one or two drinks at social gatherings in the future, but at least I don't have to continue AA."
- C. "I really wasn't addicted to alcohol when I came here, I just needed some help dealing with my divorce."
- D. "I know that I will not ever be able to socially drink alcohol again and will need the support of the AA group."
正解:D
解説:
Explanation/Reference:
Explanation:
(A) The client has insight into the severity of his alcohol addiction and has chosen one of the most effective treatment strategies to support him-Alcoholics Anonymous. (B) The client is still using denial and is not dealing with his alcohol addiction. (C) The client is exhibiting denial about his alcohol addiction and projecting blame on his divorce. (D) The client is projecting blame onto his wife for being in the hospital while still denying his alcohol addiction.
質問 # 301
The nurse is developing a plan of care for a client with an electrolyte imbalance and identifies a nursing diagnosis of decreased physical mobility. Which alteration is most the etiology?
- A. Hypocalcemia
- B. Hypernatremia
- C. Hypomagnesemia
- D. Hypokalemia
正解:D
解説:
(A) A deficit in sodium concentration results in muscular weakness and lethargy. (B) Muscle fatigue and hypotonia are caused by hypercalcemia. (C) Muscle weakness and fatigue are classic signs of hypokalemia. (D) Hypermagnesemia can cause muscle weakness, paralysis, and coma.
質問 # 302
......
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