NCLEX 유형 우선순위 설정과 위임: 벼락치기 팩

Which patient is most suitable for the nurse to assign to a nurse who has just finished orientation?

1. AA patient on a continuous heparin infusion with rising aPTT values
2. BA patient with stable cellulitis on scheduled IV antibiotics
3. CA patient with a new tracheostomy who needs frequent suctioning
4. DA patient with sepsis whose blood pressure is falling

An older patient with heart failure is receiving a second unit of blood. She becomes breathless, with crackles in both lungs and a rising blood pressure. What is most likely happening?

1. AA mild allergic reaction with hives
2. BTransfusion-associated circulatory overload
3. CAn expected effect of the first unit
4. DHypoglycemia caused by the stored blood product

Which practice reduces back strain when a nurse moves a patient or heavy object?

1. ABend at the waist and keep both knees straight
2. BStand with the feet close together for balance
3. CKeep the load close to the body and avoid twisting
4. DHold the load at arm’s length to keep it steady

항암제 주머니가 새어 바닥에 쏟아졌습니다. 첫 단계는?

1. A유출 처리 키트의 보호구를 착용하고 유출을 차단한다
2. B종이 수건과 맨손으로 재빨리 닦는다
3. C청소 직원에게 평소 쓰는 걸레로 닦게 한다
4. D마르도록 두었다가 근무가 끝날 때 치운다

A patient with hepatic encephalopathy is receiving lactulose. Which finding best shows that the treatment is effective?

1. ANo bowel movement for 2 days and calm sleep
2. BA rising serum ammonia with a slower flapping tremor
3. CSix to eight watery stools a day with dizziness
4. DTwo to three soft stools a day and clearer thinking

A patient's low calcium does not improve despite several days of calcium replacement. Which other electrolyte should be checked and corrected?

1. ABicarbonate
2. BChloride
3. CSodium
4. DMagnesium

교통사고 후 환자가 심한 호흡곤란, 한쪽 호흡음 소실, 저혈압, 반대쪽으로 밀린 기관을 보입니다. 가능성 높은 진단은?

1. A긴장성 기흉
2. B폐렴
3. C폐부종
4. D천식

A patient has a blood pressure of 220/130 mmHg with headache, confusion and visual disturbance. Why is the blood pressure lowered in a controlled way rather than as fast as possible?

1. ABlood pressure cannot be lowered with drugs
2. BA sudden drop can reduce blood flow to the brain, heart and kidneys
3. CRapid lowering causes hyperglycaemia
4. DRapid lowering always causes the hypertension to come back much worse

The telemetry monitor suddenly shows a chaotic waveform resembling ventricular fibrillation, but the patient is talking and brushing their teeth. What should the nurse do first?

1. ADeliver an immediate defibrillation shock before checking anything
2. BCheck the patient and the electrodes, as this is likely artefact
3. CGive IV amiodarone as a bolus
4. DStart chest compressions straight away and call the arrest team

An older ex-smoker has a dry cough and worsening breathlessness over a year, finger clubbing and fine "Velcro-like" crackles at both bases at the end of inspiration. Which condition is most likely?

1. AIdiopathic pulmonary fibrosis
2. BCommunity-acquired pneumonia
3. CAn acute asthma attack
4. DSpontaneous pneumothorax

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

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

그레이브스병 환자가 수술 후 체온 39.8 °C, 심박수 160회/분, 초조, 구토를 보입니다. 가장 적절한 치료 조합은?

1. A냉각, 베타차단제, 항갑상선제, 이어서 요오드와 스테로이드
2. B오한을 가라앉히는 레보티록신과 따뜻한 담요
3. C빈맥을 치료하는 수분 제한과 고리 이뇨제
4. D열에 아스피린을 주고 일주일 안에 가정의 진료

세포독성 항암제를 투여할 때 보통 권장되는 개인보호장비는?

1. A일반 면장갑과 플라스틱 앞치마
2. B주입 주머니가 밀봉되어 있으므로 보호장비 없음
3. C항암제 검증 장갑과 불침투성 가운
4. D종이 수술용 마스크, 장갑은 없음

Which patient has the highest risk of postoperative nausea and vomiting?

1. AA male smoker having a short procedure without opioids
2. BA smoker who has never had nausea after surgery
3. CA man with no history of nausea having local anaesthetic only
4. DA non-smoking woman with motion sickness who will need opioids