NCLEX-PN 스타일 연습 문제 (LPN/LVN): 벼락치기 팩

When cleaning a surgical incision, in which direction should the nurse clean?

1. AFrom the surrounding skin towards the incision with one swab
2. BFrom the incision outwards, using a new swab for each stroke
3. CIn circles from the outside in, reusing the swab
4. DBack and forth along the incision with the same swab

A patient asks for a same-sex nurse for intimate care because of their religious beliefs. What should the nurse do?

1. ARefuse, as all nurses are equally qualified
2. BAgree, but only if the patient has a written note from a religious leader
3. CArrange it where possible and record the preference in the care plan
4. DTell the patient they must accept whoever is on duty

A newly hired nurse had BCG vaccine as a child. Which TB screening test is usually preferred?

1. AAn interferon-gamma release assay (IGRA) blood test
2. BNo screening, because BCG prevents all TB
3. CA tuberculin skin test, which is read 24 hours after it is placed
4. DA chest x-ray every month for the first year

During bedside handoff, the patient says, “I’m allergic to sulfa drugs,” but no allergy is recorded. What should the nurse do?

1. AWait until the patient is discharged to update the record
2. BIgnore it, because the electronic record is more reliable than the patient’s memory
3. CTell the patient that sulfa drugs are always safe
4. DClarify the reaction, update the allergy record and tell the prescriber

A patient receiving an aminoglycoside antibiotic, such as gentamicin, reports ringing in the ears. What should the nurse do?

1. AHold the next dose and report it promptly
2. BGive the next dose early to finish the course
3. CAdvise the patient to use ear drops
4. DReassure the patient that it is a normal effect

자원이 매우 제한된 재난에서 거의 온몸에 심한 화상을 입은 피해자가 검정으로 분류됩니다. 이 결정을 설명하는 원칙은 무엇인가요?

1. A가장 많은 사람에게 가장 큰 이익을 주는 것
2. B가장 어린 피해자를 먼저 치료하는 것
3. C피해자를 도착한 순서대로 치료하는 것
4. D가장 심하게 다친 사람을 먼저 치료하는 것

Which features suggest Cushing's syndrome?

1. ADark skin, low blood pressure, salt craving and a low blood sodium level
2. BWeight gain around the trunk, a rounded face and thin, easily bruised skin
3. CWeight loss, heat intolerance, tremor and protruding eyes
4. DCoarse facial features and very large hands and feet

A patient on an unfractionated heparin infusion is also started on warfarin. Which tests are used to monitor each drug?

1. APlatelet count for both drugs
2. BAPTT for heparin and INR for warfarin
3. CD-dimer for both drugs
4. DINR for heparin and APTT for warfarin

A 55-year-old has a positive fecal immunochemical test (FIT) during routine screening. What is the usual next step?

1. AReferral for colonoscopy
2. BRepeat the test in 10 years
3. CStart an iron supplement only
4. DNo action if there are no symptoms

The nurse teaches a patient with thrombocytopenia (platelets 25 × 10³/µL) about home safety. Which statement shows a need for further teaching?

1. A"I'll take aspirin if I get a headache"
2. B"I'll blow my nose gently, not forcefully"
3. C"I'll use a soft-bristled toothbrush"
4. D"I'll use an electric razor to shave"

A patient is starting lamotrigine. Which adverse effect should the patient report at once?

1. AAny new skin rash
2. BMild headache on the first day
3. CSlight tiredness in the afternoon
4. DA brief change in taste

Why is pethidine (meperidine) avoided in older people and in kidney impairment?

1. AIt causes severe hypoglycaemia in these groups
2. BIt is not absorbed from the gut when kidney function is poor
3. CIt has no pain-relieving effect in older people
4. DIts metabolite norpethidine builds up and can cause seizures

A pulse oximeter on a patient's finger gives an unreliable, flickering reading. Which factor is the most likely cause?

1. AThe patient having eaten recently
2. BCold hands with poor peripheral circulation
3. CA regular heart rate of 75 beats per minute
4. DThe patient sitting upright in a chair

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. AA collapsing pulse
2. BPulsus alternans
3. CPulsus paradoxus
4. DA pulse deficit

Which statement about storing insulin is correct?

1. AInsulin that has been frozen can be used once it has thawed
2. BInsulin should be kept on a sunny windowsill to stay warm
3. CAll insulin must be stored in the freezer to keep it stable
4. DUnopened insulin goes in the fridge and must never be frozen

A patient on levothyroxine has palpitations, weight loss and poor sleep. TSH is suppressed, and free T4 is high. What is the most likely explanation?

1. AThe dose is too low
2. BThe dose is too high
3. CA normal response to the drug
4. DThe thyroid has stopped working

Which nerve is at risk if the arm is poorly padded at the elbow during surgery?

1. AUlnar nerve
2. BFemoral nerve
3. CFacial nerve
4. DSciatic nerve

Why is an SGLT2 inhibitor such as dapagliflozin usually withheld before surgery?

1. AIt interacts with all general anaesthetic gases and stops them working
2. BIt makes the patient's potassium dangerously high
3. CIt raises the risk of ketoacidosis, even with near-normal glucose
4. DIt causes the surgical wound to bleed more

A woman at 20 weeks says her gums bleed when she brushes her teeth. What is the best advice?

1. AStop brushing until the bleeding has settled after birth
2. BUse a soft brush and keep up routine dental care
3. CAvoid all dental visits until after the baby is born
4. DReport it at once because it is a sign of a clotting disorder

A newborn is pale, has a heart rate of 170/min and weak pulses after a difficult vacuum birth. The scalp is boggy and swelling across the sutures is increasing. What should the nurse suspect?

1. ASimple cephalhaematoma
2. BCaput succedaneum
3. CSubgaleal haemorrhage
4. DNormal moulding

Which non-drug technique suits a 5-year-old during a cannula insertion?

1. AReading a detailed leaflet about the procedure
2. BBlowing bubbles or looking at a pop-up book
3. CBeing left alone so the child can concentrate
4. DDoing slow breathing exercises with a numeric scale

Which finding helps to distinguish epiglottitis from croup?

1. AA barking cough that is worse at night after a cold
2. BSymptoms that improve within hours after a single dose of oral corticosteroid
3. CDrooling, high fever and a toxic look, without a barking cough
4. DA hoarse voice with mild fever and a runny nose

A patient says, "The doctor says I'm getting better, but I don't think anyone here really knows me." Which nurse response is most therapeutic?

1. A"Everyone here knows you well, so don't worry."
2. B"The doctor is very experienced, so you should trust her."
3. C"Why do you think the doctor is wrong about you?"
4. D"You feel that people here don't really know you?"

A man is found in a city far from home. He cannot remember who he is or how he got there, but his speech and thinking are otherwise normal. Tests show no head injury or intoxication. What is most likely?

1. AA manic episode with poor judgement and impulsive travel
2. BDelirium
3. CDissociative amnesia with dissociative fugue
4. DAlzheimer's disease

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 신생아의 체중이 4 lb 12 oz입니다. 1 lb = 16 oz와 1 kg = 2.2 lb를 사용하여 kg 단위의 체중 m을(를) 구하세요. 소수 둘째 자리까지 반올림하세요.

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 근무 시간 동안 환자가 6 fl oz / 주스, 1½ tsp / 기침 시럽, 4 tbsp / 액상 보충제, 1 컵 / 차을(를) 섭취합니다. 주어진 환산값을 사용하여 mL 단위의 총 경구 섭취량 V을(를) 구하세요.

체중 10 kg인 어린이에게 어떤 약이 20 mg/kg으로 처방되었습니다. 원액은 40 mg/mL입니다. 용량을 채우세요: 몇 V를 투여합니까?

처방은 460 단위이고, 약은 1000 단위/mL로 나옵니다. 1 mL 주사기에 용량을 채우세요: 몇 V를 투여합니까?

10방울/mL 세트로 1000 mL를 8시간 동안 주입합니다. 점적 속도 R를 분당 방울 수로 구하세요. 가장 가까운 정수로 반올림하세요.

1500 mL가 10시간에 걸쳐 처방되었습니다. 4시간 후 백에 아직 1040 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. 환자의 체중은 74 kg입니다. 평균 소변량 U을(를) mL/kg/h 단위로 구하세요. 소수 둘째 자리까지 반올림하세요.

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 1000 mL 주입을 17:00에 120 mL/h로 시작합니다. 2시간 후 속도를 200 mL/h로 바꾸고 이후로는 바꾸지 않습니다. 시작 후 몇 시간 t 뒤에 백이 비나요? 소수 첫째 자리까지 반올림하세요.

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 연습용 차트에 GCS 9, E2, V3가 기록되어 있습니다. 기록된 운동 점수 M은(는) 얼마이며 어떤 반응을 나타냅니까? 숫자를 답하세요.

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 팀은 평균 동맥압 65 mmHg 이상을 목표로 합니다. 환자의 수축기 혈압은 123 mmHg입니다. MAP = (SBP + 2·DBP)/3을 사용할 때, MAP 65 mmHg를 유지하는 가장 낮은 이완기 혈압 DBP은(는) 얼마입니까?