NCLEX 유형 우선순위 설정과 위임: 벼락치기 팩

A nurse needs to give report on a patient to a colleague. Which information is the most important to include?

1. APersonal opinions about the patient’s family members and their visiting habits
2. BThe patient’s current condition, recent changes and pending tasks
3. CThe patient’s favorite television programs and hobbies
4. DDetails of the nurse’s own break times that shift

A trauma patient has an open leg fracture, absent breath sounds on one side, a trachea shifted to the other side and a falling blood pressure. Which problem is the priority?

1. AThe open fracture of the leg
2. BThe pain from the fracture
3. CThe risk of wound infection
4. DThe suspected tension pneumothorax

면역이 정상인 환자의 가슴 한 부위에 대상포진(herpes zoster)이 있고 병변을 완전히 가릴 수 있습니다. 보통 필요한 주의는?

1. A비말주의만
2. B음압실의 공기주의
3. C병변을 가린 표준주의
4. D양압의 보호 환경

Over a few hours, the emergency department sees many previously healthy people with the same unusual severe symptoms. What should the nurse do?

1. ASend the patients home quickly to avoid crowding the emergency department
2. BTreat each patient and wait to see if more arrive next week
3. CReport it to infection prevention and public health authorities promptly
4. DTell only the patients’ families about the pattern

뇌하수체 수술 후 환자가 비중 1.002인 옅은 소변을 시간당 약 400 mL 배출하고 나트륨이 149 mEq/L로 올랐습니다. 가장 가능성이 높은 질환은 무엇인가요?

1. ASIADH
2. B소변량 감소를 동반한 급성 신손상
3. C요붕증
4. D케톤산증을 동반한 고혈당

간호사가 가장 먼저 보고해야 할 환자의 결과는 무엇인가요?

1. A안정적인 만성 콩팥병이 알려진 환자의 크레아티닌 1.6 mg/dL (141 µmol/L)
2. B목표를 약간 넘는 총 콜레스테롤
3. C제2형 당뇨병 환자의 HbA1c 7.4% (57 mmol/mol)
4. D땀을 흘리며 혼돈이 있는 환자의 혈당 42 mg/dL (2.3 mmol/L)

When is a rapid-acting insulin such as insulin aspart usually given?

1. AOnce a week
2. BTwo hours after finishing a meal
3. CJust before or with a meal
4. DOnly at bedtime

Which route and site are recommended for the first dose of adrenaline (epinephrine) in anaphylaxis on a ward?

1. AIntramuscular injection into the anterolateral thigh
2. BIntravenous bolus given by the nurse without monitoring
3. CSubcutaneous injection into the upper arm
4. DOral tablet dissolved under the tongue

How should a patient breathe in when using a dry powder inhaler?

1. AThrough the nose with the mouthpiece in the mouth
2. BSeveral times, breathing out into the device between breaths
3. CQuickly and deeply, after breathing out away from the device
4. DSlowly and gently over about ten seconds

Thirty minutes after extubation, a patient develops a high-pitched noise on breathing in and is anxious. SpO₂ is falling. What should the nurse do?

1. AGive a large drink of cold water to soothe the throat and settle it
2. BEncourage the patient to sleep it off and recheck them in an hour
3. CLay the patient flat and reassure them
4. DSit the patient up, give oxygen and call for urgent airway help

Which picture fits anterior cord syndrome?

1. AWeakness on one side and loss of pain sensation on the other side
2. BNormal movement but complete loss of position sense
3. CArms much weaker than legs after a neck injury
4. DLoss of movement and pain sense, with position sense kept

A prescription reads "Insulin 10U". Why is this a safety problem?

1. AInsulin doses must always be written in millilitres
2. BThere is no problem as long as the nurse can read it
3. C"U" means the insulin must be given intravenously
4. D"U" can be misread as a zero, giving a tenfold dose

When breaking bad news, what is the first step in frameworks such as SPIKES?

1. AAsk the family to decide what the patient should be told
2. BGive all treatment options before checking understanding
3. CGive the diagnosis as quickly as possible in the corridor
4. DSet up a private setting with enough time

체중 70 kg의 성인이 체표면적 40% 화상을 입었습니다. Parkland 공식을 사용할 때 첫 24시간의 결정질액은 보통 어떻게 나누어 줍니까?

1. A도착부터 첫 8시간에 4분의 1, 나머지는 16시간에
2. B화상을 입은 시점부터 첫 8시간에 절반, 다음 16시간에 나머지 절반
3. C병원 도착부터 24시간 동안 시간당 똑같은 양
4. D첫 1시간에 전부, 이후 하루 나머지는 경구 수분만