NCLEX-PN 스타일 연습 문제 (LPN/LVN): 벼락치기 팩

How should a rectal suppository be inserted?

1. AJust inside the anus, without passing the sphincter
2. BInto the middle of the stool in the rectum so it softens it
3. CPast the internal sphincter, against the rectal wall
4. DAfter the patient has stood up and bent forward

An 86-year-old has new confusion and a temperature of 37.1 °C. Why should infection still be considered?

1. AOlder adults normally have a higher body temperature
2. BConfusion is always caused by infection in older adults
3. COlder adults often have a weaker fever response to infection
4. DA temperature of 37.1 °C is a fever in older adults

환자가 침대에 있는 병실의 쓰레기통에서 작은 불이 났습니다. 간호사가 가장 먼저 할 일은?

1. A가장 가까운 소화기를 찾으러 간다
2. B연기를 빼려고 창문을 연다
3. C환자를 즉각적인 위험에서 벗어나게 한다
4. D관리자에게 전화로 화재를 보고한다

낙상 예방이 가장 필요한 환자는?

1. A퇴원을 앞두고 혼자 걷는 환자
2. B지시를 따르는 의식이 명료한 절대 안정 환자
3. C새로 혼란이 생기고 진정제를 복용 중이며 보행이 불안정한 고령 환자
4. D손가락이 부러졌지만 혼자서 안정적이고 안전하게 걷는 젊은 성인

A patient receiving IV magnesium sulfate for pre-eclampsia has absent knee reflexes and a respiratory rate of 10/min. What does the nurse do first?

1. AGive oral fluids to help clear the drug faster
2. BStop the magnesium infusion and call for help
3. CIncrease the infusion to prevent a seizure
4. DTurn the patient onto her back and recheck later

After a head injury, a patient has clear fluid dripping from the nose. Which action should the nurse avoid?

1. APlacing a loose gauze under the nose
2. BChecking the fluid for glucose or a halo sign on gauze
3. CInserting a tube or suction catheter through the nose
4. DInforming the provider about the drainage

환자가 산통성 복통, 복부 팽만, 구토가 있고 이틀 동안 대변이나 방귀를 보지 못했습니다. 가능성 높은 문제는?

1. A합병증 없는 충수염
2. B위장염
3. C과민대장증후군
4. D장폐색

A nurse teaches a patient with hypertension about their medicines. Which statement shows a need for further teaching?

1. A"I'll stop my tablets once my readings are normal."
2. B"I'll keep taking my tablets even if I feel well."
3. C"I'll have my blood pressure checked regularly."
4. D"I'll get up slowly from sitting."

A patient is scheduled for a liver biopsy. Which laboratory results should the nurse check before the procedure?

1. ATSH and free T₄
2. BSerum sodium and chloride
3. CHbA1c and lipid panel
4. DPlatelet count and PT/INR

Four results arrive at the same time. Which patient should the nurse see first?

1. AINR 2.6 in a patient on warfarin for atrial fibrillation
2. BHemoglobin 10.4 g/dL (104 g/L) in a patient with stable chronic kidney disease
3. CWhite cell count 12.0 × 10³/µL on the first day after surgery
4. DGlucose 48 mg/dL (2.7 mmol/L) in a patient who had insulin an hour ago

아편유사제 과다 복용의 해독제는 무엇인가요?

1. A플루마제닐
2. B날록손
3. C아트로핀
4. D아세틸시스테인

Why is gentamicin often given once daily instead of in several small doses?

1. AIt is absorbed slowly from the muscle over 24 hours
2. BIt has a very long half-life of several days
3. CIts killing depends only on the time the level stays above the MIC
4. DIts killing depends on high peak levels, with a post-antibiotic effect

A pulse oximeter on a patient's finger gives an unreliable, flickering reading. Which factor is the most likely cause?

1. AThe patient sitting upright in a chair
2. BA regular heart rate of 75 beats per minute
3. CThe patient having eaten recently
4. DCold hands with poor peripheral circulation

A nurse is reviewing four telemetry patients. Which rhythm needs attention first?

1. AFirst-degree heart block with a stable blood pressure and no symptoms
2. BRepeated runs of ventricular tachycardia in a patient who feels dizzy
3. CRate-controlled atrial fibrillation at 82/min
4. DSinus bradycardia of 54/min in a patient who is asleep and comfortable

Which complication is a particular risk in nephrotic syndrome?

1. AVenous thrombosis
2. BHypoglycaemia
3. CBleeding from low platelets
4. DLow cholesterol

A patient with diabetes insipidus after head trauma needs hourly urine output measurement. Which task can be delegated to a trained healthcare assistant (nursing assistant)?

1. ADeciding whether to give the next desmopressin dose
2. BAssessing the patient's level of consciousness
3. CInterpreting the serum sodium results
4. DMeasuring hourly urine and reporting results above a set amount

Why is an ankle-brachial pressure index (ABPI) measured before compression bandaging for a leg ulcer?

1. ATo find the bacteria in the wound
2. BTo check for a leg bone fracture
3. CTo find out how deep the ulcer is
4. DTo exclude significant arterial disease

During bowel preparation, an older patient becomes dizzy and confused. Blood tests show sodium 127 mmol/L. What should the nurse do?

1. AGive the rest of the preparation more quickly
2. BEncourage plain water only, as much as possible
3. CRecord it and continue as planned, as this is expected
4. DStop the preparation and escalate to the medical team

A woman with pre-eclampsia is on magnesium sulfate. Why does the nurse monitor her urine output closely?

1. ALow urine output shows that the magnesium is working
2. BMagnesium is cleared by the kidneys, so oliguria raises the risk of toxicity
3. CUrine output tells the nurse exactly when to stop the infusion after the birth
4. DMagnesium causes a large diuresis that leads to dehydration

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

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

A 12-year-old with type 1 diabetes will play a long football match. What should the nurse advise?

1. ASkip the meal before the match to avoid high glucose
2. BInject an extra dose of insulin into the thigh just before he starts running
3. CCheck glucose before playing and keep fast-acting carbohydrate at hand
4. DAvoid sport, because exercise is unsafe with diabetes

An overweight 12-year-old has had a limp and knee pain for 3 weeks. The knee looks normal. What should the nurse suspect?

1. ASlipped capital femoral epiphysis
2. BGrowing pains
3. CJuvenile idiopathic arthritis of the knee
4. DOsgood–Schlatter disease

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

A man whose wife died a month ago is rude and angry with the nurses about small things. What is the best understanding of his behaviour?

1. AHe does not care about his wife's death and is using it as an excuse to be rude
2. BHe should be told that his behaviour is unacceptable and that visits will be stopped
3. CHe has antisocial personality disorder that was not noticed before
4. DHis anger may be part of grief, displaced onto staff, so she should not take it personally

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 환자의 키가 6 ft 8 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). 처방전에 경구 현탁액 8시간마다을(를) 1½ tsp씩 7일 동안 복용하라고 되어 있습니다. 1 tsp = 5 mL을(를) 사용하면 전체 치료 기간에 몇 mL V이(가) 필요합니까?

환자의 체중은 12 kg입니다. 처방 용량은 하루 7.5 mg/kg이며 4회로 나누어 투여합니다. 1회에 몇 mg D을 투여하나요?

환자의 몸무게는 107.8 lb입니다. 처방은 1회 5 mg/kg이고, 원액에는 1 mL에 40 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.

백에 100 mL당 약 200 mg이 들어 있고 25 mL/h로 주입됩니다. 환자는 시간당 몇 mg D을 받나요?

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 기록표는 한 12시간 근무조 동안 환자의 섭취량과 배설량을 보여 줍니다. 환자의 체중은 74 kg입니다. 평균 소변량 U을(를) mL/kg/h 단위로 구하세요. 소수 둘째 자리까지 반올림하세요.

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 1000 mL 주입을 11:00에 80 mL/h로 시작합니다. 4시간 후 속도를 60 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). 다음 관찰 소견에 NEWS2 도표(SpO₂ 척도 1)를 사용하세요: 호흡수 16/min, SpO₂ 97% 보충 산소 투여 중, 혈압 136/82 mmHg, 맥박 82/min, 명료함, 체온 36.2 °C. NEWS2 총점은 얼마입니까?

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 팀은 평균 동맥압 65 mmHg 이상을 목표로 합니다. 환자의 수축기 혈압은 103 mmHg입니다. MAP = (SBP + 2·DBP)/3을 사용할 때, MAP 65 mmHg를 유지하는 가장 낮은 이완기 혈압 DBP은(는) 얼마입니까?