NCLEX-PN 스타일 연습 문제 (LPN/LVN): 벼락치기 팩

Which response is an example of false reassurance?

1. A"I can see this is hard for you."
2. B"What are you most concerned about?"
3. C"You seem worried. Would you like to talk about it?"
4. D"Don't worry, everything will be fine."

A recently discharged patient sends the nurse a friend request on social media. What is the most appropriate response?

1. AAccept it and ask how they are getting on
2. BAccept it but only post about work
3. CAccept it, since the patient has gone home
4. DDecline it, to keep a professional boundary

A child has swallowed a button battery. Why is this urgent?

1. AIt can burn through the lining of the esophagus within hours
2. BIt is only harmful if several batteries are swallowed
3. CIt always passes through the gut without harm
4. DThe only risk is poisoning from heavy metals years later

A visitor is receiving an electric shock from a faulty lamp and is still touching it. What should the nurse do first?

1. ASwitch off the power or unplug the lamp without touching the person
2. BThrow water over the lamp to stop the current
3. CPull the visitor away from the lamp by the arm as quickly as possible
4. DStart chest compressions straight away

A child with fever and headache develops a purple rash that does not fade when pressed with a glass. What should the nurse do?

1. AApply a soothing cream to the rash
2. BGive acetaminophen (paracetamol) and reassess in four hours
3. CAdvise the family to see their doctor next week
4. DTreat it as an emergency and escalate at once

During a power cut, which patient is the nurse’s first priority?

1. AA patient whose bed will not raise electrically
2. BA patient watching television when it switched off
3. CA patient who depends on a ventilator
4. DA patient whose call light is not working

A patient is prescribed two different eye drops at the same time. What is correct?

1. AWait about five minutes between the two drops
2. BGive both drops at once into the same eye
3. CMix the two drops in one bottle
4. DGive one drop now and the other the next day

The fluid in an underwater seal chest drain has stopped swinging with breathing. What could this mean?

1. AThe tube may be kinked or blocked, or the lung may have fully re-expanded
2. BThe patient's breathing has become normal and the drain can be pulled out by the nurse
3. CThe drain is working perfectly and needs no checks
4. DThe water seal has been set up correctly for the first time

For most hospitalized adults with diabetes who are critically ill, which glucose target range is commonly recommended?

1. AAbout 60–80 mg/dL (3.3–4.4 mmol/L)
2. BAbout 140–180 mg/dL (7.8–10 mmol/L)
3. CAbout 300–350 mg/dL (16.7–19.4 mmol/L)
4. DAbout 250–300 mg/dL (13.9–16.7 mmol/L)

A patient with acute pancreatitis has a rising BUN, a falling calcium and a glucose of 250 mg/dL (13.9 mmol/L) over the first 48 hours. What do these results suggest?

1. AIncreasingly severe pancreatitis
2. BA resolving, mild pancreatitis
3. CAn unrelated new kidney stone
4. DA lab error from lipemic samples

100 mL of an antibiotic is to be given over 30 minutes using a giving set of 20 drops/mL. What is the drip rate?

1. AAbout 33 drops per minute
2. BAbout 100 drops per minute
3. CAbout 20 drops per minute
4. DAbout 67 drops per minute

A man on long-term testosterone therapy has a rising haematocrit. Why is this important?

1. AA high haematocrit shows that the testosterone is not being absorbed
2. BIt means the testosterone dose is too low
3. CIt is a sign of liver failure caused by testosterone
4. DTestosterone raises red cell production, increasing clot risk

A patient on home oxygen has dry, sore lips. Which product is safest to use?

1. AAn alcohol-based gel
2. BA water-based lubricant
3. CAn oil-based balm
4. DPetroleum jelly

On day 2 after a surgical tracheostomy, the tube falls out. The patient is breathing but distressed. What should the nurse do first?

1. ACover the stoma completely with a sealed dressing and wait for help
2. BForce the tube back through the stoma immediately with firm pressure
3. CCall for expert help and give oxygen to both the face and the stoma
4. DLeave the patient alone while fetching a new tube

A nurse is teaching a patient going home after a mild concussion. Which statement shows a need for further teaching?

1. A"I will return if my headache gets steadily worse."
2. B"A few drinks tonight will help me relax and sleep."
3. C"Someone will stay with me for the first night."
4. D"I will come back if I start vomiting again and again."

A patient with myasthenia gravis is admitted with pneumonia. Which newly prescribed antibiotic should the nurse question?

1. AAmoxicillin
2. BCeftriaxone
3. CBenzylpenicillin
4. DGentamicin

Which is a recognised side effect of ondansetron?

1. AConstipation
2. BHair loss
3. CSevere hypoglycaemia
4. DHearing loss

A surgical patient's MUST score is 3 and the wound is healing slowly. What is the most appropriate action?

1. ARestrict protein to help the kidneys
2. BRepeat the score in three months' time
3. CEncourage fasting to reduce wound exudate and the size of the dressing
4. DRefer to the dietitian, start a nutrition plan and monitor intake

Which woman on the antenatal unit should the nurse see first?

1. AAt 30 weeks: mild ankle swelling in the evening
2. BAt 38 weeks: irregular Braxton Hicks contractions
3. CAt 34 weeks: severe headache, BP 164/110 mmHg
4. DAt 28 weeks: due for routine anti-D

황산마그네슘을 주입 중인 여성의 호흡수가 분당 10회이고 슬개건반사가 없습니다. 간호사가 가장 먼저 해야 할 행동은 무엇인가요?

1. A2시간 뒤에 반사를 다시 확인한다
2. B날록손을 1회 투여한다
3. C주입을 중단하고 글루콘산칼슘을 준비한 채 담당 의료인을 긴급히 호출한다
4. D이러한 징후는 자간전증이 악화되고 있음을 보여 주므로 주입 속도를 높인다

세기관지염 영아에게 가장 도움이 되는 간호 중재는 무엇인가요?

1. A분비물이 기도에서 빠지도록 영아를 엎드려 재우기
2. B일상적인 항생제
3. C영아가 나아질 때까지 모든 수유를 중단하기
4. D수유 전 부드러운 코 흡인과 수분 상태 및 산소포화도 감시

A child with extensive burns is receiving IV fluid resuscitation. Which finding best shows that fluid replacement is adequate?

1. AA urine output of about 1 mL/kg per hour
2. BThe child is asking for a drink
3. CThe burned skin looks less red and the blisters are smaller
4. DThe blood pressure is in the high range

A patient who started lithium 2 weeks ago has a fine tremor of the hands and is passing more urine than usual. Her level is within the therapeutic range. How should the nurse interpret this?

1. AThese are definite signs of severe lithium toxicity, so emergency dialysis is needed straight away
2. BThese are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored
3. CThese symptoms mean that the lithium is not working, so the dose should be stopped and a new drug chosen
4. DThese are signs of an allergic reaction, so she should never take lithium again

A mother with suspected postpartum psychosis says her newborn baby is "evil" and "must be stopped". What is the priority?

1. AEncourage her to spend more time alone with the baby so that they can bond
2. BKeep the baby safe, never alone with her, and arrange urgent assessment
3. CPlan a routine follow-up appointment with the health visitor in 2 weeks
4. DReassure her that all new mothers feel this way

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 신생아의 체중이 5 lb 8 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). 처방전에 경구 현탁액 하루 세 번을(를) 2 tsp씩 7일 동안 복용하라고 되어 있습니다. 1 tsp = 5 mL을(를) 사용하면 전체 치료 기간에 몇 mL V이(가) 필요합니까?

체중 28 kg인 어린이에게 어떤 약이 7.5 mg/kg으로 처방되었습니다. 원액은 50 mg/mL입니다. 용량을 채우세요: 몇 V를 투여합니까?

처방은 3.2 mg입니다. 앰플에는 mL당 4000 마이크로그램이 들어 있습니다. 1 mL 주사기에 용량을 채우세요: 몇 V를 투여합니까?

500 mL가 10시간에 걸쳐 처방되었습니다. 2시간 후 백에 아직 470 mL가 남아 있는 것을 발견했고, 처방은 여전히 제시간에 끝나야 합니다. 펌프를 몇 mL/h R로 다시 설정해야 하나요?

백에 100 mL당 약 1000 mg이 들어 있고 30 mL/h로 주입됩니다. 환자는 시간당 몇 mg D을 받나요?

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 기록표는 한 8시간 근무조 동안 환자의 섭취량과 배설량을 보여 줍니다. 환자의 체중은 94 kg입니다. 평균 소변량 U을(를) mL/kg/h 단위로 구하세요. 소수 둘째 자리까지 반올림하세요.

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 500 mL 백을 11:15에 시작해 펌프로 60 mL/h로 주입하고 있습니다. 16:15에 백에 남은 양은 몇 mL V인가요?

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 두부 손상 후의 연습용 환자가 압박(통증 자극)에만 눈을 뜸, 아무 소리도 내지 않음이며 최상의 운동 반응으로 전혀 움직이지 않음을(를) 보입니다. GCS를 구하고 그에 따라 두부 손상을 분류하세요. 답을 클릭하세요.

1. 1경도
2. 2중등도
3. 3중증

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 팀은 평균 동맥압 70 mmHg 이상을 목표로 합니다. 환자의 수축기 혈압은 84 mmHg입니다. MAP = (SBP + 2·DBP)/3을 사용할 때, MAP 70 mmHg를 유지하는 가장 낮은 이완기 혈압 DBP은(는) 얼마입니까?