NCLEX-PN 스타일 연습 문제 (LPN/LVN): 벼락치기 팩

A patient is found on the floor beside the bed. What should the nurse do first?

1. ALift the patient straight back into bed
2. BAsk the patient to stand up on their own
3. CCheck responsiveness and look for injuries before moving them
4. DComplete the incident report first, then go back to assess the patient fully

The intact skin over a patient's heel is deep purple and feels boggy. What should be suspected?

1. AA normal bruise from a minor knock
2. BA fungal skin infection
3. CA category 1 pressure ulcer that will heal by itself
4. DA suspected deep tissue injury

중심정맥관 허브에 접근하기 전에 간호사가 해야 할 일은?

1. A먼지를 없애려고 허브에 살짝 바람을 분다
2. B허브는 멸균 캡 아래에서 보호되므로 아무것도 하지 않는다
3. C마른 멸균 거즈로 재빨리 닦는다
4. D허브를 소독제로 문지르고 마를 때까지 기다린다

A nurse has a needlestick from a patient with hepatitis B. The nurse finished the vaccine series and has a documented protective antibody level. Which statement is correct?

1. ANo hepatitis B treatment is needed, but the injury is still reported and followed up
2. BThe nurse must stop all patient care for six months
3. CNo reporting is needed because the nurse is immune
4. DHepatitis B immune globulin and a complete new vaccine series are both needed at once

During an IV vancomycin infusion, a patient develops flushing and itching of the face and neck. What should the nurse do first?

1. ASpeed up the infusion to finish it quickly
2. BApply a warm compress to the face and neck
3. CIgnore it, because flushing is always harmless and passes
4. DStop or slow the infusion and inform the provider

Two weeks after birth, a mother says she hears voices telling her the baby is evil. What is the priority?

1. ALeave her alone with the baby to bond
2. BAdvise more sleep and book a routine follow-up visit for next month
3. CKeep the mother and baby safe and arrange urgent psychiatric care
4. DReassure her that this is normal “baby blues”

Which oxygen device delivers a precise, fixed concentration of oxygen?

1. AVenturi mask
2. BNasal cannula
3. CSimple face mask
4. DNon-rebreathe mask

A patient with lung cancer develops swelling of the face and arms, distended neck veins and breathlessness that is worse lying down. What should be suspected?

1. AAn allergic reaction to food
2. BHypothyroidism
3. CSuperior vena cava obstruction
4. DRight-sided heart failure from valve disease

A patient with diabetes is found unconscious with a blood glucose of 38 mg/dL (2.1 mmol/L). Which treatment is appropriate?

1. AGlucose tablets placed between the patient's teeth
2. BA dose of rapid-acting insulin to stabilize the glucose
3. COrange juice poured slowly into the patient's mouth
4. DGlucagon by injection, or IV dextrose as prescribed

A patient with thalassemia major has received regular red cell transfusions for years. The ferritin is now very high. What does this most likely show, and what treatment is used?

1. AIron overload, treated with iron chelation therapy
2. BAcute infection, treated with broad-spectrum antibiotics
3. CIron deficiency, treated with IV iron supplements
4. DLiver failure, treated with a liver transplant at once

How should a topical corticosteroid cream usually be applied?

1. AUnder a tight plastic dressing every night without advice
2. BOn broken, infected skin to speed healing
3. CAs a thin layer to the affected area only, as directed
4. DAs a thick layer over the whole body

A patient with diabetic ketoacidosis is about to start an IV insulin infusion. Serum potassium is 3.1 mmol/L (mEq/L). Why is this a concern?

1. AInsulin moves potassium into cells, so the level can fall dangerously low
2. BLow potassium makes insulin ineffective, so a higher dose is needed
3. CPotassium has no link with insulin, so the infusion is started as planned
4. DInsulin raises potassium further and can cause cardiac arrest, so the infusion is given faster

Virchow's triad describes three factors that promote venous thrombosis. Which patient factor represents venous stasis?

1. AImmobility after major surgery
2. BTaking an oestrogen-containing pill
3. CAn inherited clotting disorder
4. DDamage to a vein during hip surgery

A patient with a large pericardial effusion has a systolic pressure that falls by more than 10 mmHg during inspiration. What is this finding called?

1. APulsus alternans
2. BPulsus paradoxus
3. CA pulse deficit
4. DA collapsing pulse

Why should long-term steroid treatment not be stopped suddenly?

1. AThe steroids build up and become toxic after they are stopped
2. BStopping suddenly makes the bones grow too quickly and then fracture
3. CThe suppressed adrenal glands cannot make enough cortisol at once
4. DStopping causes the blood glucose to fall sharply

During a TURP, a patient becomes confused and nauseated, with a slow pulse and a raised BP. The sodium is 121 mmol/L. What is most likely?

1. AHypoglycaemia from fasting for many hours before surgery
2. BAn allergic reaction to the catheter
3. CA normal reaction to the spinal anaesthetic
4. DTURP syndrome from absorbed irrigation fluid

A routine wound swab grows bacteria, but the wound shows no signs of infection. What does this usually mean?

1. AThe wound must be closed with sutures again
2. BThe swab result means the wound is infected
3. CThe wound is colonised; antibiotics are not usually needed
4. DThe patient needs IV antibiotics straight away, whatever the wound looks like

소장 폐색 환자의 비위관에서 하루 2 L가 배액됩니다. 가장 중요한 간호 초점은?

1. A정맥 보충과 전해질 확인을 포함한 정확한 수분 균형
2. B소실을 막기 위해 1 L가 배액되면 관을 제거하기
3. C관이 제거하는 양을 보충하려고 경구 수분을 마음껏 주기
4. D위액을 보존하려고 오랫동안 관을 잠그기

Why is an indwelling catheter placed before a caesarean birth?

1. ATo collect a urine sample for culture
2. BTo prevent postpartum haemorrhage
3. CTo keep the bladder empty during surgery
4. DTo measure the baby's fluid balance

At 4 hours, a newborn's temperature is 37.9 °C (100.2 °F). He is wrapped in three blankets under a heater. What should the nurse do first?

1. APlace him in a cold bath
2. BStart antibiotics without further assessment
3. CRemove extra layers and recheck
4. DGive an antipyretic medicine immediately

Which group of findings is typical in a teenager with severe anorexia nervosa?

1. ARapid growth, acne and an increased appetite
2. BSlow heart rate, low blood pressure and low body temperature
3. CWeight gain, oedema and high blood pressure
4. DFast heart rate, high blood pressure and a high fever

A 2-year-old has had three febrile urinary tract infections. Which underlying condition should be considered?

1. AVesicoureteral reflux
2. BNephrotic syndrome
3. CHypospadias
4. DTesticular torsion on both sides

A patient says, "Nobody at work likes me." Which nurse response best reflects cognitive restructuring?

1. A"I'm sure everybody likes you."
2. B"You should find a new job where people like you."
3. C"Why do you care what people at work think?"
4. D"What evidence do you have that nobody likes you?"

영양 불량인 알코올 의존 환자에게 포도당 정맥 주입이 필요합니다. 간호사가 가장 먼저 예상해야 할 처방은 무엇인가요?

1. A비타민 보충 없이 포도당
2. B이뇨제
3. C포도당 전에 또는 포도당과 함께 티아민
4. D포도당을 먼저 주고 일주일 뒤 티아민

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 점적 속도 계산 결과가 229.876 gtt/min입니다. 이 연습 문제의 규칙은 점적 속도는 가장 가까운 정수 방울로 반올림합니다입니다. 기록할 값 x은(는) 얼마입니까?

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 주입이 6 mcg/min을 투여합니다. 이 용량 속도 D을(를) mg/h로 나타내세요.

환자의 체중은 70 kg입니다. 처방 용량은 하루 25 mg/kg이며 4회로 나누어 투여합니다. 1회에 몇 mg D을 투여하나요?

처방은 0.16 mg입니다. 앰플에는 mL당 500 마이크로그램이 들어 있습니다. 1 mL 주사기에 용량을 채우세요: 몇 V를 투여합니까?

15방울/mL 세트로 1000 mL를 4시간 동안 주입합니다. 점적 속도 R를 분당 방울 수로 구하세요. 가장 가까운 정수로 반올림하세요.

500 mL가 10시간에 걸쳐 처방되었습니다. 7시간 후 백에 아직 160 mL가 남아 있는 것을 발견했고, 처방은 여전히 제시간에 끝나야 합니다. 원래 펌프 속도를 몇 퍼센트 Δ 올려야 하나요?

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 기록표는 한 8시간 근무조 동안 환자의 섭취량과 배설량을 보여 줍니다. 정맥 주입은 근무조 내내 표시된 속도로 들어갔습니다. 수분 균형 B = 섭취량 − 배설량을 mL 단위로 구하세요(음수이면 순손실). 얼음 조각은 부피의 절반으로 계산하세요.

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 1000 mL 백을 08:15에 시작해 펌프로 80 mL/h로 주입하고 있습니다. 10:15에 백에 남은 양은 몇 mL V인가요?

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 다음 관찰 소견에 NEWS2 도표(SpO₂ 척도 1)를 사용하세요: 호흡수 12/min, SpO₂ 86% 보충 산소 투여 중, 혈압 136/82 mmHg, 맥박 58/min, 명료함, 체온 38.8 °C. NEWS2 총점은 얼마입니까?

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 연습용 신생아의 출생 1분 소견: 분홍색 몸과 푸른 손발, 심박수 60/min, 자극하면 찡그림, 팔다리를 약간 굽힘, 호흡 없음. APGAR를 채점하고 그 점수가 어떻게 해석되는지 클릭하세요.

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