NCLEX 유형 우선순위 설정과 위임: 벼락치기 팩

Which finding is an early sign of compartment syndrome in a patient with a lower leg fracture?

1. AItching under the cast during the first week after it was applied
2. BPain out of proportion to the injury that worsens when the toes are stretched
3. CA strong pedal pulse with warm, pink toes and pain that settles with analgesia
4. DMild bruising around the fracture site on the second day

머리 손상과 다리 골절이 있는 환자를 감시 중입니다. 우선순위가 높은 소견은 무엇인가요?

1. A팔꿈치의 작은 긁힘
2. B글래스고 혼수 척도(GCS) 점수가 15에서 12로 떨어짐
3. C환자가 먹을 것을 요청함
4. D마지막 진통제를 투여했는데도 다리 통증이 6/10임

A patient with poorly controlled seizures asks about activities at home. Which advice is most important?

1. AAvoid drinking water before bed
2. BSleep sitting up in a chair
3. CAvoid all forms of exercise
4. DNever swim or bathe alone

A nurse teaches a patient about home oxygen safety. Which statement shows a need for further teaching?

1. A“I will keep my oxygen away from the stove.”
2. B“I will keep my spare cylinders upright and secured.”
3. C“I can light candles at dinner if my oxygen is turned down low.”
4. D“I will put a ‘no smoking’ sign on my front door for visitors.”

A patient with suspected pulmonary TB needs sputum samples for acid-fast bacilli. Which instruction is correct?

1. AGive several samples of nasal mucus blown into a tissue
2. BGive several deep-cough samples, often first thing in the morning
3. CGive one sample of saliva collected from the mouth at any time of day
4. DGive one sample after brushing with mouthwash so it is clean

A young man has a swollen knee after minor trauma. His aPTT is prolonged, but his PT/INR and platelet count are normal. Which condition fits best?

1. AImmune thrombocytopenia (ITP)
2. BDisseminated intravascular coagulation
3. CVitamin K deficiency from poor diet
4. DHemophilia A (factor VIII deficiency)

심부전 환자가 분홍색 거품 섞인 가래를 보이고 양쪽 폐 전체에서 수포음이 들립니다. 무슨 일이 일어나고 있나요?

1. A급성 폐부종
2. B기흉
3. C천식 발작
4. D상부 위장관 출혈

A patient with several days of vomiting and diarrhoea has low blood pressure, low urine output and a rising creatinine. Which description fits best?

1. AChronic kidney disease, treated with long-term dialysis three times a week
2. BIntrinsic kidney injury from glomerulonephritis, treated with high-dose steroids
3. CPost-renal acute kidney injury from obstruction, treated with a catheter
4. DPre-renal acute kidney injury from poor perfusion, treated by restoring fluid volume

A patient with heart failure starts dapagliflozin, an SGLT2 inhibitor. Which teaching is most relevant?

1. AExpect the urine to turn bright orange and stain underwear and clothes
2. BKeep the genital area clean, as fungal infections are more common
3. CTake an extra dose if the ankles swell
4. DAvoid drinking any fluids at all for the first week of treatment

천식 환자가 아스피린 복용 후 천명음이 생긴 병력이 있습니다. 수술 후 통증에 이부프로펜이 처방되었습니다. 간호사는 어떻게 해야 합니까?

1. A통증 점수가 8/10 초과일 때만 투약한다
2. B이부프로펜은 아스피린과 관련이 없으므로 투약한다
3. C속효성 흡입기와 동시에 투약한다
4. D투약을 보류하고 대체 약을 요청한다

In the first trimester of pregnancy, why is propylthiouracil often preferred to carbimazole for hyperthyroidism?

1. APropylthiouracil has no side effects at all
2. BCarbimazole has a higher risk of birth defects early on
3. CCarbimazole cannot cross into the mother's blood
4. DPropylthiouracil works faster than any other drug

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

1. A리튬으로 인한 SIADH
2. B두부 손상 후의 중추성 요붕증
3. C리튬으로 인한 신성 요붕증
4. D새로 생긴 제1형 당뇨병

Which is a usual benefit of laparoscopic over open abdominal surgery?

1. ALess pain and a shorter hospital stay
2. BNo risk of any complications at all
3. CNo need for a general anaesthetic ever
4. DLarger wounds that heal faster

An incontinent patient has diffuse, shiny, red and broken skin in the natal cleft and buttocks with irregular edges, not over a bony prominence. What is most likely?

1. AA full-thickness burn
2. BA category 4 pressure ulcer over the sacrum
3. CAn arterial ulcer caused by poor circulation
4. DIncontinence-associated dermatitis