NCLEX-PN 스타일 연습 문제 (LPN/LVN): 벼락치기 팩

A dying patient asks to see a chaplain or religious leader. What should the nurse do?

1. AAsk the patient's doctor if a visit is allowed
2. BExplain that religious matters are not part of care
3. CArrange the visit as soon as possible
4. DTell the patient to wait until visiting hours tomorrow

What is the best way to check that a patient has learned to use an inhaler correctly?

1. AAsk whether they have read the leaflet
2. BAsk them to repeat the drug's name
3. CAsk the patient to show how they use it
4. DAsk whether they have any questions

중심정맥관 허브에 접근하기 전에 간호사가 해야 할 일은?

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

A nurse teaches parents of a toddler about drowning prevention. Which statement shows a need for further teaching?

1. A“I can leave my 2-year-old in the bath for a minute if the water is shallow.”
2. B“We keep the gate in the pool fence closed and locked at all times.”
3. C“I empty buckets of water as soon as I have used them.”
4. D“I stay within arm’s reach of my child whenever we are near any water.”

A patient has taken prednisone (prednisolone in many countries) for several months. Which statement shows a need for further teaching?

1. A“I will report signs of infection early.”
2. B“I will take the tablets with food.”
3. C“I will stop the tablets as soon as I feel better.”
4. D“I will tell my dentist and other doctors that I take a steroid.”

During JumpSTART triage, a child who cannot walk is breathing 50 times a minute. Which category is the child given?

1. ARed (immediate)
2. BGreen (minor)
3. CYellow (delayed)
4. DBlack (expectant)

What should a patient be told before using sublingual glyceryl trinitrate (GTN, nitroglycerin) spray for angina?

1. ASwallow the spray rather than leaving it under the tongue
2. BUse it only after the pain has lasted over an hour, with the patient lying flat
3. CSit down before using it, as it can cause dizziness and low blood pressure
4. DTake it with a large glass of milk to protect the stomach lining

A nurse teaches a patient with heart failure about self-care. Which statement shows a need for further teaching?

1. A"I will weigh myself each morning after passing urine."
2. B"I will take my water tablet in the morning."
3. C"I will report it if I need more pillows to sleep."
4. D"I only need to weigh myself once a month."

A week after a splenectomy, a patient's platelet count is 650 × 10³/µL. What is the best interpretation?

1. AA sign of new leukemia that needs immediate chemotherapy
2. BAn expected rise after splenectomy that increases clot risk
3. CA laboratory error, because platelets fall after splenectomy
4. DA sign of iron overload from the surgery and transfusion

An 82-year-old woman without a catheter has a urine culture growing bacteria, but no fever, urinary symptoms or change in mental state. What is the best interpretation?

1. AContamination, so the culture must be repeated every week
2. BPyelonephritis, which needs admission and IV fluids today
3. CAsymptomatic bacteriuria, usually not treated with antibiotics
4. DA urinary tract infection that needs urgent IV antibiotics

A transplant patient takes tacrolimus. Which monitoring is most important?

1. ABlood drug levels and kidney function
2. BPeak expiratory flow
3. CSerum amylase
4. DThyroid function and bone density

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. AAn allergic reaction to clonidine
2. BClonidine toxicity due to slow excretion by the kidneys
3. CNormal variation unrelated to the medication
4. DRebound hypertension from abrupt clonidine withdrawal

How should a patient breathe in when using a pressurised metered-dose inhaler without a spacer?

1. AIn short gasps through the nose while pressing the canister
2. BNormally, while breathing out through the mouthpiece
3. CSlowly and deeply while pressing the canister, then hold the breath
4. DAs hard and fast as possible, then press the canister afterwards

A patient with crushing chest pain has ST elevation in leads V1–V4. Which coronary artery is most likely blocked?

1. AThe left anterior descending artery
2. BThe circumflex artery
3. CThe left subclavian artery
4. DThe right coronary artery and its branches

An 80-year-old with angina is diagnosed with hypothyroidism. How is levothyroxine usually started?

1. AAs a single large weekly injection
2. BAt a full dose from the first day
3. COnly after the angina has been cured
4. DAt a low dose, increased slowly

The nurse has four endocrine patients. Which one needs to be seen first?

1. AA patient with hyperthyroidism who is confused, with a temperature of 39.5 °C (103.1 °F)
2. BA patient with Graves' disease asking about radioactive iodine
3. CA patient with hypothyroidism who has been constipated for three days
4. DA patient after thyroidectomy with mild pain on swallowing

Which instruction is important during bowel preparation for colonoscopy?

1. AAvoid all fluids for 24 hours before the test
2. BEat a high-fibre meal the evening before the test
3. CTake the preparation only if the bowels have not opened
4. DDrink plenty of clear fluids while taking the preparation

A patient has sharp, tearing pain on passing stool, "like passing glass", with a streak of fresh blood. Which condition is most likely?

1. AUpper GI bleeding
2. BColorectal cancer
3. CAnal fissure
4. DCrohn's disease of the ileum

A woman received an opioid shortly before giving birth, and the baby is born with poor breathing effort. Which statement about the baby's care is correct?

1. ANo support is needed because the effect lasts only seconds
2. BFlumazenil is given to reverse the opioid
3. CNaloxone is given before any ventilation is started
4. DEffective ventilation comes first; naloxone is not routine

A newborn in the first hours sneezes, has a high-pitched cry, tremors and loose stools. The mother took opioids throughout pregnancy. Which intervention is most appropriate first?

1. AWithholding feeds until the symptoms settle
2. BA quiet, dim room, swaddling and small, frequent feeds
3. CGiving naloxone to reverse the opioids
4. DBright lights and frequent handling to keep the baby awake

MMR 같은 생백신을 일반적으로 맞아서는 안 되는 아동은 누구인가요?

1. A합병증 없는 중이염으로 경구 항생제를 복용 중인 아동
2. B가벼운 감기에 걸린 아동
3. C항암화학요법 중처럼 면역이 심하게 억제된 아동
4. D형제가 감기에 걸린 아동

A 4-month-old is brought in drowsy and vomiting, with no visible injuries. Retinal haemorrhages are found. What should the nurse suspect?

1. AAbusive head trauma
2. BViral gastroenteritis
3. CNormal newborn retinal changes
4. DMigraine

Which preparation is usual before electroconvulsive therapy (ECT)?

1. AEating a large meal to prevent low blood sugar during the seizure
2. BFasting for several hours, because a brief general anaesthetic is given
3. CStopping all regular medicines for 2 weeks before the first treatment
4. DNo preparation, because the patient stays fully awake during ECT

A patient who has worked well with the nurse for three weeks becomes angry and refuses to attend their sessions after being told that discharge is planned for next week. What is the best interpretation?

1. AThe patient has developed a new psychotic illness
2. BThe nurse has made an error and should cancel the discharge
3. CThe patient no longer needs the sessions and should be discharged at once
4. DThe patient is reacting to the coming end of the relationship

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 환자의 키가 6 ft 6 in입니다. 1 ft = 12 in와 1 in = 2.54 cm를 사용하여 cm 단위의 키 h을(를) 가장 가까운 정수 cm로 구하세요.

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 주입이 5 mg/h를 투여합니다. 이 용량 속도 D을(를) mcg/min으로 나타내세요. 소수 첫째 자리까지 반올림하세요.

몸무게 111 kg인 환자의 체표면적은 2.03 m²입니다. 처방은 20 mg/m²입니다. 용량 D을 mg으로 구하세요.

처방은 560 단위이고, 약은 1000 단위/mL로 나옵니다. 1 mL 주사기에 용량을 채우세요: 몇 V를 투여합니까?

10방울/mL 세트로 500 mL를 2시간 동안 주입합니다. 점적 속도 R를 분당 방울 수로 구하세요. 가장 가까운 정수로 반올림하세요.

수액이 20방울/mL 세트로 42방울/분 속도로 떨어지고 있습니다. 백에 200 mL가 남아 있습니다. 몇 시간 t 후에 비게 될까요? 소수 첫째 자리까지 반올림하세요.

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 기록표는 한 12시간 근무조 동안 환자의 섭취량과 배설량을 보여 줍니다. 정맥 주입은 근무조 내내 표시된 속도로 들어갔습니다. 총섭취량 I을(를) mL 단위로 구하세요. 얼음 조각은 부피의 절반으로 계산하세요.

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 500 mL 백이 펌프로 150 mL/h로 들어가고 있습니다. 09:00에 이미 100 mL가 주입되었습니다. 백이 비기까지 몇 시간 t이(가) 남았나요? 소수 첫째 자리까지 반올림하세요.

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 연습용 환자를 Morse 낙상 척도로 평가했습니다: 최근 3개월 이내의 낙상 병력: 예; 이차 진단: 아니요; 보행 보조: 가구를 붙잡음; 정맥 치료 또는 생리식염수 잠금: 아니요; 걸음걸이: 손상됨; 정신 상태: 한계를 과대평가하거나 잊음. Morse 총점 MFS을(를) 구하세요.

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 다음 관찰 소견에 NEWS2 도표(SpO₂ 척도 1)를 사용하세요: 호흡수 12/min, SpO₂ 97% 실내 공기 호흡 중, 혈압 150/90 mmHg, 맥박 58/min, 명료함, 체온 37.6 °C. 환자는 어느 임상 위험군에 속합니까? 클릭하세요.

1. 1낮음
2. 2낮음–중간
3. 3중간
4. 4높음