NCLEX NCLEX-PN 問題集

質問 1：
A standard walker is used when clients:
A. have poor balance, have a broken leg, or have experienced amputation.
B. have poor balance, have cardiac problems, or cannot use crutches or a cane.
C. have poor balance, cannot stand up, have weak arms, and have good hand strength.
D. have poor balance, have an autoimmune disease, or have weak arms.
正解：B
解説: (Topexam メンバーにのみ表示されます)

質問 2：
A stool culture reveals Shigella. What corollary should the nurse recognize regarding this bacterial infection?
A. People who have been in contact with the client need to be tested.
B. The nurse should wear a one-way breathing apparatus when giving client care.
C. Shigella is a bacteria sometimes found in stagnant water.
D. Shigella is an airborne infection.
正解：C
解説: (Topexam メンバーにのみ表示されます)

質問 3：
Which of the following vaccines are not part of the regular schedule of immunizations for children?
A. hepatitis A
B. DTaP
C. MMR
D. Hib
正解：A
解説: (Topexam メンバーにのみ表示されます)

質問 4：
A nurse is performing a screening on a patient that has been casted recently on the left lower extremity. Which of the following statements should the nurse be most concerned about?
A. The patient reports, "I didn't keep my extremity elevated like the doctor asked me to."
B. The patient reports, "The arthritis in my wrists is flaring up, when I put weight on my crutches."
C. The patient reports, "My left leg has really been itching."
D. The patient reports, "I have been having pain in my left calf."
正解：D
解説: (Topexam メンバーにのみ表示されます)

質問 5：
A nurse gave medications to the wrong client. She stated the client responded to the name called. What is the nurse's appropriate documentation?
A. Note the client's orientation
B. Completely fill out an incident report
C. Note in medication records the drug given
D. The client was not hurt, no need for documentation
正解：B
解説: (Topexam メンバーにのみ表示されます)

質問 6：
The nurse observes bilateral bruises on the arms of an elderly client in a long-term care facility. Which of the following questions should the nurse ask this client?
A. "Did someone grab you by your arms?"
B. "Do you fall often?"
C. "How did you get those bruises?"
D. "What did you bump against?"
正解：A
解説: (Topexam メンバーにのみ表示されます)

質問 7：
A patient 3 hours post-op from a hysterectomy is complaining of intense pain at the incision site. When assessing the patient the nurse notes a BP of 169/93, pulse 145 bpm and regular. What action should the nurse take?
A. Recheck BP and pulse rate every 20 minutes for the next hour.
B. Administer prn Meperidine HCL and assess client's response.
C. Reassure patient that pain is normal following surgery.
D. Administer prn Nifedipine and assess client's response.
正解：B
解説: (Topexam メンバーにのみ表示されます)

質問 8：
A serious complication of a total hip replacement is displacement of the prosthesis. What is the primary sign of displacement?
A. affected leg appearing 1-2 inches longer
B. pain on movement and weight bearing
C. edema in the area of the incision
D. hemorrhage
正解：B
解説: (Topexam メンバーにのみ表示されます)

質問 9：
The nurse notices that a family is waiting at the nursing station desk for its loved one to be brought to the unit for admission during a change-of-shift report. The nurse should:
A. request that the family wait for its loved one in the client's room and wait to resume the report until the family has left the desk area.
B. request that the family have a seat in the station rather than stand while awaiting its loved one.
C. request that the family wait for its loved one in the Emergency Department waiting room.
D. request that a nursing assistant bring coffee for the family while it waits at the desk and continue with the report.
正解：A
解説: (Topexam メンバーにのみ表示されます)