NCLEX-PN 스타일 연습 문제 (LPN/LVN): 벼락치기 팩

What is the purpose of the Z-track technique for intramuscular injections?

1. AIt seals the drug in the muscle and stops it leaking into the tissue above
2. BIt numbs the skin before the needle goes in
3. CIt lets the nurse give a larger volume into a small muscle
4. DIt makes the injection go into the fatty tissue instead of the muscle

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, since the patient has gone home
3. CDecline it, to keep a professional boundary
4. DAccept it but only post about work

A nurse has just given an intramuscular injection with a safety needle. What should the nurse do next with the needle?

1. ALay it on the medication tray and discard it later
2. BBend the needle to make it unusable, then discard it
3. CActivate the safety device and drop it into a sharps container at once
4. DRecap it carefully with both hands and dispose of it after the drug round

A nurse teaches new parents how to cope with an infant’s crying. Which statement shows a need for further teaching?

1. A“If I get frustrated, I will put him safely in the crib and take a short break.”
2. B“If he won’t stop crying, a quick shake will get his attention.”
3. C“I will check whether he is hungry, wet or too warm.”
4. D“I can call a friend or family member to help when I am tired.”

Which patient with diabetes should the nurse see first?

1. AGlucose 48 mg/dL (2.7 mmol/L), sweating and confused
2. BNeeds foot care teaching before discharge tomorrow
3. CHbA1c result of 8.2%, asking about diet
4. DGlucose 210 mg/dL (11.7 mmol/L) after a large lunch, feels well

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

A rising serum creatinine most often indicates:

1. AImproved liver function
2. BDehydration of the skin only
3. CIncreased muscle strength
4. DReduced kidney function

A patient with hyperkalaemia is given IV insulin with glucose. What is the purpose, and what must be monitored?

1. ATo remove potassium from the body; urine output must be stopped for a time
2. BTo protect the heart muscle directly; the patient must be kept nil by mouth
3. CTo shift potassium into cells; blood glucose must be monitored for hypoglycaemia
4. DTo treat hidden diabetes; HbA1c must be checked daily

A patient on a heparin infusion has an aPTT below the target range on the protocol. What should the nurse do?

1. AAdjust the rate as the protocol directs and recheck as scheduled
2. BContinue the same rate and recheck the aPTT in a few days
3. CSwitch the infusion to oral warfarin without a prescription
4. DStop the infusion and give protamine sulfate as quickly as possible

신장 문제가 없고 심전도가 정상인 환자의 칼륨이 6.2 mEq/L입니다. 검사실은 검체가 용혈되었다고 알립니다. 가장 좋은 해석은 무엇인가요?

1. A칼륨은 확실히 정상이므로 추적이 필요 없다
2. B환자는 신부전이다
3. C결과가 거짓으로 높을 수 있으므로 환자를 사정하고 재검체를 준비한다
4. D추가 확인 없이 즉시 인슐린과 포도당으로 치료한다

A 19-year-old starts an SSRI for depression. Which is most important for the nurse to monitor during the first weeks?

1. ABlood glucose before every meal and at bedtime
2. BHearing loss and tinnitus
3. CDaily bowel movements only
4. DNew or worsening suicidal thoughts or agitation

양측 콩팥동맥 협착이 있는 환자에게 ACE 억제제가 급성 콩팥 손상을 일으킬 수 있는 이유는 무엇인가요?

1. AACE 억제제가 콩팥 근위세뇨관 세포에 직접 독성이 있기 때문에
2. BGFR이 원심성 세동맥을 수축시키는 안지오텐신 II에 의존하기 때문에
3. CACE 억제제가 구심성 세동맥을 수축시키기 때문에
4. D약이 콩팥 세관에서 결정을 형성하기 때문에

A patient has a heart rate of 36/min with hypotension and dizziness. Which drug is usually the first choice?

1. AIntravenous adenosine
2. BIntravenous atropine
3. CIntravenous amiodarone
4. DOral bisoprolol

심방세동 환자의 심박수가 165회/분, 혈압 78/45 mmHg이며 흉통과 새로운 혼돈이 있습니다. 간호사가 예상해야 하는 치료는?

1. A경구 비소프롤롤과 아침 재평가
2. B긴급 동기화 전기적 심장율동전환
3. C심정지처럼 비동기 제세동
4. D혈압을 높이기 위한 정맥 아트로핀

Which blood gas pattern is typical of acute kidney injury?

1. ALow pH and high carbon dioxide only
2. BHigh pH and high bicarbonate
3. CLow pH and low bicarbonate
4. DHigh pH and low carbon dioxide

A nurse teaches foot care to a patient with diabetic neuropathy. Which statement shows a need for further teaching?

1. A"I will check that the bath water is not too hot using my elbow."
2. B"I will buy corn plasters from the pharmacy for my corn."
3. C"I will check my feet every day, using a mirror for the soles."
4. D"I will wear socks and shoes that fit well and do not rub."

Which statement about fatigue during radiotherapy is correct?

1. AIt occurs only after the first session and then disappears completely
2. BIt means the radiotherapy has failed
3. CIt is caused by the patient becoming radioactive
4. DIt often builds during the course and can last for weeks

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

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

Which event in an Rh-negative, non-sensitised woman requires an extra dose of anti-D immunoglobulin?

1. AA glucose tolerance test
2. BA blood pressure check
3. CAmniocentesis
4. DA routine urine test

Which postpartum task can be delegated to an assistive staff member (healthcare assistant)?

1. ATeaching a first-time mother about breastfeeding
2. BTaking vital signs of a stable woman
3. CAssessing the fundus of a woman with heavy bleeding
4. DEvaluating a woman for signs of postpartum depression

혈우병 아동에게 적용되는 주의사항은 무엇인가요?

1. A가능하면 근육주사와 직장 체온 측정을 피한다
2. B관절과 근육을 튼튼히 하도록 럭비 같은 접촉 운동을 권한다
3. C통증에 아스피린을 준다
4. D출혈이 있는 관절에 온찜질을 한다

A child with cyanotic heart disease and polycythaemia has a fever and vomiting. Why is dehydration especially dangerous?

1. AIt makes the blood even thicker and raises the risk of stroke and thrombosis
2. BIt lowers the red cell count and causes severe anaemia
3. CIt leads to fluid overload and pulmonary oedema as the kidneys hold on to water
4. DIt causes the heart defect to close on its own

조증 삽화의 환자가 너무 바빠서 앉아서 식사하지 못합니다. 영양을 지원하는 가장 좋은 방법은 무엇인가요?

1. A움직이면서 먹을 수 있는 고열량 핑거푸드와 음료를 제공한다
2. B환자가 음식을 요청할 때까지 기다린다
3. C환자에게 1시간 동안 식탁에 앉아 있으라고 고집한다
4. D정해진 식사 시간에 북적이는 식당에서 푸짐한 코스 요리를 제공한다

The parent of a child recently diagnosed with autism asks, "Did his vaccines cause this?" What is the most accurate response?

1. A"Yes, the MMR vaccine is a proven cause of autism."
2. B"Autism is caused by cold and distant parenting styles in early childhood."
3. C"We don't know, so it is best to stop all of his other vaccines."
4. D"Large studies have found no link between vaccines and autism."

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 소량 주사의 용량 계산 결과가 0.94958 mL입니다. 이 연습 문제의 규칙은 1 mL 미만의 부피는 mL의 소수 둘째 자리까지 반올림합니다입니다. 기록할 값 x은(는) 얼마입니까?

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 처방전에 경구 현탁액 8시간마다을(를) ½ tbsp씩 5일 동안 복용하라고 되어 있습니다. 현탁액은 100 mL 병으로 나옵니다. 1 tbsp = 15 mL을(를) 사용하면 치료 기간을 채우려면 몇 병 N을(를) 온전히 공급해야 합니까?

체중 10 kg인 어린이에게 어떤 약이 4 mg/kg으로 처방되었습니다. 원액은 20 mg/mL입니다. 용량을 채우세요: 몇 V를 투여합니까?

처방은 0.31 mg입니다. 앰플에는 mL당 1000 마이크로그램이 들어 있습니다. 1 mL 주사기에 용량을 채우세요: 몇 V를 투여합니까?

10방울/mL 세트로 1000 mL를 6시간 동안 주입합니다. 점적 속도 R를 분당 방울 수로 구하세요. 가장 가까운 정수로 반올림하세요.

500 mL가 10시간에 걸쳐 처방되었습니다. 2시간 후 백에 아직 460 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 49 kg입니다. 평균 소변량 U을(를) mL/kg/h 단위로 구하세요. 소수 둘째 자리까지 반올림하세요.

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 500 mL 백이 펌프로 75 mL/h로 들어가고 있습니다. 19:00에 이미 150 mL가 주입되었습니다. 백이 비기까지 몇 시간 t이(가) 남았나요? 소수 첫째 자리까지 반올림하세요.

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 환자의 맥박이 121/min이고 혈압이 151/83 mmHg입니다. 쇼크 지수 SI = HR/SBP를 구하세요. 소수 둘째 자리까지 반올림하세요.

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 성인의 체중이 114 kg이고 키가 192 cm입니다. BMI를 계산하고 WHO 체중 분류를 클릭하세요.

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