NCLEX-PN 스타일 연습 문제 (LPN/LVN): 벼락치기 팩

Why is early mobilisation important for older inpatients?

1. AWalking makes older patients' bones grow longer
2. BBed rest quickly causes loss of strength and independence
3. COlder patients do not need sleep during the day
4. DIt lets staff change the beds more easily while patients are up

Eight hours after surgery a patient has not passed urine and has lower abdominal discomfort with a swelling above the pubic bone. What should the nurse do?

1. AEncourage the patient to drink two litres of water quickly
2. BRecord it and check again the next morning
3. CCheck the bladder volume with a scanner and report the findings
4. DGive a laxative to relieve the swelling

Why is blood glucose control important around the time of surgery?

1. AHigh glucose makes anesthetic drugs work for much longer and delays waking up
2. BGlucose levels only affect patients who have type 1 diabetes
3. CLow glucose is needed around surgery so that the wound edges close more quickly
4. DHigh glucose impairs white cell function and raises the risk of surgical site infection

활동성 폐결핵 환자가 방문객이 들어오게 해 달라고 요청합니다. 가장 좋은 대응은?

1. A위험을 설명하고, 방문을 제한하고, 방문객이 제공된 보호구를 사용하도록 교육한다
2. B전화 통화를 포함해 모든 접촉을 영구히 금지한다
3. C환자를 지지하도록 아무 방문객이나 주의 없이 들어오게 한다
4. D방문객이 병실에 들어오지 말고 열린 문가에 서 있게 한다

간호사가 간호조무사에게 기계식 리프트 사용을 요청합니다. 조무사는 사용 교육을 받은 적이 없다고 말합니다. 간호사가 고집한다면 위임의 어느 권리가 침해되나요?

1. A올바른 감독과 평가
2. B올바른 지시와 의사소통
3. C올바른 업무
4. D올바른 사람

During an infusion of a thrombolytic drug for stroke, the patient develops a severe headache and starts vomiting. What should the nurse do first?

1. AStop the infusion and inform the provider at once
2. BSlow the infusion and give an antiemetic as prescribed
3. CContinue the infusion, because headache is expected
4. DGive a dose of aspirin for the headache

Why are alternate sutures sometimes removed first when taking out stitches?

1. ATo reduce the cost of dressings
2. BBecause the remaining sutures dissolve on their own within a day
3. CTo check the wound stays closed before removing the rest
4. DTo make the procedure faster

A patient suddenly develops a painful red eye with blurred vision, haloes around lights and vomiting. What should be suspected?

1. ADry eye syndrome
2. BSimple conjunctivitis from a viral infection
3. CA stye
4. DAcute angle-closure glaucoma

After surgery for colon cancer, a patient's CEA had fallen to normal, but it has been rising over the last two checks. What does this most likely suggest?

1. APossible recurrence that needs further assessment
2. BA sign of iron deficiency from the earlier bleeding
3. CA sure sign that the cancer has been fully cured
4. DA normal change after surgery that needs no follow-up

At the start of a shift, the nurse reviews four new results. Which patient needs attention first?

1. APotassium 5.2 mEq/L in a patient with stable chronic kidney disease
2. BSodium 119 mEq/L in a patient with new confusion and vomiting
3. CGlucose 180 mg/dL (10 mmol/L) after a meal in a patient with diabetes
4. DHemoglobin 11.0 g/dL (110 g/L) in a patient with rheumatoid arthritis

After naloxone reverses an opioid overdose, why must the patient be watched closely?

1. ANaloxone itself causes respiratory depression at high doses
2. BNaloxone makes the opioid stay longer in the body
3. CNaloxone often causes severe low blood glucose a few hours after the dose
4. DNaloxone may wear off before the opioid does, so breathing can slow again

A patient has SIADH with mild hyponatraemia and no neurological symptoms. What is usually the first-line treatment?

1. AFluid restriction
2. BLarge volumes of IV glucose 5%
3. CDesmopressin
4. DA rapid bolus of hypertonic saline

In heart failure, why does activation of the renin–angiotensin–aldosterone system worsen symptoms over time?

1. AIt slows the heart rate dangerously
2. BIt causes sodium and water retention and vasoconstriction
3. CIt lowers the blood pressure to very low levels over time
4. DIt makes the kidneys pass too much dilute urine each day

After a faulty gas heater was found at home, a patient has headache, nausea and confusion. SpO₂ is 99% on air. What is the priority treatment?

1. AParacetamol (acetaminophen) and observation only
2. BReassurance, because the oxygen saturation is normal
3. COxygen at 1 L/min via nasal cannula
4. DHigh-concentration oxygen via a non-rebreather mask

Why is good blood pressure control important in chronic kidney disease?

1. AIt raises the haemoglobin level in the blood
2. BIt slows the decline in kidney function
3. CIt lowers the blood glucose
4. DIt cures chronic kidney disease

An 89-year-old with stage 5 CKD and severe heart failure, who has capacity, decides not to start dialysis. What is the nurse's best response?

1. ATell the patient they must start dialysis by law
2. BAsk the family to change the patient's mind
3. CStop all care, because nothing more can be done
4. DRespect the decision and support symptom-focused care

새 회장루 환자의 배출량이 매우 많습니다. 주된 위험은?

1. A며칠 안에 생기는 고칼슘혈증과 신장 결석
2. B변비와 스토마 위쪽 장의 분변 매복
3. C수분 과다와 발목 부종
4. D탈수와 나트륨, 칼륨, 마그네슘의 소실

환자의 위팔에 원주형 전층 화상이 있습니다. 앞으로 몇 시간 동안 가장 중요한 사정은?

1. A매일 양쪽 눈의 시력
2. B손의 순환과 감각
3. C장음과 복부 둘레
4. D동공 크기와 빛 반응

풍진 면역이 없는 산후 여성이 퇴원 전에 백신을 맞습니다. 꼭 해야 할 안내는 무엇인가요?

1. A6개월 뒤에 백신을 다시 맞는다
2. B이틀간 신생아와 떨어져 있는다
3. C최소 4주 동안 임신하지 않도록 한다
4. D4주 동안 모유 수유를 중단한다

A woman has been breastfeeding for 3 weeks. Her baby has gained little weight, feeds briefly and falls asleep at the breast. What is the most appropriate first action?

1. AAdvise her to stop breastfeeding and use formula only
2. BTell her to feed only every 6 hours to build hunger
3. CReassure her that slow weight gain is normal
4. DObserve a full feed to assess latch and milk transfer

Which nursing action is correct for a newborn receiving phototherapy?

1. AStop feeds during phototherapy so that bilirubin falls faster
2. BApply a moisturising lotion to the skin before each session to prevent drying under the lights
3. CKeep the baby fully dressed under the lights to prevent heat loss
4. DCover the eyes, expose as much skin as possible and monitor temperature and hydration

Which child is most appropriate to assign to a practical (enrolled) nurse?

1. AA 5-year-old just back from tonsillectomy who keeps swallowing
2. BA 7-year-old 2 days after an appendicectomy, stable on oral analgesia
3. CAn infant with bronchiolitis who needs more and more oxygen
4. DA 9-year-old newly admitted with diabetic ketoacidosis on an insulin infusion

Which findings suggest recent cannabis use?

1. ADilated pupils, high fever and severe muscle rigidity
2. BRed eyes, increased appetite, dry mouth and a fast heart rate
3. CSlow heart rate, constricted pupils, drooling and watery eyes
4. DPinpoint pupils, slow breathing and drowsiness

The parents of a 15-year-old with anorexia nervosa ask what treatment is usually recommended first. Which answer is most accurate?

1. ALeaving the young person to decide on her own when to start eating more
2. BLong-term treatment in an inpatient unit far away from her family, so that the parents cannot interfere
3. CFamily-based treatment, in which the parents take an active role in restoring the child's eating
4. DMedicine alone, because therapy is not effective in adolescents

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 점적 속도 계산 결과가 53.664 gtt/min입니다. 이 연습 문제의 규칙은 점적 속도는 가장 가까운 정수 방울로 반올림합니다입니다. 기록할 값 x은(는) 얼마입니까?

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 근무 시간 동안 환자가 2½ tsp / 기침 시럽, 3 컵 / 차, 4 tbsp / 액상 보충제을(를) 섭취합니다. 주어진 환산값을 사용하여 mL 단위의 총 경구 섭취량 V을(를) 구하세요.

체중 40 kg인 어린이에게 어떤 약이 2.5 mg/kg으로 처방되었습니다. 원액은 20 mg/mL입니다. 용량을 채우세요: 몇 V를 투여합니까?

체중 14 kg인 아동에게 5 mL에 250 mg이 들어 있는 경구 현탁액이 회당 20 mg/kg로 처방되었습니다. 투여할 부피 V는 얼마입니까?

15방울/mL 세트로 500 mL를 3시간 동안 주입합니다. 점적 속도 R를 분당 방울 수로 구하세요. 가장 가까운 정수로 반올림하세요.

약물 1000 mg을 500 mL에 희석해 15 gtt/mL 세트로 자연 낙하 투여합니다. 처방은 시간당 120 mg입니다. 분당 방울 수로 점적 속도 R을 구하세요.

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. 수분 균형 B = 섭취량 − 배설량을 mL 단위로 구하세요(음수이면 순손실). 얼음 조각은 부피의 절반으로 계산하세요.

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 1000 mL 백을 09:30에 시작해 펌프로 80 mL/h로 주입하고 있습니다. 16:30에 백에 남은 양은 몇 mL V인가요?

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 다음 관찰 소견에 NEWS2 도표(SpO₂ 척도 1)를 사용하세요: 호흡수 20/min, SpO₂ 95% 실내 공기 호흡 중, 혈압 106/64 mmHg, 맥박 120/min, 명료함, 체온 35.8 °C. NEWS2 총점은 얼마입니까?

연습 문제(임의로 만든 값이며 임상 지침이 아닙니다). 다음 관찰 소견에 NEWS2 도표(SpO₂ 척도 1)를 사용하세요: 호흡수 20/min, SpO₂ 95% 보충 산소 투여 중, 혈압 118/70 mmHg, 맥박 40/min, 명료함, 체온 37.3 °C. 환자는 어느 임상 위험군에 속합니까? 클릭하세요.

1. 1낮음
2. 2낮음–중간
3. 3중간
4. 4높음