NCLEX 유형 우선순위 설정과 위임: 벼락치기 팩

A patient with severe neutropenia needs a room. Which roommate is the safest choice?

1. AA patient after a knee replacement with no signs of infection
2. BA patient with an infected, draining leg wound
3. CA patient with C. difficile diarrhea
4. DA patient with influenza

A patient has a potassium of 7.0 mEq/L with peaked T waves. Several drugs are prescribed. Which one is usually given first to protect the heart?

1. AIV furosemide
2. BIV calcium gluconate
3. COral sodium bicarbonate
4. DOral potassium binder

A patient cannot bear weight and cannot help with transfers. Which method is safest to move the patient from bed to chair?

1. ATwo nurses lifting the patient under the arms
2. BAsking the patient to stand and try their best
3. CA mechanical lift used by enough trained staff
4. DOne nurse doing a standing pivot transfer

Before the wound is closed, the sponge count does not match the starting count. What should happen?

1. AChange the count on the record so that it matches, then close the wound as planned
2. BTell the surgeon and team, search for the item, and image the patient per policy if it is not found
3. CClose the wound to avoid a long anesthetic and recount the sponges after surgery
4. DAssume that the first count was wrong and continue

만성 콩팥병에서 높은 혈청 인산염에는 보통 칼슘의 어떤 변화가 동반되나요?

1. A낮은 혈청 칼슘
2. B높은 혈청 칼슘
3. C칼슘의 변화 없음
4. D칼슘 변화 없이 높은 혈청 칼륨만

A frail older adult in a nursing home has been drinking very little during a heat wave. She is confused, and her sodium is 158 mEq/L. Which treatment would the nurse expect?

1. ARapid infusion of 3% saline to raise the volume
2. BGradual replacement of free water over many hours
3. CStrict fluid restriction to below 800 mL a day
4. DA loop diuretic to remove the extra sodium quickly

Which mask is required for staff during an aerosol-generating procedure on a patient with a respiratory infection spread by aerosols?

1. AA standard fluid-repellent surgical mask with a visor
2. BA cloth face covering
3. CNo mask, as long as gloves are worn
4. DA fit-tested respirator mask (such as FFP3 or N95)

Four call bells ring at the same time. Which patient should the nurse see first?

1. AA patient asking what time they will be discharged
2. BA patient asking for pain relief for chronic back pain that they rate as 3/10
3. CA patient who needs help to go to the toilet and has rung twice
4. DA patient who has just become breathless after starting an IV antibiotic

After an above-knee amputation, which measure helps prevent a hip flexion contracture?

1. ALying prone for periods and avoiding pillows under the stump
2. BKeeping a pillow under the stump at all times, day and night
3. CKeeping the hip bent to reduce stump swelling
4. DSitting in a chair for most of the day with the hips bent

A nurse teaches a patient who is starting warfarin. Which statement shows a need for further teaching?

1. A"If I miss a dose, I will take two the next day."
2. B"I will have regular INR blood tests."
3. C"I will tell my dentist that I take warfarin."
4. D"I will check before taking any new medicines or herbal remedies."

What does a positive pronator drift test show?

1. AWeakness of the eye muscles
2. BSubtle weakness in one arm
3. CA normal response in older adults
4. DLoss of hearing on one side

A nurse teaches a carer to give buccal midazolam for prolonged seizures. Which statement shows a need for further teaching?

1. A"I will call an ambulance if the care plan tells me to."
2. B"I will put something between his teeth so he does not bite his tongue."
3. C"I will write down the time the seizure started and the time I gave the dose."
4. D"I will give it into the space between his gum and cheek."

Which statement about moist wound healing is correct?

1. AWounds heal fastest when left to dry out and form a scab
2. BWounds should be soaked in water for hours every day
3. CA wet wound bed always prevents infection
4. DA moist, not wet, wound bed helps cells move and heal faster

A patient with small cell lung cancer is confused and drowsy. Sodium is 118 mmol/L and the urine is highly concentrated. Which complication is likely?

1. ASIADH
2. BTumour lysis syndrome
3. CHypercalcaemia of malignancy
4. DDiabetes insipidus