NCLEX 유형 우선순위 설정과 위임: 벼락치기 팩

A patient is admitted with diabetic ketoacidosis. Which prescribed treatment is usually started first?

1. ASubcutaneous long-acting insulin only, given once
2. BIV isotonic fluid such as 0.9% sodium chloride
3. COral potassium tablets
4. DA high-carbohydrate meal

After surgery, a patient who has taken long-term steroids becomes hypotensive and weak, and the blood pressure does not rise with IV fluids. Which problem should the nurse suspect?

1. ANormal tiredness after anesthesia
2. BAn allergic reaction to the anesthetic
3. CAdrenal crisis from steroid withdrawal
4. DFluid overload from too much IV fluid

Which practice is safe when transferring a patient from a bed to a stretcher?

1. ALock the wheels of both the bed and the stretcher before moving the patient
2. BHave the patient slide across without help or a slide sheet
3. CLeave the stretcher wheels unlocked so it can move with the patient
4. DLower the stretcher side rails during transport

항암제 주머니가 새어 바닥에 쏟아졌습니다. 첫 단계는?

1. A종이 수건과 맨손으로 재빨리 닦는다
2. B마르도록 두었다가 근무가 끝날 때 치운다
3. C유출 처리 키트의 보호구를 착용하고 유출을 차단한다
4. D청소 직원에게 평소 쓰는 걸레로 닦게 한다

처방된 정맥 염화칼륨을 투여하기 전에 가장 중요한 사정은 무엇인가요?

1. A아래팔의 피부 탄력
2. B동공 크기와 빛 반사
3. C양쪽 귀의 청력
4. D소변량과 신장 기능

A patient with diabetes and chronic kidney disease had a CT scan with IV contrast. Two days later, the creatinine has risen from 1.4 to 2.0 mg/dL (124 to 177 µmol/L). Which action is most appropriate?

1. AReport it, monitor urine output and hold metformin until reviewed
2. BIgnore it, because contrast never affects kidney function
3. CRestrict all fluids to protect the kidneys from more contrast
4. DGive extra metformin, because the glucose rises after contrast

Which side effect is common when a patient starts taking metformin?

1. ASevere headache
2. BNausea, abdominal discomfort or diarrhoea
3. CHypoglycaemia in most patients who take it
4. DRapid weight gain

A patient admitted after a fall takes many regular medicines. Which safety step on admission helps prevent medication errors?

1. APrescribing only the medicines that the patient can remember taking
2. BStopping all regular medicines until the day the patient is discharged
3. CMedicines reconciliation against reliable sources, such as primary care records
4. DDoubling the doses to make up for any missed while at home

Rheumatic heart disease most often follows which infection?

1. AStaphylococcal infection of the skin
2. BA fungal infection of the lungs
3. CA viral infection of the upper airway
4. DA group A streptococcal throat infection

During a thrombolytic infusion for an MI, the patient develops a sudden severe headache, vomiting and new confusion. What should the nurse do first?

1. AContinue the infusion, as headache is a common side effect
2. BStop the infusion and call for urgent medical help
3. CSlow the infusion and give an antiemetic
4. DGive a second dose to finish the treatment

A man starts finasteride for an enlarged prostate. Which statement is correct?

1. AIt lowers the blood pressure, so dizziness is very common
2. BIt works within hours by relaxing the bladder muscle
3. CIt takes months to work; pregnant women must not handle broken tablets
4. DIt is used only for a few days at a time

A nurse teaches a young adult with newly diagnosed epilepsy. Which statement shows a need for further teaching?

1. A"As long as I take my tablets, I can swim alone."
2. B"I will tell my friends what to do if I have a seizure."
3. C"I will take a shower rather than a bath."
4. D"I will keep a record of any seizures I have."

급성 상부 위장관 출혈 환자가 도착했을 때 헤모글로빈이 정상입니다. 이것이 오해를 부를 수 있는 이유는?

1. A장 출혈은 헤모글로빈에 영향을 주지 않기 때문
2. B체액 이동이나 정맥 수액이 혈액을 희석한 후에야 떨어지기 때문
3. C헤모글로빈은 일주일간 계속 출혈한 후에야 떨어지기 때문
4. D어떤 출혈 후에도 헤모글로빈은 처음에는 항상 오르기 때문

Shortly after a spinal anaesthetic, a patient says their arms feel weak and it is hard to breathe, and the BP is falling. What is most likely?

1. AA high spinal block
2. BAn anxiety attack
3. CA post-dural puncture headache
4. DA normal spinal effect