NCLEX-PN試験無料問題集（725題）「NCLEX National Council Licensure Examination(NCLEX-PN) 認定」

出題：1

A nurse working in a pediatric clinic and observes the following situations. Which of the following may indicate a delayed child to the nurse?

A. A 12-month old that does not "cruise".

B. A 6-month old that is rolling prone to supine.

C. A 8-month old that can sit upright unsupported.

D. A 3-month old that does not roll supine to prone.

正解：A 解答を投票する

解説: (GoShiken メンバーにのみ表示されます)

出題：2

When planning care of a client who has a been diagnosed with Amphetamine Abuse, the nurse should use the knowledge that:

A. addiction to barbiturates and amphetamines is rare because they have opposite effects.

B. amphetamines increase energy by increasing dopamine levels at neural synapses.

C. amphetamines have a low risk of tolerance or addiction.

D. amphetamines produce a 10-20-second rush followed by a 2-4-hour high.

正解：B 解答を投票する

解説: (GoShiken メンバーにのみ表示されます)

出題：3

A client who recently lost 50 pounds just received news that she is pregnant. A possible nursing diagnosis is:

A. Actual Chronic Low Self-Esteem (related to obesity).

B. Actual Situational Low Self-Esteem (related to fear of weight regain and pregnancy).

C. Potential Situational Low Self-Esteem (related to fear of weight regain and pregnancy).

D. Potential Chronic Low Self-Esteem (related to obesity).

正解：C 解答を投票する

解説: (GoShiken メンバーにのみ表示されます)

出題：4

Clients who take iron preparations should be warned of the possible side effects, which might include:

A. neuropathy and tingling in the extremities.

B. dizziness and orthostatic hypotension.

C. drowsiness, lethargy, and fatigue.

D. nausea, vomiting, diarrhea or constipation, and stomach cramps.

正解：D 解答を投票する

解説: (GoShiken メンバーにのみ表示されます)

出題：5

When the nurse is determining the appropriate size of an oropharyngeal airway to insert, what part of a client's body should she measure?

A. tip of the nose to the earlobe

B. corner of the mouth to the tragus of the ear

C. tip of the chin to the sternum

D. corner of the eye to the top of the ear

正解：B 解答を投票する

解説: (GoShiken メンバーにのみ表示されます)

出題：6

In infants and children, the side effects of firstgeneration over-the counter (OTC) antihistamines, such as diphenhydramine (Benedryl) and hydroxyzine (Atarax), can include:

A. nausea and diarrhea.

B. paradoxical CNS stimulation.

C. cholinergic effects.

D. Reye's syndrome.

正解：B 解答を投票する

解説: (GoShiken メンバーにのみ表示されます)

出題：7

A pregnant Asian client who is experiencing morning sickness wants to take ginger to relieve the nausea. Which of the following responses by the nurse is appropriate?

A. "We don't use home remedies in this clinic."

B. "Herbs are not as effective as regular medicines."

C. "I will call your physician to see if we can start some ginger."

D. "Just eat some dry crackers instead."

正解：C 解答を投票する

解説: (GoShiken メンバーにのみ表示されます)

出題：8

Which of the following home-care strategies is most likely to negatively impact the body image of a client with Cushing's syndrome?

A. providing safety measures to prevent falls

B. wearing a medical ID indicating Cushing's syndrome

C. having regular health assessments

D. taking medications as prescribed

正解：B 解答を投票する

解説: (GoShiken メンバーにのみ表示されます)

出題：9

A high school nurse observes a 14 year-old female rubbing her scalp excessively in the gym. The most appropriate course of action for the nurse to do is:

A. Contact the female's parents about the observations.

B. Request a private evaluation of the female's scalp from her parents.

C. Contact the student's physician.

D. Observe the hairline and scalp for possible signs of lice.

正解：D 解答を投票する

解説: (GoShiken メンバーにのみ表示されます)

出題：10

Which of the following statements by a client with spinal cord injury indicates a need for further teaching by the nurse regarding bowel management?

A. "I should sit in an upright position for bowel movements."

B. "I should drink more fluids like coffee and cola."

C. "I should set a regular schedule for bowel movements."

D. "I should avoid eating foods that produce gas."

正解：B 解答を投票する

解説: (GoShiken メンバーにのみ表示されます)

出題：11

A nurse is caring for a patient who has recently been diagnosed with fibromyalgia and
COPD. Which of the following tasks should the nurse delegate to a nursing assistant?

A. Educating the patient on monitoring fatigue

B. Taking the patient's breath sounds

C. Ambulating the patient for the first time.

D. Transferring the patient to the shower.

正解：D 解答を投票する

解説: (GoShiken メンバーにのみ表示されます)

出題：12

Accurate documentation of assessment findings regarding pressure ulcers is very important because:

A. the nursing assessment of ulcers is a standard of nursing practice.

B. the physician requires the nurse to document lesions.

C. the hospital requires the nurse to document lesions.

D. the law requires the nurse to document lesions.

正解：A 解答を投票する

解説: (GoShiken メンバーにのみ表示されます)

出題：13

On first meeting, a new nurse manager makes eye contact, smiles, initiates conversation about the previous work experience of nurses, and encourages active participation by nurses in the dialogue. Her behavior is an example of:

A. passiveness.

B. passive aggressiveness.

C. assertiveness.

D. aggressiveness.

正解：C 解答を投票する

解説: (GoShiken メンバーにのみ表示されます)

出題：14

A man reports his wife is constantly cleaning. The activity has interfered with the family life. Friends have stopped visiting because she makes them uncomfortable. He states he has awakened in the middle of the night and found her cleaning. The nurse should consult with the couple and recommend the husband help with therapy by:

A. decreasing the stimuli in the home.

B. making a baseline record of the time the wife spends cleaning.

C. helping his wife with the cleaning.

D. telling his wife to stop cleaning whenever he notices her actions.

正解：A 解答を投票する

解説: (GoShiken メンバーにのみ表示されます)

NCLEX-PN試験無料問題集「NCLEX National Council Licensure Examination(NCLEX-PN) 認定」