NCLEX 유형 우선순위 설정과 위임: 벼락치기 팩

A nurse teaches a patient about sublingual nitroglycerin tablets. Which statement shows a need for further teaching?

1. A“I will keep the tablets in their original dark container.”
2. B“I will sit down before I take a tablet.”
3. C“I will swallow the tablet with a glass of water.”
4. D“I may get a headache after taking a tablet.”

A 2-month-old infant has a spiral fracture of the femur. The parents say the baby rolled off the sofa. What should the nurse recognize?

1. AThe injury does not fit the infant’s development, so possible abuse must be reported
2. BA spiral fracture in an infant is always caused by birth trauma
3. CNo further action is needed once the fracture is treated
4. DInfants of this age often roll off furniture and break bones in this way

A patient has orthostatic hypotension. Which teaching helps to prevent falls?

1. AGet out of bed quickly so the dizziness passes sooner
2. BSit on the edge of the bed for a short time before standing up slowly
3. CStand up straight after a hot shower to increase blood flow
4. DAvoid drinking fluids in the morning to reduce trips to the toilet

A nurse teaches new parents about safe infant sleep. Which statement shows a need for further teaching?

1. A“We will keep the crib in our room, next to our bed, for the first months.”
2. B“We will put a soft bumper pad and a blanket in the crib so the baby is cozy.”
3. C“We will lay the baby on the back for every sleep, including naps.”
4. D“We will not smoke near the baby.”

A patient with chronic kidney disease has a potassium of 5.6 mEq/L. Which food should the nurse advise the patient to limit?

1. AWhite rice
2. BBananas
3. CApples
4. DCabbage

A trauma patient receives many units of blood quickly and then develops muscle twitching and low blood pressure. Which laboratory value is most likely to explain this?

1. AA low serum glucose
2. BA low ionized calcium
3. CA high serum sodium
4. DA high serum magnesium

Which ECG change is typical of hypokalaemia?

1. AFlattened T waves and prominent U waves
2. BA very short PR interval with a delta wave
3. CST elevation in leads II, III and aVF
4. DTall, peaked T waves

An older man has sudden severe abdominal and back pain, is hypotensive and has a pulsating mass in the abdomen. What should be suspected?

1. AA ruptured abdominal aortic aneurysm
2. BRenal colic from a kidney stone
3. CMusculoskeletal back pain
4. DAcute gastritis from anti-inflammatory drugs

After coronary artery bypass surgery through a median sternotomy, which instruction is usually given for the first several weeks?

1. AAvoid walking until the stitches are removed
2. BSleep only on the stomach to protect the wound
3. CLift the arms above the head often to stretch the chest
4. DAvoid heavy lifting and pushing up with the arms

종아리 심부정맥혈전증이 확진되어 치료 용량의 항응고를 시작한 환자가 침상 안정을 해야 하는지 묻습니다. 가장 정확한 답은?

1. A치료가 시작되면 보통 견딜 수 있는 만큼 걷기를 권장한다
2. B최소 2주간 엄격한 침상 안정이 필요하다
3. C혈전이 완전히 녹을 때까지 걷는 것이 허용되지 않는다
4. D걷기 전마다 다리를 마사지해야 한다

A patient with multiple sclerosis says their symptoms get worse after a hot bath. What should the nurse explain?

1. AThey should take very cold baths to reverse the damage
2. BHot baths cause new areas of damage in the brain
3. CHeat can briefly worsen MS symptoms, which settle when they cool down
4. DThis shows that the disease has entered a new progressive stage

A patient taking amiodarone has gained weight and feels tired and cold. Which blood test is most relevant?

1. AThyroid function tests
2. BSerum ferritin
3. CSerum amylase and lipase levels
4. DBlood alcohol level

Why is a pregnancy test often done before surgery in women who could be pregnant?

1. APregnant women cannot sign consent forms
2. BAnaesthesia, drugs and some tests may harm a fetus
3. CIt is needed to calculate the anaesthetic drug dose
4. DPregnancy always makes surgery impossible

간경변과 복수가 있는 환자에게 새로 열, 복부 압통, 악화되는 혼돈이 생겼습니다. 의심해야 하는 합병증은?

1. A복수의 정상 경과
2. B자발성 세균성 복막염
3. C단순 변비
4. D급성 췌장염