NCLEX 유형 우선순위 설정과 위임: 벼락치기 팩

When making patient assignments, what should the charge nurse consider first?

1. ALetting staff choose the patients they prefer
2. BGiving the newest staff the most complex patients
3. CGiving each nurse patients in rooms next to each other
4. DMatching each patient’s needs to staff competence

During a power cut, which patient is the nurse’s first priority?

1. AA patient whose bed will not raise electrically
2. BA patient watching television when it switched off
3. CA patient whose call light is not working
4. DA patient who depends on a ventilator

A patient has severe neutropenia after chemotherapy. Which route for measuring temperature should be avoided?

1. ATympanic
2. BTemporal artery
3. COral
4. DRectal

A visitor is receiving an electric shock from a faulty lamp and is still touching it. What should the nurse do first?

1. ASwitch off the power or unplug the lamp without touching the person
2. BPull the visitor away from the lamp by the arm as quickly as possible
3. CThrow water over the lamp to stop the current
4. DStart chest compressions straight away

A patient has macrocytic anemia with numbness and tingling of the feet and poor balance. Which deficiency is most likely?

1. AVitamin C (ascorbic acid)
2. BIron (low ferritin)
3. CVitamin B₁₂
4. DFolate (folic acid)

An 82-year-old woman without a catheter has a urine culture growing bacteria, but no fever, urinary symptoms or change in mental state. What is the best interpretation?

1. AA urinary tract infection that needs urgent IV antibiotics
2. BAsymptomatic bacteriuria, usually not treated with antibiotics
3. CContamination, so the culture must be repeated every week
4. DPyelonephritis, which needs admission and IV fluids today

Which lifestyle advice helps a patient with gastro-oesophageal reflux disease?

1. AAvoid large meals late in the evening and raise the head of the bed
2. BWear tight belts to support the stomach
3. CEat one very large meal a day rather than several small ones
4. DLie down straight after each meal to let the food settle

헤파린 주입 중인 환자에서 시작 5일 뒤 혈소판이 갑자기 떨어졌습니다. 무엇을 의심해야 하나요?

1. A헤파린 유발 혈소판감소증
2. B섭취 부족으로 인한 비타민 K 결핍
3. C철결핍빈혈
4. D헤파린에 대한 정상 반응

Which finding shows that long-standing hypertension has caused target organ damage?

1. AA normal fasting glucose
2. BClear lung fields on the chest X-ray
3. CLeft ventricular hypertrophy on the ECG
4. DA heart rate of 72/min

환자의 흉관 배액관이 배액통에서 분리되었습니다. 간호사가 가장 먼저 할 일은?

1. A몇 시간 동안 관을 잠그고 나중에 환자를 다시 확인한다
2. B다시 연결하거나 관 끝을 멸균수에 담근 다음 사정한다
3. C흉부에서 배액관을 빼고 부위를 덮는다
4. D의사가 와서 검토할 때까지 공기 중에 열어 둔다

뇌졸중 환자가 말하는 것은 이해하지만 단어를 찾기 어려워하고 짧고 힘겨운 구절로 말합니다. 어떤 유형의 실어증입니까?

1. A얼굴 근육 약화로 인한 구음장애
2. B이해가 전혀 없는 전실어증
3. C표현성(브로카) 실어증
4. D수용성(베르니케) 실어증

A nurse teaches a patient with Hashimoto's thyroiditis about levothyroxine. Which statement shows a need for further teaching?

1. A"I will report palpitations or chest pain."
2. B"I can stop the tablets once I feel back to normal."
3. C"I will have regular blood tests to check my dose."
4. D"I will take the tablets at the same time each day."

Which complication is more typical of Crohn's disease than of ulcerative colitis?

1. AInflammation limited to the rectal lining
2. BDisease that is cured by removing the colon
3. CFistulas between the bowel and other organs
4. DBleeding only from the rectum

A patient with diabetes has rapidly spreading redness around a small wound, severe pain out of proportion, fever and crackling under the skin. What should the nurse suspect?

1. AA simple insect bite
2. BNecrotising fasciitis
3. CMild contact dermatitis
4. DA healing venous ulcer