NCLEX-PN 스타일 연습 문제 (LPN/LVN): 벼락치기 팩

Using Maslow's hierarchy, which patient need should the nurse address first?

1. AA patient who is worried about how the wound will look
2. BA patient who wants advice on returning to work
3. CA patient who is short of breath after walking to the toilet
4. DA patient who feels lonely because no visitors have come

A potassium result is unexpectedly high and the lab reports that the sample was haemolysed. What does this mean?

1. AThe result is accurate and needs no follow-up
2. BThe result may be falsely high and the test should be repeated
3. CThe patient definitely has dangerous hyperkalaemia needing treatment
4. DThe patient definitely has low potassium

When walking with axillary crutches, where should the patient’s weight be taken?

1. AOn the shoulders, with the crutches pressed upward
2. BOn the elbows, kept bent at a right angle with the crutch tops tucked under the arms
3. COn the hands, with the crutch tops a few finger widths below the armpits
4. DOn the armpits, resting on the crutch tops

While preparing an IV medication, a nurse sees that the syringe tip touched the medication tray after the cap came off. What should the nurse do?

1. AGive the dose anyway, because the medication tray was cleaned this morning
2. BWipe the tip with an alcohol swab and give the dose
3. CDiscard the syringe and prepare the dose again with new equipment
4. DBlow on the tip to remove any dust

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

간호사가 가장 먼저 만나야 할 아동은 누구인가요?

1. A체온이 38.4 °C이고 장난감을 갖고 노는 걸음마기 아이
2. B콧방울 확장, 흉벽 함몰, SpO₂ 89%가 있는 RSV 영아
3. C최대 호기 유량이 자신의 최고치의 90%인 천식 청소년
4. D다리에 깁스를 하고 마실 것을 요청하는 학령기 아이

새 항생제의 첫 정맥 투여 후 가장 중요한 관찰은?

1. A발진, 쌕쌕거림, 부종 같은 알레르기 반응의 징후
2. B다음 식사 때의 식욕
3. C그날 얼마나 걷는지
4. D탈모가 늘어나는지

Which sign is often a late finding in hypovolaemic shock in a young, previously fit adult?

1. AA fall in blood pressure
2. BA rise in heart rate
3. CCool peripheries
4. DA slightly raised respiratory rate

A urine culture report states "mixed growth of three organisms, likely contamination." What is the nurse's best response?

1. ADiscard the report, because a mixed growth is always normal
2. BRecord the result as a confirmed urinary tract infection
3. CStart treatment for all three organisms with three antibiotics
4. DInform the provider and arrange a new, correctly collected sample

A stable patient's hemoglobin has been 13–14 g/dL for days. Today's result is 8.2 g/dL, but the patient feels well, the vital signs are normal and there is no bleeding. What should the nurse suspect first?

1. AA normal day-to-day variation in Hb
2. BSudden massive internal bleeding
3. CA sample taken from the wrong patient
4. DAcute bone marrow failure overnight

A patient receiving chemotherapy has a very low neutrophil count and is going home. Which teaching is most important?

1. ATake paracetamol regularly so that fevers do not show
2. BEat plenty of raw shellfish to boost protein
3. CReport a temperature of 38 °C (100.4 °F) or higher straight away
4. DExercise in crowded gyms to build strength

A patient took a large paracetamol (acetaminophen) overdose 6 hours ago and feels well. Why is treatment still urgent?

1. AThe drug will cause kidney stones within a few hours
2. BLiver damage appears 1–3 days later, and early treatment works best
3. CParacetamol overdose only causes harm if symptoms start in the first hour
4. DThe patient is at risk of immediate respiratory arrest

Rheumatic heart disease most often follows which infection?

1. AA fungal infection of the lungs
2. BA viral infection of the upper airway
3. CStaphylococcal infection of the skin
4. DA group A streptococcal throat infection

천식 환자가 아스피린 복용 후 천명음이 생긴 병력이 있습니다. 수술 후 통증에 이부프로펜이 처방되었습니다. 간호사는 어떻게 해야 합니까?

1. A속효성 흡입기와 동시에 투약한다
2. B통증 점수가 8/10 초과일 때만 투약한다
3. C투약을 보류하고 대체 약을 요청한다
4. D이부프로펜은 아스피린과 관련이 없으므로 투약한다

Why is IV calcium gluconate given in severe hyperkalaemia?

1. AIt protects the heart from arrhythmias
2. BIt moves potassium into the cells
3. CIt binds potassium in the gut
4. DIt removes potassium through the kidneys

급성 허혈성 뇌졸중 환자 중 정맥 혈전용해 적격성이 가장 낮은 사람은?

1. A증상이 90분 전에 시작된 환자
2. B5일 전에 큰 복부 수술을 받은 환자
3. C혈압이 170/95 mmHg인 환자
4. DCT에서 어떤 두개내 출혈 징후도 없는 환자

Which diet is usually recommended for a patient with cirrhosis and hepatic encephalopathy?

1. ANormal protein and enough calories, with a late-evening snack
2. BOnly clear fluids for several weeks
3. CNo food at all until the confusion settles
4. DA very low-protein diet for the rest of their life to lower ammonia

중증 급성 췌장염 2일째에 환자가 숨이 차고 SpO₂ 88%이며 흉부 X선에서 양측 침윤이 보입니다. 가장 가능성 높은 합병증은?

1. A이물질 흡인
2. B급성 호흡곤란 증후군(ARDS)
3. C급성 중증 천식 발작
4. D자발성 긴장성 기흉

A woman at 37 weeks is GBS-positive. When should she receive antibiotics?

1. AOnly to the baby after birth
2. BOrally at 37 weeks only
3. CIntravenously during labour
4. DNot at all, because GBS is normal flora

A woman in labour has a breech presentation and her membranes rupture. What should the nurse check first?

1. AHer blood glucose level
2. BThe colour of her urine
3. CThe baby's sex on ultrasound
4. DThe fetal heart rate and for cord prolapse

세기관지염 영아에게 가장 도움이 되는 간호 중재는 무엇인가요?

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

Two weeks after a ventriculoperitoneal shunt was inserted, an infant has a fever, irritability and redness along the shunt tract. What should the nurse suspect?

1. AAn allergy to the hospital soap
2. BTeething, which explains the fever and the irritability
3. CNormal healing; no action needed
4. DShunt infection; report it urgently

A patient from a culture in which communication with ancestors is common says she sometimes hears her late grandmother giving advice. What is the most appropriate nursing approach?

1. AAvoid asking about it, because culture is not relevant to mental health
2. BExplore the experience in her cultural context before calling it a symptom
3. CRecord it immediately as a command hallucination
4. DTell her that her beliefs are not real

A nurse is teaching a patient with anxiety how to do progressive muscle relaxation. Which instruction is correct?

1. ATense all your muscles at once and keep them tight for 10 minutes
2. BDo the exercise only during a panic attack, never at other times
3. CTense each muscle group in turn for a few seconds, then let go and notice the difference
4. DHold your breath for as long as possible while lying completely still on the floor

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 환자의 키가 184 cm입니다. 1 in = 2.54 cm를 사용하여 인치 단위의 키 h을(를) 구하세요. 소수 첫째 자리까지 반올림하세요.

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 근무 시간 동안 환자가 3 컵 / 차, 6 fl oz / 주스, 3 tsp / 기침 시럽을(를) 섭취합니다. 주어진 환산값을 사용하여 mL 단위의 총 경구 섭취량 V을(를) 구하세요.

체중 18 kg인 어린이에게 어떤 약이 3 mg/kg으로 처방되었습니다. 원액은 10 mg/mL입니다. 용량을 채우세요: 몇 V를 투여합니까?

체중 14 kg인 아동에게 5 mL에 120 mg이 들어 있는 경구 현탁액이 회당 10 mg/kg로 처방되었습니다. 투여할 부피 V는 얼마입니까? 소수 첫째 자리까지 반올림하세요.

60 gtt/mL 세트로 점적이 30 gtt/min으로 들어갑니다. 환자는 6시간 동안 몇 mL V을 받나요?

50 mg/250 mL의 주입액이 20 mL/h로 들어갑니다. 환자는 분당 몇 마이크로그램 D을 받나요?

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. 수분 균형 B = 섭취량 − 배설량을 mL 단위로 구하세요(음수이면 순손실).

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 1000 mL 백을 13:00에 시작해 펌프로 60 mL/h로 주입하고 있습니다. 19:00에 백에 남은 양은 몇 mL V인가요?

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). 연습용 환자를 Braden 척도로 평가했습니다: 감각 인지: 완전히 제한됨; 습기: 항상 젖어 있음; 활동: 침상 생활; 이동성: 제한 없음; 영양: 적절함; 마찰과 전단력: 잠재적 문제. 19–23 위험 없음, 15–18 경도, 13–14 중등도, 10–12 높음, 9 이하 매우 높음의 구간을 사용하세요. 위험 수준을 클릭하세요.

1. 1위험 없음
2. 2경도 위험
3. 3중등도 위험
4. 4높은 위험
5. 5매우 높은 위험