NCLEX 유형 우선순위 설정과 위임: 벼락치기 팩

A patient with angina is taught to use sublingual nitroglycerin (GTN). Which statement shows a need for further teaching?

1. A“I will sit or lie down when I take a tablet.”
2. B“I will carry the tablets with me when I go out.”
3. C“If the pain has not eased as my action plan says, I will call emergency services.”
4. D“I will take five tablets one after the other before I call for help.”

간호사가 새 간호조무사를 감독하고 있습니다. 간호사는 언제 조무사의 업무를 가장 면밀히 확인해야 하나요?

1. A기록을 검토하는 근무 종료 때만
2. B조무사가 그 업무에 익숙하지 않거나 환자가 덜 안정적일 때
3. C조무사가 어려운 업무에 도움을 요청할 때만
4. D조무사가 그 역할의 자격증을 가지고 있으므로 결코 확인하지 않는다

A new antibiotic is prescribed for a patient. What should the nurse check before giving the first dose?

1. AOnly the time of the patient’s last meal and drink
2. BThe patient’s allergies, by checking the record and asking the patient
3. COnly the patient’s blood pressure and pulse before giving the drug
4. DThe patient’s preferred pharmacy

A toddler has bruises of different ages and a burn, and the parent’s explanation does not fit the injuries. What should the nurse do?

1. ADocument only and say nothing to anyone
2. BWait until there is clear proof of abuse before reporting anything at all
3. CReport the concern following child-protection (safeguarding) procedures
4. DConfront the parent and ask them to admit to abuse

A patient with hyponatremia from SIADH starts tolvaptan. Why is the serum sodium checked frequently in the first day?

1. AThe sodium always falls further
2. BThe sodium can rise too quickly
3. CThe drug causes severe hyperkalemia
4. DThe drug lowers blood glucose sharply

만성 콩팥병 환자의 인산염이 7.2 mg/dL(2.3 mmol/L)입니다. 가장 적절한 식이 교육은 무엇인가요?

1. A칼슘 손실로부터 뼈를 보호하기 위해 우유와 치즈를 늘린다
2. B결합제 대신 칼슘 보충제를 공복에 복용한다
3. C가공식품과 콜라처럼 인산염이 많은 음식을 제한한다
4. D수분을 유지하기 위해 콜라류 탄산음료를 더 마신다

Which measure helps prevent delirium in older inpatients?

1. AReorientation, glasses and hearing aids in use, and good sleep and hydration
2. BMoving the patient to a different bed each night to give them a change of scene
3. CRestricting fluids to avoid incontinence
4. DKeeping the lights on all night

A patient with a confirmed pulmonary embolism is started on anticoagulation. Which statement best explains its purpose?

1. AIt thins the blood so that the lungs absorb more oxygen
2. BIt stops the clot growing and prevents new clots while the body breaks it down
3. CIt dissolves the clot completely within minutes of the first dose being given
4. DIt is mainly given to lower the blood pressure

What is the purpose of cardiac resynchronisation therapy (a biventricular pacemaker)?

1. ATo make both ventricles contract together and more efficiently
2. BTo deliver a shock whenever the heart rate exceeds 100/min
3. CTo slow the atrial rate in patients with atrial fibrillation
4. DTo replace a damaged heart valve

하루 1.5 L 수분 제한 중인 심부전 환자가 심한 갈증을 호소합니다. 가장 적절한 조치는?

1. A갈증은 항상 해소해야 하므로 물을 제한 없이
2. B침을 자극하고 건조감을 덜도록 짠 간식
3. C다음 날 아침 체중을 재기 전까지 수분을 전혀 주지 않음
4. D구강 간호, 세어 둔 얼음 조각, 하루 동안 나누어 마시는 수분

갑상선기능항진증으로 카비마졸을 복용 중인 환자가 인후통과 열을 호소합니다. 간호사는 어떻게 해야 합니까?

1. A갑상선을 더 빨리 조절하도록 용량을 두 배로 한다
2. B무과립구증을 확인하기 위해 긴급 전혈구 검사를 준비한다
3. C이 약은 심각한 혈액 부작용이 없으므로 안심시킨다
4. D소금물 가글을 권하고 일주일 동안 약을 계속한다

A day after a total thyroidectomy, a patient has tingling lips, a positive Chvostek's sign and a corrected calcium of 1.85 mmol/L (about 7.4 mg/dL). What does the nurse expect?

1. AIV calcium gluconate and monitoring for laryngospasm
2. BIV potassium chloride and a fluid restriction
3. COral levothyroxine, with a recheck of the calcium in a month
4. DA loop diuretic to remove the extra calcium

Which patient is at highest risk of refeeding syndrome?

1. AA healthy adult after an overnight fast for minor surgery
2. BA patient with a normal BMI eating three meals a day
3. CAn underweight patient who has eaten very little for 10 days
4. DA patient who missed one lunch because of a scan

On the day after a Hartmann's procedure, the end colostomy is dark purple to black. What should the nurse do?

1. ARub the stoma to improve its colour
2. BReport it urgently, as the stoma may be necrotic
3. CRecord it as normal postoperative bruising and recheck it next week
4. DCut a smaller hole in the pouch