NCLEX 形式の優先順位の決定と委任：直前対策パック

One day after surgery, a patient walked safely with the RN this morning. The RN now asks a nursing assistant to walk her again. Which instruction is most important?

1. A“Walk her to the end of the corridor and back twice before lunch.”
2. B“Make sure she wears her own slippers if she has them.”
3. C“Try to finish the walk before the lunch trays arrive.”
4. D“Stop and call me at once if she feels dizzy or short of breath.”

A patient with raised intracranial pressure is being nursed on the ward. Which position is best?

1. ASitting forward with the chin on the chest
2. BHead of the bed at about 30 degrees with the neck straight
3. CHead down with the legs raised above the heart
4. DFlat on the back with the head turned well over to one side

看護師が、HIV陽性と分かっている患者から針刺し事故を受けました。直ちに報告することが重要なのはなぜですか？

1. A1か月以内ならいつ報告してもリスクは変わらないから
2. B曝露後予防投与は、数時間以内に開始するのが最も効果的だから
3. C傷から出血した場合や深い場合にだけ報告が必要だから
4. D静脈内注射の針による事故のときだけ報告が必要だから

看護師が間違った薬を吸い上げたことに気づきましたが、与薬する前に分かりました。看護師はどうすべきですか？

1. A病棟で同じ間違いがまた起きたときだけ報告する
2. B廃棄して正しい薬を準備し、ニアミスとして報告する
3. C患者に害がなかったので、何も言わない
4. Dすでに吸い上げてあるので、そのまま与薬する

A patient taking furosemide has a potassium of 3.3 mEq/L and is told to eat more potassium-rich foods. Which snack is the best choice?

1. APlain crackers
2. BWhite bread
3. CRice cakes
4. DDried apricots

A patient with a serum albumin of 1.9 g/dL (19 g/L) has signs of phenytoin toxicity, although the total phenytoin level is in the usual range. What is the most likely explanation?

1. ALow albumin makes the total level falsely high in all cases
2. BLow albumin stops phenytoin from crossing into the brain
3. CLow albumin makes the liver clear phenytoin much faster
4. DLow albumin raises the free (active) fraction of phenytoin

An older adult has left lower abdominal pain, fever and a raised CRP. Which condition is most likely?

1. ABiliary colic
2. BGastric ulcer
3. CDiverticulitis
4. DAppendicitis

Several hours after thyroid surgery, a patient has increasing neck swelling, stridor and difficulty breathing. What is most likely?

1. AA thyroid storm
2. BNormal postoperative swelling
3. CHypocalcaemia from parathyroid damage
4. DA haematoma compressing the airway

A patient in cardiac rehabilitation asks how hard to exercise. Which simple guide is commonly taught?

1. AExercise until chest pain starts, then stop
2. BExercise until they are too breathless to speak at all
3. CExercise so they are a little breathless but can still talk
4. DExercise only until the heart rate rises even slightly

A patient is listed for coronary angiography in the morning. Which pre-procedure result should the nurse report to the team?

1. AA normal platelet count
2. BA markedly reduced eGFR
3. CA haemoglobin in the normal range
4. DA blood glucose of 5.4 mmol/L (97 mg/dL)

Which complication is a particular risk in nephrotic syndrome?

1. ALow cholesterol
2. BHypoglycaemia
3. CVenous thrombosis
4. DBleeding from low platelets

昨日、左腕に内シャントが作られた患者に、定期の採血が必要です。最も重要な指示はどれですか？

1. A右腕を使う。左手の循環とスリルを確認する
2. Bシャントを守るため、左腕を包帯できつく巻く
3. C良い静脈を見つけるため、左腕に強い駆血帯を使う
4. Dシャントは見つけやすく太いので、シャントから採血する

Which pain pattern classically suggests a duodenal rather than a gastric ulcer?

1. APain 2–3 hours after meals and at night, eased by eating
2. BPain straight after eating that is worsened by food
3. CPain only on deep breathing that eases when sitting forwards
4. DPain in the right lower abdomen with fever and vomiting

While a central line is disconnected, a patient suddenly becomes breathless with chest pain and hypotension. Air embolism is suspected. What should the nurse do first?

1. AClamp the line, lie the patient left side down, head low; give oxygen
2. BSit the patient fully upright and flush the line
3. CGive the patient a drink and observe for an hour
4. DRemove the central line straight away and leave the site open to the air