NCLEX-PN 스타일 연습 문제 (LPN/LVN): 벼락치기 팩

Why is a slide sheet used to move a patient up the bed?

1. AIt lets one nurse lift the patient alone
2. BIt warms the patient during the move
3. CIt reduces friction and shear on the skin
4. DIt keeps the bed clean during the move

Why is the level of sedation a useful early warning in a patient on opioids?

1. ASedation shows that the pain has completely gone and the dose is right
2. BSedation only occurs after the breathing has stopped
3. CSedation means the opioid dose is too low
4. DIncreasing sedation usually comes before respiratory depression

Which practice makes shift handoff safer?

1. AUsing a standard format such as SBAR or I-PASS, with time for questions
2. BLeaving written notes only, without a chance for questions
3. CGiving handoff from memory without any structure
4. DGiving handoff in a busy corridor so that the outgoing nurse can leave on time

A nurse sees a doctor about to insert a central line without a sterile gown, and a polite comment was ignored. Which TeamSTEPPS phrase helps to stop the procedure?

1. A“I am sure you know what you are doing.”
2. B“I will mention this to the manager at the next staff meeting.”
3. C“Let’s talk about it after you have finished.”
4. D“I am concerned, I am uncomfortable, this is a safety issue.”

A patient taking lisinopril develops swelling of the lips and tongue. What should the nurse do first?

1. AApply a cold pack and recheck in an hour
2. BGive the next dose of lisinopril with water
3. CTell the patient this is a common, harmless effect
4. DAssess the airway and call for urgent help

At the end of a shift, the nurse’s relief has not arrived and the patients are acutely ill. What should the nurse do?

1. ALeave on time, because the shift has officially ended
2. BStay and tell the charge nurse, and hand over before leaving
3. CLeave a written note at the station and go home
4. DAsk a nursing assistant to watch the patients until someone comes

How does CPAP help a patient with obstructive sleep apnoea?

1. AIt delivers bronchodilator drugs deep into the lungs overnight
2. BIt keeps the upper airway open during sleep with continuous air pressure
3. CIt strengthens the breathing muscles during the day
4. DIt removes excess carbon dioxide from the lungs by gentle suction

간경화가 있고 배가 크고 팽팽한 환자가 복수천자를 받습니다. 알부민을 투여할 수 있는 이유는?

1. A간이 담즙을 더 만들지 않게 하기 위해
2. B복수의 감염을 치료하기 위해
3. C소변 칼륨을 늘리기 위해
4. D대량의 체액 제거 후 순환 기능 장애 위험을 줄이기 위해

만성 콩팥병에서 높은 혈청 인산염에는 보통 칼슘의 어떤 변화가 동반되나요?

1. A높은 혈청 칼슘
2. B칼슘 변화 없이 높은 혈청 칼륨만
3. C칼슘의 변화 없음
4. D낮은 혈청 칼슘

심한 구토를 하는 환자의 칼륨이 3.0 mEq/L, 염소가 88 mEq/L이고 중탄산염이 높습니다. 이는 어떤 양상을 보여 주나요?

1. A위산 손실. 낮은 칼륨과 염소, 대사성 알칼리증
2. B높은 음이온 차를 동반한 당뇨병성 케톤산증
3. C탈수로 인한 높은 칼륨과 대사성 산증
4. D추적이 필요 없는 정상 결과

What should the nurse teach a patient starting nitrofurantoin?

1. ATake it with food, and the urine may turn dark yellow or brown
2. BTake it on an empty stomach with an antacid
3. CExpect blue urine, which shows that the drug is working well
4. DStop it as soon as the burning settles

A patient who takes clonidine stopped it suddenly two days ago. He is now agitated, has a headache and his blood pressure is very high. What is the most likely explanation?

1. ARebound hypertension from abrupt clonidine withdrawal
2. BAn allergic reaction to clonidine
3. CClonidine toxicity due to slow excretion by the kidneys
4. DNormal variation unrelated to the medication

What is the purpose of cardiac resynchronisation therapy (a biventricular pacemaker)?

1. ATo replace a damaged heart valve
2. BTo make both ventricles contract together and more efficiently
3. CTo deliver a shock whenever the heart rate exceeds 100/min
4. DTo slow the atrial rate in patients with atrial fibrillation

A patient with an inferior myocardial infarction develops complete heart block with a heart rate of 38/min. What is the most likely reason?

1. AThe right coronary artery usually supplies the AV node
2. BInferior infarcts always destroy the bundle of His permanently
3. CHeart block is caused by the thrombolytic drug
4. DThe left anterior descending artery supplies the SA node only

How does bladder training help urge incontinence?

1. AThe patient drinks as little as possible
2. BA catheter is used every night
3. CThe patient goes to the toilet every 15 minutes
4. DThe time between voids is slowly increased

A patient had rapid-acting insulin before lunch, then vomited the meal 15 minutes later. What should the nurse do?

1. AMonitor glucose closely and tell the prescriber about the hypo risk
2. BIgnore it, because vomiting raises blood glucose
3. CGive the evening long-acting insulin early to balance it
4. DGive another insulin dose because the meal was lost

Why do patients with major burns lose so much fluid in the first 24–48 hours?

1. APatients drink far too little in hospital in the first days
2. BLeaky capillaries let plasma move into the tissues
3. CThe burned skin absorbs fluid from the air
4. DThe kidneys stop making urine completely

순환이 나쁜 환자의 발뒤꿈치에 안정적이고 건조하며 온전한 검은 가피가 있을 때 일반적으로 권장되는 관리는?

1. A온전하게 두고, 발뒤꿈치의 압력을 제거하고, 검토를 의뢰한다
2. B오늘 침상 옆에서 날카로운 변연절제로 제거한다
3. C부드럽게 하려고 매일 물에 담근다
4. D꽉 조이는 압박 붕대로 덮는다

A preterm baby at 30 weeks has repeated pauses in breathing of more than 20 seconds. Which drug is commonly used?

1. ACaffeine citrate
2. BNaloxone hydrochloride
3. CAtropine sulfate
4. DPhenobarbital

Just after delivery of the placenta, a woman suddenly has severe pain, heavy bleeding and shock. No fundus can be felt abdominally and a mass is seen at the vulva. What is most likely?

1. AAmniotic fluid embolism
2. BCervical laceration
3. CUterine inversion
4. DUterine atony

발뒤꿈치 채혈 등에서 신생아의 시술 통증을 줄이는 비약물적 방법은 무엇인가요?

1. A모유 수유, 피부 접촉, 또는 경구 자당
2. B채혈 전에 발뒤꿈치에 찬물을 대기
3. C아기를 침대에 혼자 두기
4. D다른 위안 없이 아기가 잠들 때까지 기다리기

A 3-year-old says the IV pump "is angry" when it beeps. Which feature of thinking does this show?

1. AAnimism, typical of preoperational thinking
2. BAbstract reasoning, typical of formal operations
3. CConservation, typical of concrete operations
4. DObject permanence, typical of the sensorimotor stage

유지 치료 범위로 흔히 인용되는 혈청 리튬 농도 범위는 어느 것인가요?

1. A약 0.01~0.05 mmol/L
2. B약 2.0~3.0 mmol/L (급성 조증에는 더 높은 농도가 필요함)
3. C약 0.6~1.2 mmol/L (목표 범위는 지침마다 다름)
4. D약 3.5~5.0 mmol/L

A nurse realises she has given a patient another patient's olanzapine dose. What should she do first?

1. AGive the patient his own prescribed medicine as well, to stay on schedule
2. BFill in an incident report before checking the patient
3. CSay nothing, because one dose will not cause harm
4. DAssess the patient, including his vital signs and level of sedation

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 환자의 체온이 40.6 °C입니다. °F = °C × 9/5 + 32를 사용하여 화씨 T(으)로 환산하세요. 소수 첫째 자리까지 반올림하세요.

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 처방전에 경구 현탁액 하루 네 번을(를) 2 tsp씩 5일 동안 복용하라고 되어 있습니다. 1 tsp = 5 mL을(를) 사용하면 전체 치료 기간에 몇 mL V이(가) 필요합니까?

체중 25 kg인 어린이에게 어떤 약이 3 mg/kg으로 처방되었습니다. 원액은 25 mg/mL입니다. 용량을 채우세요: 몇 V를 투여합니까?

처방은 2750 단위이고, 약은 5000 단위/mL로 나옵니다. 1 mL 주사기에 용량을 채우세요: 몇 V를 투여합니까?

60방울/mL 세트로 500 mL를 5시간 동안 주입합니다. 점적 속도 R를 분당 방울 수로 구하세요.

수액이 20방울/mL 세트로 20방울/분 속도로 떨어지고 있습니다. 백에 750 mL가 남아 있습니다. 몇 시간 t 후에 비게 될까요?

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 기록표는 한 12시간 근무조 동안 환자의 섭취량과 배설량을 보여 줍니다. 환자의 체중은 88 kg입니다. 평균 소변량 U을(를) mL/kg/h 단위로 구하세요. 소수 둘째 자리까지 반올림하세요.

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 1000 mL 백이 펌프로 120 mL/h로 들어가고 있습니다. 08:00에 이미 650 mL가 주입되었습니다. 백이 비기까지 몇 시간 t이(가) 남았나요? 소수 첫째 자리까지 반올림하세요.

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 다음 관찰 소견에 NEWS2 도표(SpO₂ 척도 1)를 사용하세요: 호흡수 18/min, SpO₂ 98% 보충 산소 투여 중, 혈압 136/82 mmHg, 맥박 130/min, 음성에만 반응함, 체온 39.6 °C. NEWS2 총점은 얼마입니까?

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 다음 관찰 소견에 NEWS2 도표(SpO₂ 척도 1)를 사용하세요: 호흡수 16/min, SpO₂ 97% 실내 공기 호흡 중, 혈압 150/90 mmHg, 맥박 58/min, 명료함, 체온 37.1 °C. 환자는 어느 임상 위험군에 속합니까? 클릭하세요.

1. 1낮음
2. 2낮음–중간
3. 3중간
4. 4높음