NCLEX 形式の優先順位の決定と委任：直前対策パック

RN が LPN/LVN に委任するのに最も適切な業務はどれですか？

1. A最初の赤血球製剤の開始
2. B安定した患者への留置カテーテルの挿入
3. Cインスリンを新しく始めた患者への退院指導
4. D新規患者の入院時アセスメント

A team has an RN, an LPN/LVN and a nursing assistant. Which task is the best one to assign to the LPN/LVN?

1. AGiving a scheduled subcutaneous anticoagulant injection to a stable patient
2. BWriting the discharge teaching plan for a patient with new diabetes
3. CAssessing a patient who returned from surgery 30 minutes ago
4. DMeasuring the vital signs and weights of every patient on the unit before breakfast

Why are blood cultures usually taken from two separate venipuncture sites?

1. ATo reduce the total amount of blood taken
2. BTo help tell a true infection from skin contamination
3. CTo make the results come back faster from the laboratory
4. DBecause each site tests a different antibiotic

A nurse teaches parents about using an infant car seat. Which statement shows a need for further teaching?

1. A“We will make sure the harness straps are snug against the baby’s chest.”
2. B“We will put the rear-facing seat in the front so we can see the baby.”
3. C“We will use the car seat for every trip, even short ones.”
4. D“We will install the seat in the back seat, facing the rear.”

2 日間嘔吐が続いている患者の BUN が 32 mg/dL（尿素 11.4 mmol/L）で、クレアチニンは正常です。最も考えられる原因はどれですか？

1. A低蛋白食
2. B脱水
3. C肝不全
4. D水分過剰

鉄欠乏性貧血に最も典型的な結果の組み合わせはどれですか？

1. A高ヘモグロビンと高ヘマトクリット
2. Bヘモグロビンは正常で、血小板数のみ高い
3. Cヘモグロビンの低下、大きな赤血球（高 MCV）、高フェリチン
4. Dヘモグロビンの低下、小さな赤血球（低 MCV）、低フェリチン

Which adverse effects should be monitored for in a patient receiving IV gentamicin?

1. AKidney damage and hearing loss
2. BConstipation and urinary retention
3. CHyperglycaemia and tremor
4. DHair loss and weight gain

A patient who used sildenafil the day before develops chest pain. Why is glyceryl trinitrate (GTN, nitroglycerin) normally avoided?

1. AThe combination can cause a severe, dangerous fall in blood pressure
2. BSildenafil stops GTN from being absorbed under the tongue at all
3. CThe combination causes severe hyperkalaemia
4. DGTN makes sildenafil toxic to the liver

How does ezetimibe lower cholesterol?

1. AIt blocks cholesterol production by enzymes in the liver
2. BIt increases cholesterol loss in the urine
3. CIt dissolves plaques already in the arteries
4. DIt reduces absorption of cholesterol from the gut

A one-way speaking valve is fitted to a patient's tracheostomy tube while the cuff is still inflated. What is the danger?

1. AThe patient will speak too loudly
2. BThe valve will humidify the air too much
3. CThere is no danger, as the valve works with any cuff
4. DThe patient cannot breathe out and may suffocate

A patient has had a calcium oxalate kidney stone. Which advice best helps prevent another?

1. ADrink plenty of fluid so the urine stays pale
2. BDrink only a little to avoid diluting the urine
3. CTake extra vitamin C supplements
4. DCut all calcium out of the diet

Two days after an ileal conduit was formed, the stoma is dark purple and dry. What should the nurse do?

1. AReport it urgently, because the stoma may be ischaemic
2. BChange the bag and check again next week
3. CApply a warm compress to improve the colour of the stoma
4. DRecord it as normal for a new stoma

Why are antibody levels checked after a healthcare worker receives the hepatitis B vaccine?

1. ATo confirm that the vaccine produced immunity
2. BTo check whether they caught hepatitis B from the vaccine
3. CTo measure liver damage caused by the vaccine
4. DTo decide whether they need a liver biopsy

Two days after a PEG insertion, a patient reports pain on feeding, and feed is leaking around the site. What should the nurse do?

1. AIncrease the feed rate to improve nutrition
2. BStop the feed at once and seek urgent medical advice
3. CContinue feeding and apply a thicker dressing
4. DGive the next medicines through the tube as usual