NCLEX NCLEX-RN시험대비인증공부 & NCLEX-RN최신덤프공부자료

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NCLEX NCLEX-RN Exam Syllabus Topics:

Section	Weight	Objectives
Topic 1: Health Promotion and Maintenance	6–12%
Topic 2: Psychosocial Integrity	6–12%
Topic 3: Physiological Integrity	43–67%	- Physiological Adaptation - Reduction of Risk Potential - Pharmacological and Parenteral Therapies - Basic Care and Comfort
Topic 4: Safe and Effective Care Environment	17–33%	- Safety and Infection Control - Management of Care

>> NCLEX NCLEX-RN시험대비 인증공부 <<

퍼펙트한 NCLEX-RN시험대비 인증공부 덤프 최신 샘플

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최신 NCLEX Certification NCLEX-RN 무료샘플문제 (Q40-Q45):

질문 # 40
After the RN is finished the initial assessment of a newborn baby and after the initial bonding between the newborn and the mother has taken place in the delivery room, the RN will bring the newborn to the well-baby nursery. Before the newborn is taken from the delivery room and brought to the well-baby nursery, the RN makes sure that which of the following interventions was completed?

A. The physician verifies the exact time of birth.
B. The nurse makes sure the mother and her newborn have been tagged with identical bands.
C. The nurse counts the instruments and sponges with the scrub nurse.
D. The nurse instills prophylactic ointment in the conjunctival sacs of the newborn's eyes.

정답：B

설명：
(A) The delivery room personnel are responsible for verifying time of birth. (B) The scrub and circulating nurses count sponges and instruments. (C) This intervention is done in the nursery. (D) Tagging the mother and infant with identical bands is of utmost importance. The mother wears one band, and the newborn wears two. Identical numbers on the three bands provide identification for the newborn and the birth mother. Every time the newborn is brought to the mother after delivery, those bands are checked to be sure that the numbers are identical.

질문 # 41
The nurse is caring for a client who has had a tracheostomy for 7 years. The client is started on a fullstrength tube feeding at 75 mL/hr. Prior to starting the tube feeding, the nurse confirms placement of the tube in the stomach. The hospital policy states that all tube feeding must be dyed blue. On suctioning, the nurse notices the sputum to be a blue color. This is indicative of which of the following?

A. The client aspirated tube feeding.
B. The feeding is infusing into the trachea.
C. The nurse has placed the suction catheter in the esophagus.
D. This is a normal finding.

정답：A

설명：
Explanation/Reference:
Explanation:
(A) Once the feeding tube placement is confirmed in the stomach, aspiration can occur if the client's stomach becomes too full. When suctioning the trachea, if secretions resemble tube feeding, the client has aspirated the feeding. (B) Because the trachea provides direct access to a client's airway, it would not be possible to place the catheter in the esophagus. (C) Blue-colored sputum is never considered a normal finding and should be reported and documented. (D) The nurse confirmed placement of the feeding tube in the stomach prior to initiating the tube feeding; therefore, it is highly unlikely that the feeding tube would be located in the trachea.

질문 # 42
A client is hyperactive and not sleeping. She will not remain at the table during mealtime. She is getting very limited calories and is using a lot of energy in her hyperactive state. The most therapeutic nursing action is to:

A. Provide nutritious finger foods several times a day.
B. Order a high-calorie diet with supplements.
C. Offer to go to the dining room with her and allow her to open the food and inspect what she eats.
D. Insist that she remain at the table and eat a balanced diet.

정답：A

설명：
Explanation/Reference:
Explanation:
(A) The client is not able to sit for long periods. Forcing her to remain at the table will increase her anxiety and cause her to become hostile. (B) This action will not ensure that the client eats what is ordered.
Dietary orders are not within the nurse's scope of practice. (C) Providing finger foods increases the likelihood of eating for hyperactive persons. They may be eating "on the run." (D) These clients are not suspicious of the food or insecure in moving about the unit alone.

질문 # 43
A 74-year-old obese man who has undergone open reduction and internal fixation of the right hip is 8 days postoperative. He has a history of arthritis and atrial fibrillation. He admits to right lower leg pain, described as "a cramp in my leg." An appropriate nursing action is to:

A. Instruct him to rub the cramp out of his leg
B. Assess for edema and heat of the right leg
C. Elevate right lower extremity with pillows propped under the knee
D. Assess for pain with plantiflexion

정답：B

설명：
(A) Calf pain with dorsiflexion of the foot (Homans' sign) can be a sign of a deep venous thrombosis; however, it is not diagnostic of the condition. (B) Swelling and warmth along the affected vein are commonly observed clinical manifestations of a deep venous thrombosis as a result of inflammation of the vessel wall. (C) Rubbing or massaging of the affected leg is contraindicated because of the risk of the clot breaking loose and becoming an embolus. (D) A pillow behind the knee can be constricting and further impair blood flow.

질문 # 44
Which of the following nursing actions is essential to prevent drug-resistant tuberculosis?

A. Monitor liver function.
B. Monitor compliance with drug therapy.
C. Assess knowledge of respiratory isolation.
D. Monitor renal function.

정답：B

설명：
Explanation/Reference:
Explanation:
(A) Monitoring liver function will not prevent the development of drug-resistant organisms. (B) Monitoring renal function will not prevent the development of drug-resistant organisms. (C) Knowledge of respiratory isolation will reduce transmission of tuberculosis but will not prevent development of drug-resistant organisms. (D) Noncompliance with prescribed antituberculosis drug regimen is the primary cause of drug- resistant organisms. Noncompliance permits the mutation of organisms.

질문 # 45
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NCLEX-RN최신 덤프공부자료: https://www.itdumpskr.com/NCLEX-RN-exam.html

참고: ITDumpsKR에서 Google Drive로 공유하는 무료, 최신 NCLEX-RN 시험 문제집이 있습니다: https://drive.google.com/open?id=1HEneRw1tnLDggFSekLfgd9NjmBdejNak