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NCLEX-RN 無料問題集「NCLEX National Council Licensure Examination(NCLEX-RN)」

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トータル 865 問
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A client has returned to the unit following a left femoral popliteal bypass graft. Six hours later, his dorsalis pedis pulse cannot be palpated, and his foot is cool and dusky. The nurse should:

解説: (JPNTest メンバーにのみ表示されます)
A 30-year-old male client is admitted to the psychiatric unit with a diagnosis of bipolar disorder. For the last 2 months, his family describes him as being "on the move," sleeping 3-4 hours nightly, spending lots of money, and losing approximately 10 lb. During the initial assessment with the client, the nurse would expect him to exhibit which of the following?

解説: (JPNTest メンバーにのみ表示されます)
A psychiatric client has been stabilized and is to be discharged. The nurse will recognize client insight and behavioral change by which of the following client statements?

解説: (JPNTest メンバーにのみ表示されます)
The nurse teaches a pregnant client that a high-risk symptom occurring at any time during pregnancy that needs to be reported immediately to a healthcare provider is:

解説: (JPNTest メンバーにのみ表示されます)
A mother brings a 6-month-old infant and a 4-year-old child to the nursing clinic for routine examination and screening. Which of these plans by the nurse would be most successful?

解説: (JPNTest メンバーにのみ表示されます)
A 38-year-old pregnant woman visits her nurse practitioner for her regular prenatal checkup. She is 30 weeks' gestation. The nurse should be alert to which condition related to her age?

解説: (JPNTest メンバーにのみ表示されます)
A 54-year-old client is admitted to the hospital with a possible gastric ulcer. He is a heavy smoker. When discussing his smoking habits with him, the nurse should advise him to:

解説: (JPNTest メンバーにのみ表示されます)
When planning care for the passive-aggressive client, the nurse includes the following goal:

解説: (JPNTest メンバーにのみ表示されます)
During burn therapy, morphine is primarily administered IV for pain management because this route:

解説: (JPNTest メンバーにのみ表示されます)
The physician has ordered that a daily exercise program be instituted by a client with type I diabetes following his discharge from the hospital. Discharge instructions about exercise should include which of the following?

解説: (JPNTest メンバーにのみ表示されます)
Primary nursing diagnoses for the antisocial client are:

解説: (JPNTest メンバーにのみ表示されます)
A 68-year-old woman is admitted to the hospital with chronic obstructive pulmonary disease (COPD). She is started on an aminophylline infusion. Three days later she is breathing easier. A serum theophylline level is drawn. Which of the following values represents a therapeutic level?

解説: (JPNTest メンバーにのみ表示されます)
A client delivered her first-born son 4 hours ago. She asks the nurse what the white cheeselike substance is under the baby's arms. The nurse should respond:

解説: (JPNTest メンバーにのみ表示されます)
When teaching a class of nursing students, the nurse asks why the embryonic period (weeks 4-8) of pregnancy is so critical.

解説: (JPNTest メンバーにのみ表示されます)
The nurse is assessing breath sounds in a bronchovesicular client. She should expect that:

解説: (JPNTest メンバーにのみ表示されます)
A client is being discharged with albuterol (Proventil) and beclomethasone dipropionate (Vanceril) to be administered via inhalation three times a day and at bedtime. Client teaching regarding the sequential order in which the drugs should be administered includes:

解説: (JPNTest メンバーにのみ表示されます)
A client is 2 hours post ventriculoperitoneal shunt placement. How should the nurse position the client?

解説: (JPNTest メンバーにのみ表示されます)
A 22-year-old single woman was admitted to the psychiatric hospital by her mother, who reported bizarre behavior. Except for going to work, she spends all her time in her room and expresses concern over neighbors spying on her. She has fears of the telephone being "bugged." Her diagnosis is schizophrenia. One nurse per shift is assigned to work with the client. The primary reason for this plan would be to:

解説: (JPNTest メンバーにのみ表示されます)
The nurse instructs a pregnant client (G2P1) to rest in a side-lying position and avoid lying flat on her back.
The nurse explains that this is to avoid "vena caval syndrome," a condition which:

解説: (JPNTest メンバーにのみ表示されます)
A client with severe PIH receiving MgSO4 is placed in a quiet, darkened room. The nurse bases this action on the following understanding:

解説: (JPNTest メンバーにのみ表示されます)
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トータル 865 問

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