NCLEX 유형 우선순위 설정과 위임: 벼락치기 팩

A patient has a nasogastric tube on suction. Which task can the nurse delegate to a nursing assistant?

1. AIrrigating the tube when it blocks
2. BAssessing the drainage for blood
3. CChecking the tube’s position
4. DGiving mouth care

An infant is choking and cannot cry or breathe. Which technique is correct?

1. AHolding the infant upside down by the feet
2. BA blind finger sweep of the mouth
3. CAbdominal thrusts, as in adults
4. DBack blows and chest thrusts

A nurse pours sterile saline into a bowl on a sterile field. Which technique is correct?

1. ARest the lip of the bottle on the edge of the bowl so that the saline does not splash
2. BHold the bottle with the label in the palm and pour without touching the bowl
3. CReach across the field to fill the bowl at the far side
4. DPour from below the level of the field to reduce splashing

A patient sitting in a chair starts to have a generalized seizure. What should the nurse do?

1. AEase the patient to the floor, protect the head and turn them on their side
2. BHold the patient firmly in the chair until the seizure stops
3. CPut a padded tongue blade between the teeth to protect the tongue and airway
4. DLeave to get the provider, then return

A patient taking empagliflozin (an SGLT2 inhibitor) has glucose in the urine but a normal blood glucose. What is the best interpretation?

1. AA urinary tract infection
2. BA sign of kidney failure
3. CUncontrolled diabetes needing insulin
4. DAn expected effect of the drug

A patient with chronic kidney disease stage 4 has a high phosphate, a low-normal calcium and a very high parathyroid hormone (PTH). What does this show?

1. AHypoparathyroidism after neck surgery
2. BVitamin D toxicity from supplements
3. CPrimary hyperparathyroidism from a tumor
4. DSecondary hyperparathyroidism from CKD

A patient without diabetes is started on high-dose prednisolone. Why might capillary blood glucose be monitored?

1. ASteroids always cause hypoglycaemia
2. BSteroids make glucose meters inaccurate
3. CSteroids destroy the pancreas
4. DSteroids can raise the blood glucose

A patient with severe sepsis starts bleeding from cannula sites and the gums, with a low platelet count and prolonged clotting times. What is most likely?

1. AHaemophilia A
2. BDisseminated intravascular coagulation
3. CAn allergic reaction to the cannula
4. DVitamin C deficiency

Why must intravenous potassium chloride never be given as a rapid push or undiluted?

1. AIt turns into solid crystals inside the vein and blocks it
2. BA sudden high potassium level can cause cardiac arrest
3. CIt works only when given by mouth
4. DIt immediately lowers the blood glucose to dangerous levels

Four surgical patients need VTE prevention. For which patient is mechanical prophylaxis alone most appropriate?

1. AA patient with cancer having bowel surgery
2. BA patient who had a brain haemorrhage two days ago
3. CAn obese patient after hip surgery
4. DA patient after an uncomplicated knee replacement

What does a positive pronator drift test show?

1. ALoss of hearing on one side
2. BA normal response in older adults
3. CSubtle weakness in one arm
4. DWeakness of the eye muscles

리튬을 복용하는 환자가 다뇨와 갈증이 있고 데스모프레신 투여 후에도 소변이 농축되지 않습니다. 가장 가능성 높은 원인은?

1. A두부 손상 후의 중추성 요붕증
2. B새로 생긴 제1형 당뇨병
3. C리튬으로 인한 SIADH
4. D리튬으로 인한 신성 요붕증

고위험 환자에서 종양 용해 증후군을 예방하는 조치는?

1. A매일 칼슘과 인산염 보충제
2. B항암 화학요법 동안 모든 정맥 및 경구 수분 중단
3. C칼륨 정제와 함께하는 수분 제한
4. D알로푸리놀 또는 라스부리카제와 함께하는 정맥 수분 공급

A patient on warfarin has a major upper GI bleed with an INR of 5. Which treatment should the nurse anticipate to reverse the warfarin?

1. AProthrombin complex concentrate with IV vitamin K
2. BOral aspirin to balance the clotting system quickly
3. CProtamine sulfate on its own
4. DMore warfarin to stabilise the INR