NCLEX 유형 우선순위 설정과 위임: 벼락치기 팩

Which patient with diabetes should the nurse see first?

1. ANeeds foot care teaching before discharge tomorrow
2. BGlucose 210 mg/dL (11.7 mmol/L) after a large lunch, feels well
3. CGlucose 48 mg/dL (2.7 mmol/L), sweating and confused
4. DHbA1c result of 8.2%, asking about diet

A child with sickle cell disease in a pain crisis develops chest pain, fever and an SpO₂ of 89%. What does this most likely mean?

1. AAcute chest syndrome, which needs urgent escalation and oxygen
2. BAnxiety that will settle with reassurance
3. CAn ordinary pain crisis that will improve with rest
4. DA minor chest infection that can safely wait until the morning round

Which toy is safest for a toddler?

1. AA bag of marbles to sort by color
2. BA balloon to play with when an adult is out of the room
3. CA toy with small magnets that come out easily
4. DA large toy with no small parts that can come off

항암제 주머니가 새어 바닥에 쏟아졌습니다. 첫 단계는?

1. A마르도록 두었다가 근무가 끝날 때 치운다
2. B유출 처리 키트의 보호구를 착용하고 유출을 차단한다
3. C종이 수건과 맨손으로 재빨리 닦는다
4. D청소 직원에게 평소 쓰는 걸레로 닦게 한다

A patient takes high-dose furosemide. Besides potassium, which electrolyte is most commonly lowered?

1. AUric acid
2. BPhosphate
3. CMagnesium
4. DSodium bicarbonate

A middle-aged man has fatigue, joint pain, a raised ALT and new diabetes. His ferritin is very high and his transferrin saturation is above 60%. Which condition is most likely?

1. AIron-deficiency anemia
2. BHereditary hemochromatosis
3. CAnemia of chronic disease
4. DAcute viral hepatitis A

항암화학요법 후 호중구감소증이 있는 환자의 체온이 38.3 °C입니다. 우선순위는?

1. A환자에게 산책을 권함
2. B아세트아미노펜만 주고 내일 체온을 다시 확인함
3. C열이 내리는지 24시간 기다림
4. D호중구감소성 패혈증으로 간주하고 긴급히 정맥 항생제 투여

A conscious patient with hypoglycaemia was given fast-acting carbohydrate. On re-check 15 minutes later the blood glucose is 3.6 mmol/L (65 mg/dL). What should the nurse do next?

1. AGive another dose of fast-acting carbohydrate and recheck
2. BTake no action because the level is rising
3. CGive a dose of subcutaneous insulin
4. DGive a long-acting carbohydrate snack only and recheck tomorrow

A patient uses a salbutamol (albuterol) inhaler and a steroid inhaler at the same times each day. Which order is usually taught?

1. AThe order makes no difference to either drug
2. BSalbutamol first, then the steroid after a short wait
3. CSteroid first, then salbutamol straight afterwards
4. DBoth inhalers puffed together in one breath

On a ventilated patient, the end-tidal CO₂ waveform suddenly drops to zero. What should the nurse suspect first?

1. AA rise in the patient's body temperature over the last hour
2. BNormal variation that needs no action
3. CA sudden improvement in the patient's lung function
4. DTube displacement, disconnection or obstruction

Which lifestyle advice best helps a patient with epilepsy reduce their seizures?

1. ASkip a dose on days without any warning signs
2. BAvoid all physical exercise and stay indoors
3. CDrink coffee in the evening to stay alert
4. DKeep regular sleep and take every dose on time

The nurse has four patients with diabetes. Which one needs to be seen first?

1. AA patient with a glucose of 2.8 mmol/L (50 mg/dL) who is sweaty and confused
2. BA newly diagnosed patient asking about which foods to eat
3. CA patient with a glucose of 14 mmol/L (252 mg/dL) who feels well and is eating
4. DA patient waiting for a routine HbA1c test

What is achalasia?

1. AInflammation of the oesophagus caused by a fungal infection
2. BWeakness of the lower oesophageal sphincter that allows reflux
3. CFailure of the lower oesophageal sphincter to relax on swallowing
4. DA tear at the junction of the oesophagus and the stomach

Two hours after a meal, a patient who had a gastrectomy becomes shaky, sweaty and confused. What is the most likely cause and first action?

1. AVitamin B₁₂ deficiency; give an injection now
2. BLate dumping with low blood glucose; check capillary glucose
3. CEarly dumping from fluid shifts; give a large drink of water
4. DAn anastomotic leak; insert a nasogastric tube at once