NCLEX 유형 우선순위 설정과 위임: 벼락치기 팩

휴게실에서 식사하던 성인 환자가 갑자기 목을 움켜쥐고 말도, 숨도, 기침도 하지 못합니다. 간호사가 가장 먼저 해야 할 일은 무엇인가요?

1. A눈에 보이지 않는 입속을 손가락으로 쓸어낸다
2. B도움을 요청하고 등 두드리기와 복부 밀어내기를 한다
3. C음식을 넘기도록 물을 한 잔 준다
4. D환자가 기침으로 뱉는지 지켜본다

After the RN taught a patient to inject insulin, an LPN/LVN reports that the patient still cannot draw up the dose correctly. What should happen next?

1. AThe RN reassesses the patient’s learning needs and adjusts the teaching
2. BThe LPN/LVN writes a new teaching plan and evaluates it at the end of the shift
3. CThe nursing assistant shows the patient again at lunch
4. DThe patient is discharged with a leaflet to read at home

When is it appropriate to use the override function on an automated dispensing cabinet to take a drug before pharmacist review?

1. AWhenever the nurse is sure of the dose
2. BOnly in an urgent situation where delay would harm the patient, per policy
3. CWhenever the pharmacist is slow to review new orders and the patient is waiting
4. DAt the start of each shift to save time later

A nurse has a needlestick from a patient known to have hepatitis C. Which statement about management is correct?

1. AThe hepatitis C vaccine series is started at once, with a booster dose six months later
2. BNo follow-up is needed because hepatitis C does not spread by needles
3. CThere is no preventive drug, so baseline and follow-up testing are done to detect infection early
4. DHepatitis C immune globulin is given within 24 hours, followed by a booster dose

A nurse has a needlestick injury from a patient with unknown HIV status. Which test is usually done for the nurse as soon as possible?

1. AA serum lipase test
2. BA thyroid panel test
3. CA baseline HIV test
4. DA sweat chloride test

A patient with a heart murmur and fever has three sets of blood cultures, taken hours apart, all growing the same Streptococcus species. What does this suggest?

1. AContamination of all three samples during collection
2. BPersistent bacteremia, as in infective endocarditis
3. CA urinary tract infection that has spread to the skin
4. DA normal finding in patients with heart murmurs

WHO 진통제 사다리가 권장하는 것은?

1. A모든 환자를 강한 아편유사제로 시작한다
2. B통증이 심해질 때만 진통제를 준다
3. C암성 통증에는 비약물적 방법만 사용한다
4. D통증이 심해짐에 따라 비아편유사제에서 약한 아편유사제, 그다음 강한 아편유사제로 이동한다

A patient has new facial weakness. Which feature suggests a stroke rather than Bell's palsy?

1. AThe patient has pain behind the ear
2. BThe whole of one side of the face, including the forehead, is weak
3. CThe forehead can still be wrinkled on the affected side
4. DThe patient has had a recent cold

환자가 48시간 넘게 심방세동이 있고 선택적 심장율동전환이 예정되어 있습니다. 그 전에 항응고 치료가 필요한 이유는?

1. A항응고제가 충격에 필요한 전기 에너지를 줄이기 때문
2. B항응고제가 충격의 통증을 줄이기 때문
3. C항응고제가 심방세동을 정상 동율동으로 되돌리기 때문
4. D정상 동율동이 돌아올 때 심방의 혈전이 떨어져 나갈 수 있기 때문

Two days after coronary artery bypass surgery, a patient feels palpitations. The pulse is irregularly irregular at 140/min and BP is 112/70 mmHg. Which rhythm is most likely?

1. AComplete heart block
2. BVentricular fibrillation
3. CAtrial fibrillation
4. DSinus tachycardia

고삼투압 고혈당 상태(HHS)에 대해 올바른 설명은?

1. A주로 제1형 당뇨병이 있는 어린 아동에서 나타난다
2. B항상 높은 혈중 케톤과 심한 대사성 산증을 일으킨다
3. C몇 분 안에 생기며 DKA보다 덜 위험하다
4. D주로 제2형 당뇨병이 있는 고령자에게 며칠에 걸쳐 생긴다

DKA 환자가 호전되고 있습니다. 혈당 9 mmol/L, 케톤 0.4 mmol/L, pH 7.36이며 먹고 마시고 있습니다. 정맥 인슐린은 어떻게 중단해야 합니까?

1. A식사와 함께 피하 인슐린을 주고 일정 시간 겹친 후 정맥 인슐린을 중단한다
2. B케톤산증이 완전히 해소되었으므로 모든 인슐린을 중단한다
3. C지금 정맥 인슐린을 중단하고 내일 피하 인슐린을 시작한다
4. D혈당이 20 mmol/L를 넘을 때만 피하 인슐린을 준다

Which is a recognised side effect of ondansetron?

1. AConstipation
2. BSevere hypoglycaemia
3. CHair loss
4. DHearing loss

A patient who takes NSAIDs suddenly develops severe epigastric pain, a rigid abdomen and shoulder-tip pain. Which finding would most support the likely diagnosis?

1. AFluid levels in the bladder on an ultrasound scan
2. BTall, peaked T waves on a 12-lead ECG
3. CFree air under the diaphragm on an erect chest X-ray
4. DA raised serum lipase three times the upper limit