NCLEX-PN 스타일 연습 문제 (LPN/LVN): 벼락치기 팩

An IV cannula site is swollen, cool and pale, and the infusion has slowed. What should the nurse do first?

1. AFlush the cannula hard with saline
2. BStop the infusion and remove the cannula
3. CIncrease the infusion rate to clear the blockage
4. DApply a warm pack and keep the infusion running

Which statement by a visitor shows a need for further teaching about contact precautions?

1. A"I'll take off the gown and gloves before I leave the room."
2. B"I'll put on the gown and gloves before I go in."
3. C"I'll take the gown off at home after I leave the hospital."
4. D"I'll clean my hands as I leave the room."

Which patient has the highest risk of a burn from a heating pad?

1. AA patient with a sprained wrist who is fully alert
2. BA patient recovering from a cold
3. CA healthy young adult with a strained muscle
4. DA patient with diabetic peripheral neuropathy

Several patients on a ward develop vomiting and diarrhea within two days, and a norovirus outbreak is suspected. What should the nurse do first?

1. ANotify the infection prevention team and place affected patients on contact precautions
2. BMove the affected patients to different wards so that fewer people are exposed
3. CAsk visitors to bring in bottled water for all patients
4. DWait for all the stool results to come back before taking any action

Before giving a scheduled dose of metoprolol, which assessment is most important?

1. AApical pulse and blood pressure
2. BBowel sounds and urine color
3. CBlood glucose and weight
4. DTemperature and the latest pain score

A patient with a head injury has a pupil on one side that is now large and does not react to light. What should the nurse do?

1. ARecheck it at the next routine observation in four hours
2. BDim the room lights so the pupil can get smaller
3. CReport it at once, as it may mean the brain is being compressed
4. DDocument it, because pupils often differ slightly after a head injury

항암화학요법 후 호중구감소증이 있는 환자의 체온이 38.3 °C입니다. 우선순위는?

1. A아세트아미노펜만 주고 내일 체온을 다시 확인함
2. B환자에게 산책을 권함
3. C열이 내리는지 24시간 기다림
4. D호중구감소성 패혈증으로 간주하고 긴급히 정맥 항생제 투여

Which route and site are recommended for the first dose of adrenaline (epinephrine) in anaphylaxis on a ward?

1. AIntramuscular injection into the anterolateral thigh
2. BIntravenous bolus given by the nurse without monitoring
3. COral tablet dissolved under the tongue
4. DSubcutaneous injection into the upper arm

On the first day after major surgery, a patient's white cell count is 12.5 × 10³/µL, with no fever or wound signs. What is the best interpretation?

1. AA sign of leukemia that needs bone marrow testing
2. BDefinite wound infection that needs antibiotics now
3. CA common stress response to surgery that is monitored
4. DA laboratory error, since surgery lowers white cells

영양실조 환자가 다시 먹기 시작했고, 3일째에 인산염이 1.2 mg/dL(0.39 mmol/L)이며 근력 약화와 숨가쁨이 있습니다. 주된 위험은 무엇인가요?

1. A낮은 인산염으로 인한 호흡 근육 약화와 심부전
2. B빠른 체중 증가이며 심각한 위험은 없다
3. C세포가 칼륨을 내보내서 생기는 고칼륨혈증
4. D뼈에서 나온 칼슘으로 인한 신장 결석

Which teaching about antiepileptic drugs is most important?

1. ATake a double dose if you feel a seizure coming
2. BStop the drug when you have had no seizures for one whole week
3. CAlcohol has no effect on seizure control
4. DDo not stop the drug suddenly, as this can trigger severe seizures

Why are antipsychotics used with great caution in older people with dementia?

1. AThey always cure the dementia and stop all behaviour problems
2. BThey cause severe hypoglycaemia in older people
3. CThey are linked to a higher risk of stroke and death
4. DThey are not absorbed in people over 65

Which energy-conservation advice is most useful for a patient with severe COPD?

1. ADo all the household tasks quickly in the morning to get them done
2. BAvoid any activity at all, staying in a chair to save their energy
3. CHold the breath while lifting heavy objects
4. DSit down for tasks such as washing and dressing, and pace activities

After four days of antibiotics for pneumonia, a patient still has fever and pleuritic pain. There is dullness and reduced breath sounds at the right base. What complication should be suspected?

1. AAsthma triggered by the infection
2. BAn allergic reaction to the antibiotic
3. CNormal recovery from pneumonia
4. DA parapneumonic effusion or empyema

우반구 뇌졸중 환자가 접시의 왼쪽에 있는 음식을 무시합니다. 이를 무엇이라고 합니까?

1. A좌측 무시(neglect)
2. B소뇌성 운동실조
3. C표현성 실어증
4. D삼킴곤란

A patient with Addison's disease has been vomiting for a day. They are confused, with BP 78/40 mmHg, sodium 126 mmol/L and potassium 6.0 mmol/L. What is the priority?

1. AOral hydrocortisone and an antiemetic by mouth
2. BA fluid restriction for the low sodium
3. CIV potassium to correct the electrolytes
4. DIV hydrocortisone straight away, plus IV fluids

Which long-term effect must be monitored in patients receiving anthracyclines such as doxorubicin?

1. ALoss of the sense of smell
2. BPermanent high blood glucose
3. CExcess growth of body hair
4. DDamage to the heart muscle

체표면적 35% 화상 환자가 과대사 단계에 들어서고 있습니다. 가장 적절한 영양 계획은?

1. A신장 손상을 막으려는 저단백 식이
2. B화상 상처가 아물 때까지 맑은 액체만
3. C장을 완전히 쉬게 하려고 2주간 금식
4. D에너지와 단백질이 높은 조기 장관 영양

Why do newborns become cold so easily?

1. AThey have a large surface area and little fat
2. BThey sweat more than adults
3. CThey cannot produce heat at all
4. DTheir blood is thicker than adult blood

A woman at 34 weeks with type 1 diabetes has a blood glucose of 2.8 mmol/L (50 mg/dL), is sweating and shaky but is alert. What should the nurse do first?

1. ACheck the fetal heart rate before any treatment
2. BGive her usual insulin dose
3. CWait until her next meal
4. DGive fast-acting glucose by mouth and recheck

달걀 알레르기가 있는 아동이 인플루엔자 백신 접종 시기입니다. 현재 지침을 가장 잘 반영하는 진술은 무엇인가요?

1. A아이는 먼저 백신으로 피부 검사를 받아야 한다
2. B달걀 알레르기만으로는 일반적으로 더 이상 인플루엔자 접종을 보류할 이유가 아니다
3. C달걀 알레르기가 있는 사람에게는 이 백신을 절대 접종해서는 안 된다
4. D아이는 이틀에 걸쳐 절반 용량씩 접종하고 각각 접종 후 관찰해야 한다

Why is a pertussis (whooping cough) vaccine recommended during pregnancy?

1. AIt protects the fetus from developing heart defects
2. BThe mother's antibodies cross the placenta and protect the baby in the first weeks of life
3. CIt replaces the need for the baby's own pertussis vaccines
4. DIt prevents the mother from passing pertussis to the baby through breast milk

In family systems theory, what is meant by the "identified patient"?

1. AThe member whose symptoms are seen as the family's problem
2. BThe family member who has the most serious physical illness
3. CThe family member who pays for the treatment
4. DThe patient whose identity has been checked against a wristband before treatment

A patient in a manic episode starts taking off her clothes in the busy day room. What is the most appropriate action?

1. ACalmly cover her and guide her to her room or a quiet area
2. BAsk the other patients to ignore her and carry on
3. CCall security to remove her from the ward
4. DTell her loudly in front of everyone that she must stop

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 용량이 22:35(24시간제)에 기록되어 있습니다. 12시간제로 같은 시각인 항목은 어느 것입니까? 클릭하세요.

1. 112:35 PM
2. 29:35 PM
3. 310:35 PM
4. 410:35 AM

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 주입이 22:40에 시작하여 다음 날 아침 08:05에 끝납니다(24시간제). 주입은 몇 분 t 진행되었습니까?

환자의 체중은 18 kg이고 1회 용량으로 30 mg/kg이 처방되었습니다. 용량 D을 mg으로 구하세요.

체중 18 kg인 아동에게 5 mL에 200 mg이 들어 있는 경구 현탁액이 회당 5 mg/kg로 처방되었습니다. 투여할 부피 V는 얼마입니까? 소수 첫째 자리까지 반올림하세요.

15방울/mL 세트로 1000 mL를 10시간 동안 주입합니다. 점적 속도 R를 분당 방울 수로 구하세요.

수액이 60방울/mL 세트로 25방울/분 속도로 떨어지고 있습니다. 백에 600 mL가 남아 있습니다. 몇 시간 t 후에 비게 될까요?

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 기록표는 한 8시간 근무조 동안 환자의 섭취량과 배설량을 보여 줍니다. 환자의 체중은 52 kg입니다. 평균 소변량 U을(를) mL/kg/h 단위로 구하세요. 소수 둘째 자리까지 반올림하세요.

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 1000 mL 백을 09:00에 시작해 펌프로 50 mL/h로 주입하고 있습니다. 10:00에 백에 남은 양은 몇 mL V인가요?

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 연습용 차트에 GCS 9, E3, V3가 기록되어 있습니다. 기록된 운동 점수 M은(는) 얼마이며 어떤 반응을 나타냅니까? 숫자를 답하세요.

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 다음 관찰 소견에 NEWS2 도표(SpO₂ 척도 1)를 사용하세요: 호흡수 18/min, SpO₂ 99% 실내 공기 호흡 중, 혈압 106/64 mmHg, 맥박 88/min, 명료함, 체온 37.3 °C. 환자는 어느 임상 위험군에 속합니까? 클릭하세요.

1. 1낮음
2. 2낮음–중간
3. 3중간
4. 4높음