NCLEX 形式の優先順位の決定と委任：直前対策パック

Which practice makes a shift handover safest?

1. AHanding over only the patients who had problems during the shift
2. BA quick chat in the corridor with no notes taken
3. CA structured format, such as SBAR, with time for questions
4. DLeaving a sticky note on the computer screen for the next nurse

Weeks after a kidney transplant, a patient has a fever, less urine and tenderness over the new kidney. What should the nurse suspect?

1. AA side effect of eating salty food
2. BRejection of the transplant
3. CDehydration from drinking too much
4. DNormal healing of the transplant

A patient is on suicide precautions. Which room safety measure is appropriate?

1. AAllow glass bottles if the patient seems calm
2. BRemove items that could be used for self-harm, such as belts and cords
3. CKeep the door closed at all times so the patient has privacy
4. DLet the patient keep a personal razor for shaving, as long as staff are told

A child with fever, cough, red eyes and a spreading rash is in a clinic waiting room. Measles is suspected. What should the nurse do first?

1. APut a mask on the child and move them into an airborne isolation room
2. BSend the child home to rest without an assessment
3. CAsk the family to wait in the main waiting room until the child is called in
4. DGive the child an antipyretic and continue triage

In the US, when is a pregnant woman without known risk factors usually screened for gestational diabetes?

1. AAt about 6–8 weeks of pregnancy
2. BAt about 38–40 weeks of pregnancy
3. CAt about 24–28 weeks of pregnancy
4. DOnly after the baby is born

患者のクレアチニン上昇が、長年の慢性腎臓病ではなく急性腎障害によることを最も強く示唆する所見はどれですか？

1. A超音波検査で、腎臓が小さい
2. Bクレアチニンは 3 日前には正常で、その後 2 倍になった
3. C患者は、何年もクレアチニンが高い
4. D患者は、長年の貧血がある

Which statement about storing insulin is correct?

1. AInsulin never expires once opened
2. BUnopened insulin is kept in the fridge and must not be frozen
3. CInsulin should be kept in direct sunlight
4. DAll insulin should be stored in the freezer to keep it fresh

A patient with an epidural catheter develops new back pain and increasing leg weakness when the block should be wearing off. What should be suspected?

1. AThe normal expected effect of the local anaesthetic
2. BMuscle strain from lying in the same position in bed for many hours
3. CMild hypokalaemia
4. DAn epidural haematoma or abscess compressing the spinal cord

駆出率とは何ですか？

1. A1回の心拍ごとに送り出される血液量
2. B拡張期の充満の終わりの左心室内の圧
3. C1回の拍動ごとに駆出される心室内の血液の割合
4. D心臓が1分間に送り出す血液量

心房細動でワルファリンを服用している患者のINRが8.5ですが、出血はありません。最も考えられる管理はどれですか？

1. Aワルファリンを保留し、指示者に連絡して、早めにINRを再検査する
2. Bプロトロンビン複合体濃縮製剤と輸血を行う
3. C通常量を続け、1か月後にINRを再確認する
4. D拮抗のために、直ちに硫酸プロタミンを静注する

A patient has just started levetiracetam. Which side effect should the nurse teach them to report?

1. AA persistent dry cough at night
2. BSwelling and overgrowth of the gums around the teeth
3. CChanges in mood, such as irritability, low mood or anger
4. DOrange discoloration of the urine

Why might a frail 88-year-old with type 2 diabetes have a less strict HbA1c target?

1. ABecause older people cannot use any glucose medicines
2. BBecause diabetes cannot damage older people
3. CTo save money on blood tests and drugs
4. DTo reduce the risk of hypos, falls and confusion

A patient with a new colostomy asks what to eat at home. Which advice is most appropriate?

1. AEat only liquids until the stoma is removed
2. BDrink as little fluid as possible to reduce output
3. CEat a normal, balanced diet and introduce foods gradually
4. DAvoid all fruit and vegetables for the rest of their life

高電圧の電撃傷の患者に、小さな入口と出口の創があります。綿密なモニタリングが必要なのはなぜですか？

1. A隠れた筋損傷：不整脈、横紋筋融解症、腎障害
2. B電撃傷は、皮膚表面の下に損傷を起こすことは決してないから
3. C小さな皮膚の創は、内部の損傷も軽いはずだと示すから
4. D真のリスクは、皮膚の創の軽い感染だけだから