NCLEX 유형 우선순위 설정과 위임: 벼락치기 팩

A drowsy patient who has just returned from surgery starts to vomit. What should the nurse do first?

1. AGive a drink of water
2. BTurn the patient onto their side
3. CGive an oral anti-sickness tablet
4. DRaise the legs above the heart

Two patients on the unit have the same surname. What should the nurse do before giving a medication?

1. ACheck two identifiers against the wristband and the medication record
2. BAsk a nursing assistant which patient is which
3. CAsk the patient, “Are you Mr Smith?” and give the drug once he says yes
4. DUse the room number as the main identifier

A parent says, “I tell my son his medicine is candy so he takes it.” What should the nurse teach?

1. AIt is fine as long as the medicine is kept in the fridge
2. BThis is a good idea and makes giving medicine easier
3. CDo not call medicine candy, because the child may take it when no one is watching
4. DIt only matters for medicines that taste bitter or are hard to swallow

During flu season, a nurse wakes up with fever, cough and muscle aches. What is the best action?

1. AGo to work but avoid caring for patients who have weak immune systems
2. BGo to work but wear a surgical mask for the whole shift
3. CStay home and inform the employer according to the illness policy
4. DTake an antipyretic so the fever does not show at work

A patient taking furosemide has a potassium of 3.3 mEq/L and is told to eat more potassium-rich foods. Which snack is the best choice?

1. ARice cakes
2. BWhite bread
3. CPlain crackers
4. DDried apricots

A patient with cirrhosis and ascites has fever and abdominal tenderness. The ascitic fluid neutrophil count is 400 cells/mm³. What does this indicate?

1. ABleeding into the abdominal cavity
2. BNormal ascitic fluid in cirrhosis
3. CSpontaneous bacterial peritonitis
4. DMalignant ascites from cancer

An older adult has left lower abdominal pain, fever and a raised CRP. Which condition is most likely?

1. ABiliary colic
2. BGastric ulcer
3. CDiverticulitis
4. DAppendicitis

중심정맥 카테터가 있는 환자가 앉은 자세에서 라인을 분리하는 동안 갑자기 숨이 차고 저혈압이 됩니다. 가장 가능성 높은 합병증은?

1. A공기 색전
2. B정맥염
3. C저혈당
4. D폐렴

Which feature of a COPD exacerbation most suggests that antibiotics are needed?

1. AA mild sore throat that lasted for one day only
2. BA clear runny nose
3. CAn increase in purulent (green or yellow) sputum
4. DA dry, tickly cough with no sputum at all for a day

A nurse teaches a patient who has a new permanent pacemaker. Which statement shows a need for further teaching?

1. A"I will keep my mobile phone in my shirt pocket over the device."
2. B"I will tell staff about the device before any MRI scan."
3. C"I will keep my follow-up appointments for device checks."
4. D"I will carry my pacemaker identification card with me at all times."

페니토인을 장기 복용하는 환자에게 교육해야 하는 부작용은?

1. A서서히 진행하는 영구적 청력 소실
2. B체중 감소와 더위를 못 견딤
3. C잇몸 과증식이므로 좋은 구강 위생이 중요하다
4. D거의 모든 환자에서 두피 탈모

Which task for a stroke patient can a registered nurse safely delegate to a healthcare assistant (nursing assistant)?

1. ARepositioning the patient every two hours as set out in the care plan
2. BTeaching the patient how to take a new anticoagulant
3. CAssessing a new weakness the patient reports in the leg
4. DCarrying out the first bedside water swallow screen after admission

고위험 환자에서 종양 용해 증후군을 예방하는 조치는?

1. A칼륨 정제와 함께하는 수분 제한
2. B매일 칼슘과 인산염 보충제
3. C알로푸리놀 또는 라스부리카제와 함께하는 정맥 수분 공급
4. D항암 화학요법 동안 모든 정맥 및 경구 수분 중단

두 달 전 관상동맥 스텐트를 삽입하고 아스피린과 클로피도그렐을 복용 중인 환자가 흑색변으로 내원했으며 현재는 안정적입니다. 항혈소판제에 대한 가장 적절한 접근은?

1. A출혈을 보고한다. 팀이 심장내과의 의견을 구해 출혈과 스텐트 혈전증을 저울질하여 결정한다
2. B출혈은 스텐트가 응고될 위험이 더 크다는 뜻이므로 두 약의 용량을 두 배로 한다
3. C두 약을 그대로 계속하고 팀에 출혈을 말하지 않는다
4. D출혈이 있으면 더 이상 안전하지 않으므로 두 약을 영구 중단한다