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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Safe and Effective Care Environment | 17–33% | - Management of Care - Safety and Infection Control |
| Topic 2: Health Promotion and Maintenance | 6–12% | |
| Topic 3: Psychosocial Integrity | 6–12% | |
| Topic 4: Physiological Integrity | 43–67% | - Physiological Adaptation - Basic Care and Comfort - Pharmacological and Parenteral Therapies - Reduction of Risk Potential |
NCLEX-RNトレーニング資料は当社の責任会社によって作成されているため、他の多くのメリットも得られます。参考のために無料のデモを提供し、専門家が自由に作成できる場合は新しいアップデートをお送りします。市場では、顧客の観点から判断するための未定の品質を備えたいくつかの実習用教材が市場に登場しています。間違ったNCLEX-RN練習教材を選択した場合、重大な間違いになります。彼らの行動は厳密に倫理的ではなく、あなたにとって無責任ではありません。
質問 # 306
The nurse is caring for a 6-week-old girl with meningitis. To help her develop a sense of trust, the nurse should:
正解：D
解説：
Explanation
(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 # 307
When teaching a sex education class, the nurse identifies the most common STDs in the United States as:
正解：C
解説：
(A) Chlamydia trachomatis infection is the most common STD in the United States. The Centers for Disease Control and Prevention recommend screening of all high-risk women, such as adolescents and women with multiple sex partners. (B) Herpes simplex genitalia is estimated to be found in 5-20 million people in the United States and is rising in occurrence yearly. (C) Syphilis is a chronic infection caused by Treponema pallidum. Over the last several years the number of people infected has begun to increase. (D) Gonorrhea is a bacterial infection caused by the organism Neisseria gonorrhoeae. Although gonorrhea is common, chlamydia is still the most common STD.
質問 # 308
An 18-year-old client enters the emergency room complaining of coughing, chest tightness, dyspnea, and sputum production. On physical assessment, the nurse notes agitation, nasal flaring, tachypnea, and expiratory wheezing. These signs should alert the nurse to:
正解：C
解説：
Explanation
(A) A tension pneumothorax is an accumulation of air in the pleural space. Important physical assessment findings to confirm this condition include cyanosis, jugular vein distention, absent breath sounds on the affected side, distant heart sounds, and lowered blood pressure. (B) Asthma is a disorder in which there is an airflow obstruction in the bronchioles and smaller bronchi secondary to bronchospasm, swelling of mucous membranes, and increased mucus production.Physical assessment reveals some important findings: agitation, nasal flaring, tachypnea, and expiratory wheezing. (C) Pneumonia is an acute bacterial or viral infection that causes inflammation of the lung in the alveolar and interstitial tissue and results in consolidation. Specific assessment findings to confirm this condition include decreased chest expansion caused by pleuritic pain, dullness on percussion over consolidated areas, decreased breath sounds, and increased vocal fremitus. (D) A pulmonary embolus is the passage of a foreign substance (blood clot, fat, air, or amniotic fluid) into the pulmonary artery or its branches, with subsequent obstruction of blood supply to lung tissue. Specific assessment findings that confirm this condition include tachypnea, tachycardia, crackles (rales), transient friction rub, diaphoresis, edema, and cyanosis.
質問 # 309
The nurse should facilitate bonding during the postpartum period. What should the nurse expect to observe in the taking-hold phase?
正解：B
解説：
(A) This observation can be made during the taking-in phase when the mother's needs are more important. (B) This observation can be made during the taking-hold phase when the mother is actively involved with herself and the infant. (C, D) This observation can be made during the taking-in phase.
質問 # 310
On admission to the inpatient unit, a 34-year-old client is able to follow simple directions, but with great difficulty.
He is worried about how he can keep clean in such a public place and repeatedly dusts his bureau, straightens his bed, and adjusts the clothes in his closet. The client is experiencing a severe level of anxiety. Which response by the nurse would be most therapeutic in initially attempting to reduce his anxiety?
正解：B
解説：
Explanation
(A) This statement is punitive. (B) Acknowledging the anxiety and channeling it into some positive activity is therapeutic. (C) The client cannot say "why"; this statement puts the client on the defensive. (D) A rational approach, especially a judgmental one, is nontherapeutic.
質問 # 311
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