NCLEX-PN 스타일 연습 문제 (LPN/LVN): 벼락치기 팩

When should blood cultures be taken in a patient with suspected sepsis?

1. AAfter the patient has recovered from the infection
2. BBefore antibiotics are given, as long as this does not delay them
3. COnly after three days of antibiotics, to see if they are working
4. DOnly if the temperature rises above 40 °C

A patient reports pain of 8/10 but is chatting calmly and has normal vital signs. What should the nurse do?

1. AAccept the report, assess further and offer analgesia
2. BRecord a lower score because the patient looks comfortable and calm
3. CWithhold analgesia until the vital signs change
4. DTell the patient they cannot be in that much pain

A patient is on seizure precautions. Which equipment should be ready at the bedside?

1. ARestraints ready for all four limbs
2. BAn ice pack to place on the forehead
3. CA tongue blade to put between the teeth
4. DWorking suction and oxygen equipment

A patient refuses to wear an identification wristband. What should the nurse do?

1. AStop giving the patient any care until they agree to wear the band
2. BForce the band onto the patient’s wrist
3. CAccept the refusal and identify the patient by room number and bed space instead
4. DExplain why it is needed, use other ID methods per policy and document

A patient is in skeletal traction. Which finding needs the nurse to act?

1. AThe weights are resting on the floor
2. BThe patient’s body is in line with the traction
3. CThe ropes are in the pulleys
4. DThe weights are hanging freely

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

Which group of symptoms suggests hypothyroidism?

1. AExcessive thirst and passing large volumes of urine
2. BFever, neck stiffness and photophobia
3. CWeight loss, heat intolerance and tremor
4. DTiredness, weight gain and feeling cold

A patient's hypoglycaemia was caused by a sulfonylurea such as gliclazide or glipizide. Why might they need monitoring for longer than usual?

1. ASulfonylureas only work at night
2. BSulfonylureas act for a long time, so hypoglycaemia can recur
3. CThe drug makes glucose tablets and drinks ineffective
4. DThe drug causes rebound hyperglycaemia later the same day

A patient had a right mastectomy with removal of axillary lymph nodes. Where is the best place to draw blood?

1. AEither arm equally
2. BThe left arm
3. CThe right arm
4. DThe right hand

환자의 크레아티닌 상승이 오래된 만성 콩팥병이 아니라 급성 신손상 때문임을 가장 강하게 시사하는 소견은 무엇인가요?

1. A환자는 오래된 빈혈이 있다
2. B크레아티닌이 사흘 전에는 정상이었고 그 뒤 두 배가 되었다
3. C환자는 수년간 높은 크레아티닌을 보였다
4. D환자는 초음파에서 작은 신장이 보인다

A patient with a peanut allergy is taught to use an adrenaline auto-injector. Which statement is correct?

1. AUse it only if the antihistamine has not worked after an hour
2. BCall emergency services after using it, even if symptoms improve
3. CThere is no need to see a doctor if the swelling goes down
4. DKeep it at home so it is not lost

전립샘 비대가 있는 80세 남성이 과민성 방광으로 옥시부티닌을 시작합니다. 그는 혼란스러워지고 소변을 보지 못합니다. 가장 가능성 높은 설명은 무엇인가요?

1. A세로토닌 증후군
2. B약에 대한 알레르기 반응
3. C항콜린성 이상반응
4. D아편유사제 독성

A patient uses a salbutamol (albuterol) inhaler and a steroid inhaler at the same times each day. Which order is usually taught?

1. ASteroid first, then salbutamol straight afterwards
2. BBoth inhalers puffed together in one breath
3. CThe order makes no difference to either drug
4. DSalbutamol first, then the steroid after a short wait

A patient with a confirmed pulmonary embolism has BP 78/50 mmHg despite fluids, and the right ventricle is dilated on echocardiography. Which treatment is most likely?

1. ACompression stockings and bed rest
2. BOral apixaban only, started next week
3. CAn inhaled bronchodilator
4. DSystemic thrombolysis

A patient has acute low back pain with no red flags. Which advice is most appropriate?

1. AStay in bed for two weeks until the pain is gone
2. BStay as active as possible and use simple pain relief
3. CAvoid all movement until an MRI scan has been done
4. DWear a rigid back brace all day and night for at least three months

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

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

마취 중 악성 고열증의 가장 이른 징후인 경우가 많은 것은?

1. A꾸준한 체온 하강
2. B설명되지 않는 호기말 CO₂의 상승
3. CCO₂ 수치가 떨어지는 홍조
4. D느려지는 심박수와 낮은 혈압

In week 5 of radiotherapy, the skin in the treatment field is broken, moist and painful. What should the nurse do?

1. AReport it, keep it clean and use a non-adherent dressing
2. BUse a heat pad to speed healing
3. CApply adhesive tape directly over the area to protect it from clothing
4. DScrub the area with soap to prevent infection

On day 2, a newborn has red blotches with small yellow-white centres on the trunk. The baby is well. What is most likely?

1. AErythema toxicum
2. BPort-wine stain
3. CNeonatal sepsis
4. DHerpes simplex infection

Routine screening at the booking visit shows asymptomatic bacteriuria. Why is treatment important even though the woman has no symptoms?

1. AIt can progress to pyelonephritis and trigger preterm labour
2. BIt is treated only to prevent bladder stones
3. CIt will cause gestational diabetes later in the pregnancy if left untreated
4. DTreatment is not needed because it will settle after birth

A parent asks how to care for a child with mild croup at home. Which advice is correct?

1. ALay the child flat in a cool room so the airway can relax
2. BKeep the child calm and upright, and get urgent help if there is noisy breathing at rest
3. CGive an over-the-counter cough syrup every hour until the barking cough stops
4. DHold the child over a bowl of hot, steaming water to loosen the cough

A 6-week-old is admitted with suspected pertussis. What is the main nursing concern?

1. AApnoea and cyanosis during or after coughing spells
2. BA rash spreading from the face to the trunk
3. CHigh blood pressure from the coughing
4. DConstipation from reduced feeding

How should a nurse screen a patient for intimate partner violence?

1. AAsk in private, without the partner or family present
2. BAsk the partner instead of the patient
3. CAsk in front of the partner to see how he reacts
4. DOnly ask patients who have visible injuries

For 8 months, a woman has worried about her job, money and family's health nearly every day. She has muscle tension, tiredness and poor sleep, but no sudden attacks of fear. Which diagnosis fits best?

1. APanic disorder
2. BAcute stress disorder after a recent trauma
3. CGeneralised anxiety disorder
4. DSpecific phobia

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 환자의 키가 6 ft 0 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 1.5 mg/h를 투여합니다. 이 용량 속도 D을(를) mcg/min으로 나타내세요. 소수 첫째 자리까지 반올림하세요.

체중 14 kg인 어린이에게 어떤 약이 5 mg/kg으로 처방되었습니다. 원액은 25 mg/mL입니다. 용량을 채우세요: 몇 V를 투여합니까?

환자의 키는 155 cm, 몸무게는 41 kg입니다. 처방은 135 mg/m²입니다. 모스텔러 공식 BSA = √(키(cm) × 몸무게(kg)/3600)를 써서 용량 D을 mg으로 구하세요.

500 mL가 6시간에 걸쳐 처방되었습니다. 3시간 후 백에 아직 320 mL가 남아 있는 것을 발견했고, 처방은 여전히 제시간에 끝나야 합니다. 펌프를 몇 mL/h R로 다시 설정해야 하나요?

수액이 15방울/mL 세트로 20방울/분 속도로 떨어지고 있습니다. 백에 300 mL가 남아 있습니다. 몇 시간 t 후에 비게 될까요? 소수 첫째 자리까지 반올림하세요.

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 기록표는 한 8시간 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 백이 펌프로 100 mL/h로 들어가고 있습니다. 11:30에 이미 200 mL가 주입되었습니다. 백이 비기까지 몇 시간 t이(가) 남았나요? 소수 첫째 자리까지 반올림하세요.

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 두부 손상 후의 연습용 환자가 압박(통증 자극)에만 눈을 뜸, 상황에 맞지 않는 단어를 무작위로 말함이며 최상의 운동 반응으로 팔의 비정상 굴곡(제피질 자세)을(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). 성인의 체중이 120 kg이고 키가 187 cm입니다. BMI를 계산하고 WHO 체중 분류를 클릭하세요.

1. 1저체중
2. 2건강 체중
3. 3과체중
4. 41단계 비만
5. 52단계 비만
6. 63단계 비만