NCLEX-PN 스타일 연습 문제 (LPN/LVN): 벼락치기 팩

Why must a respirator such as an FFP3 or N95 mask be fit-tested?

1. AFit-testing makes the mask reusable for a week
2. BFit-testing checks whether the patient is still infectious
3. CIt only protects if it seals closely to the wearer's face
4. DIt must be tested to check it is the right colour

The daughter of a dying patient is upset that her mother has stopped eating. What is the best response?

1. ATell her a feeding tube will be inserted straight away
2. BTell her it means the staff have not been feeding her mother
3. CEncourage her to help her mother eat a full meal at every mealtime
4. DExplain that losing appetite is a natural part of dying

환자의 혈액이 우연히 눈에 튀었습니다. 간호사는 어떻게 해야 합니까?

1. A즉시 많은 물이나 생리식염수로 눈을 씻고 보고한다
2. B처치를 마치고 다음 날 보고한다
3. C항생제 안약을 넣고 아무에게도 알리지 않는다
4. D먼저 깨끗하고 마른 휴지로 눈을 살살 문질러 혈액을 닦는다

혼란스러워하는 환자가 손목 억제대를 하고 있는데 한쪽 손가락이 차갑고 창백하며 같은 쪽의 요골 맥박이 약합니다. 간호사가 가장 먼저 할 일은?

1. A그쪽 억제대를 풀고 손의 순환을 사정한다
2. B소견을 꼼꼼히 기록하고 두 시간 뒤에 다시 확인한다
3. C환자가 당기지 못하도록 다른 쪽 억제대를 더 조인다
4. D억제대는 그대로 두고 베개 위에 손을 올린다

When making patient assignments, what should the charge nurse consider first?

1. AMatching each patient’s needs to staff competence
2. BGiving each nurse patients in rooms next to each other
3. CLetting staff choose the patients they prefer
4. DGiving the newest staff the most complex patients

A patient has full-thickness burns all the way around the chest and is finding it harder to breathe, although the airway is clear. What does this suggest?

1. AThe burns are healing and the skin is tightening normally
2. BThe patient has had too little IV fluid and needs a fast bolus to improve the breathing
3. CThe patient is anxious and only needs reassurance
4. DThe tight burned skin is restricting chest movement, so an escharotomy may be needed

Why are older adults at higher risk of dehydration?

1. ATheir kidneys hold on to too much water
2. BThey always drink large amounts of tea
3. CTheir body water content increases with age
4. DTheir sense of thirst is often reduced

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

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

A patient with pneumonia had a CRP of 180 mg/L on admission and 40 mg/L after 4 days of antibiotics. What does this most likely show?

1. AThe infection has spread to another organ
2. BThe patient has developed a new infection
3. CThe inflammation is settling with treatment
4. DThe antibiotic is causing liver damage

A frail older adult in a nursing home has been drinking very little during a heat wave. She is confused, and her sodium is 158 mEq/L. Which treatment would the nurse expect?

1. AA loop diuretic to remove the extra sodium quickly
2. BRapid infusion of 3% saline to raise the volume
3. CStrict fluid restriction to below 800 mL a day
4. DGradual replacement of free water over many hours

Why is a spacer recommended with a metered-dose inhaler?

1. AIt turns the inhaler into a nebuliser
2. BIt removes the need to shake the inhaler
3. CIt doubles the dose of drug released by each puff of the inhaler
4. DMore drug reaches the lungs and less stays in the mouth

A malnourished patient with low serum albumin shows nystagmus and unsteady gait. Her total phenytoin level is within range. What is the most likely explanation?

1. ALow albumin speeds up phenytoin metabolism
2. BLow albumin makes phenytoin bind more tightly, so the drug is less active
3. CThe total level is high, but the laboratory is wrong
4. DMore phenytoin is unbound when albumin is low, so free levels rise

흉관 배액관을 일반적으로 잠그지 말아야 하는 이유는?

1. A잠그면 수봉의 물이 증발하기 때문
2. B갇힌 공기가 쌓여 긴장성 기흉을 일으킬 수 있기 때문
3. C잠그면 체액이 흉강에서 너무 빨리 배액되기 때문
4. D잠그면 관이 영구적으로 약해지고 갈라지기 때문

A patient with severe COPD has increasing ankle oedema and a raised JVP, but no crackles and a normal left ventricle on echocardiography. Which condition is most likely?

1. AAortic stenosis
2. BLeft ventricular failure
3. CCor pulmonale
4. DDeep vein thrombosis

페니토인을 장기 복용하는 환자에게 교육해야 하는 부작용은?

1. A잇몸 과증식이므로 좋은 구강 위생이 중요하다
2. B서서히 진행하는 영구적 청력 소실
3. C체중 감소와 더위를 못 견딤
4. D거의 모든 환자에서 두피 탈모

A patient with an insulin pump is admitted with nausea, a glucose of 19 mmol/L (342 mg/dL) and blood ketones of 3.1 mmol/L. What is the priority?

1. ASuspect failed insulin delivery and give insulin by another route
2. BGive an antiemetic only, because nausea is causing the high glucose
3. CIncrease the pump rate and recheck the ketones in 12 hours
4. DDisconnect the pump and give no insulin until the ketones clear

Which advice is appropriate for a patient with a very low platelet count?

1. AUse a soft toothbrush and an electric razor
2. BUse a razor blade for shaving every day
3. CFloss hard every day to prevent gum disease
4. DTake aspirin regularly for headaches

Using the adult rule of nines, what is the total burn area of the whole right arm plus the whole front of the trunk (both with partial-thickness burns)?

1. A36%
2. B27%
3. C45%
4. D18%

A woman in preterm labour receives nifedipine. Which side effect should the nurse watch for?

1. ARespiratory depression and absent reflexes
2. BBradycardia and bronchospasm
3. CLow blood pressure and headache
4. DHigh blood glucose and tremor

A woman with active genital herpes lesions is admitted in early labour with intact membranes. What should the nurse expect?

1. AA caesarean birth to reduce the risk of neonatal herpes
2. BA vaginal birth with no special precautions
3. CA fetal scalp electrode for close monitoring
4. DRupture of the membranes to speed up labour

What is a normal capillary refill time in a child?

1. A2 seconds or less
2. B8 to 10 seconds
3. C15 to 20 seconds
4. D5 seconds or less

The 7-year-old brother of a child with cancer has started misbehaving at school. What is the most likely explanation?

1. AIt is unrelated to the illness and is normal for his age
2. BHe has developed attention deficit hyperactivity disorder and needs medicine
3. CHe is copying behaviour from other children in his class
4. DHe may feel worried, jealous or left out and needs attention and information

Which finding in a patient with anorexia nervosa is most concerning?

1. AConstipation for the past few days
2. BFeeling cold in a warm room
3. CA resting heart rate of 38/min
4. DDry skin and brittle hair

The daughter of a man with moderate dementia says she is exhausted, is not sleeping and feels guilty for getting angry with him. What is the most helpful nursing response?

1. ASuggest that she stops visiting him for a few months so that she can rest and forget about her guilt
2. BTell her that good daughters do not get angry with their parents
3. CAcknowledge her strain and discuss support such as respite care and carers' groups
4. DAdvise her to take on more responsibility for his care so that she feels less guilty

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 환자의 체온이 97.9 °F입니다. °C = (°F − 32) × 5/9를 사용하여 섭씨 T(으)로 환산하세요. 소수 첫째 자리까지 반올림하세요.

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 근무 시간 동안 환자가 ¾ 컵 / 차, ½ tsp / 기침 시럽, 4 tbsp / 액상 보충제을(를) 섭취합니다. 주어진 환산값을 사용하여 mL 단위의 총 경구 섭취량 V을(를) 구하세요.

환자의 체중은 22 kg입니다. 처방 용량은 하루 7.5 mg/kg이며 2회로 나누어 투여합니다. 1회에 몇 mg D을 투여하나요?

환자의 몸무게는 63.8 lb입니다. 처방은 1회 15 mg/kg이고, 원액에는 1 mL에 100 mg이 들어 있습니다. 1 kg = 2.2 lb를 써서, 몇 mL V를 투여하나요? 소수 첫째 자리까지 반올림하세요.

10방울/mL 세트로 1500 mL를 5시간 동안 주입합니다. 점적 속도 R를 분당 방울 수로 구하세요.

수액이 60방울/mL 세트로 42방울/분 속도로 떨어지고 있습니다. 백에 900 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.

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 500 mL 주입을 11:30에 125 mL/h로 시작합니다. 2시간 후 속도를 100 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). 환자의 맥박이 126/min이고 혈압이 108/65 mmHg입니다. 쇼크 지수 SI = HR/SBP를 구하세요. 소수 둘째 자리까지 반올림하세요.

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 다음 관찰 소견에 NEWS2 도표(SpO₂ 척도 1)를 사용하세요: 호흡수 21/min, SpO₂ 93% 실내 공기 호흡 중, 혈압 118/70 mmHg, 맥박 114/min, 명료함, 체온 37.8 °C. 환자는 어느 임상 위험군에 속합니까? 클릭하세요.

1. 1낮음
2. 2낮음–중간
3. 3중간
4. 4높음