NCLEX NCLEX-RN 問題集

質問 1：
A 67-year-old client will be undergoing a coronary arteriography in the morning. Client teaching about postprocedure nursing care should include that:
A. Some oozing of blood at the arterial puncture site is normal
B. He will be kept NPO for 8-12 hours
C. Bed rest with bathroom privileges will be ordered
D. The leg used for arterial puncture should be keptstraight for 8-12 hours
正解：D
解説: (Topexam メンバーにのみ表示されます)

質問 2：
A successful executive left her job and became a housewife after her marriage to a plastic surgeon. She started doing volunteer work for a charity organization. She developed pain in her legs that advanced to the point of paralysis. Her physicians can find no organic basis for the paralysis. The client's behavior can be described as:
A. Agoraphobia
B. Conversion reaction
C. Malingering
D. Housework phobia
正解：B
解説: (Topexam メンバーにのみ表示されます)

質問 3：
A 16-year-old client comes to the prenatal clinic for her monthly appointment. She has gained 14 lb from her
7th to 8th month; her face and hands indicate edema. She is diagnosed as having PIH and referred to the high-risk prenatal clinic. The client's weight increase is most likely due to:
A. Obesity prior to conception
B. Hypertension due to kidney lesions
C. Fluid retention
D. Overeating and subsequent obesity
正解：C
解説: (Topexam メンバーにのみ表示されます)

質問 4：
When interviewing parents who are suspected of child abuse, the nurse would use which of the following interview techniques?
A. Be direct, honest, and attentive.
B. After the interview, call child protective services.
C. Ask the parents what they could have done differently to prevent this from happening to the child.
D. Approach them in the emergency room as soon as you suspect abuse to "clear the air" right away.
正解：A
解説: (Topexam メンバーにのみ表示されます)

質問 5：
A 15-year-old client is admitted to the adolescent unit. The nurse recognizes that encouraging a client to speak openly depends on how clearly questions are phrased. Which of the following statements is most desirable in eliciting information from an adolescent client?
A. "What is it like between you and your family?"
B. "Do you get along well with your family?"
C. "You don't hate your family, do you?"
D. "Do you communicate with your parents?"
正解：A
解説: (Topexam メンバーにのみ表示されます)

質問 6：
A client is scheduled for a magnetic resonance imaging (MRI) to locate a cerebral lesion. It is important for the nurse to find out if he has a(n):
A. Movable metal implant
B. Allergy to seafood
C. History of seizures
D. Pin or screw in any bone
正解：A
解説: (Topexam メンバーにのみ表示されます)

質問 7：
A client had a cardiac catheterization with angiography and thrombolytic therapy with streptokinase. The nurse should initiate which of the following interventions immediately after he returns to his room?
A. Ambulate him to the bathroom to void.
B. Place him in a high Fowler position.
C. Place him on NPO restriction for 4 hours.
D. Monitor the catheterization site every 15 minutes.
正解：D
解説: (Topexam メンバーにのみ表示されます)

質問 8：
A client is diagnosed with Mycobacterium tuberculosis. He is placed in respiratory isolation, intubated, and receives mechanical ventilation. When performing suctioning, the nurse should:
A. Suction for a maximum of 20 seconds
B. Maintain clean technique during suctioning
C. Hyperoxygenate before and after suctioning
D. Suction for a maximum of 30 seconds
正解：C
解説: (Topexam メンバーにのみ表示されます)

質問 9：
Painless vaginal bleeding in the last trimester may be caused by:
A. Placenta previa
B. Abruptio placentae
C. Polyhydramnios
D. Menstruation
正解：A
解説: (Topexam メンバーにのみ表示されます)