NCLEX-RNの無料問題集（865題）、NCLEX-RN認定試験参考書

NCLEX NCLEX-RN 問題集

試験コード：NCLEX-RN

試験名称：National Council Licensure Examination(NCLEX-RN)

最近更新時間：2025-09-11

問題と解答：全865問

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質問 1：
A 42-year-old client on an inpatient psychiatric unit comments that he was brought to the hospital by his wife because he had taken too many pills and states, "I just couldn't take it anymore." The nurse's best response to this disclosure would be:
A. "You shouldn't do things like that, just tell someone you feel bad."
B. "Tell me more about what you couldn't take anymore."
C. "How long have you been in the hospital."
D. "I'm sure you probably didn't mean to kill yourself."
正解：B
解説: (Topexam メンバーにのみ表示されます)

質問 2：
One of the medications that is prescribed for a male client is furosemide (Lasix) 80 mg bid. To reduce his risk of falls, the nurse would teach him to take this medication:
A. With breakfast and at bedtime
B. At evenly spaced intervals, such as 8 AM and 8 PM
C. With at least one glass of water per pill
D. On arising and no later than 6 PM
正解：D
解説: (Topexam メンバーにのみ表示されます)

質問 3：
A client who has sustained a basilar skull fracture exhibits blood-tinged drainage from his nose. After establishing a clear airway, administering supplemental O2, and establishing IV access, the next nursing intervention would be to:
A. Gently suction the nasal drainage to protect the airway
B. Pass a nasogastric tube through the left nostril
C. Perform a halo test and glucose level on the drainage
D. Place a 4 X 4 gauze in the nares to impede the flow
正解：C
解説: (Topexam メンバーにのみ表示されます)

質問 4：
A 26-year-old client is admitted to the labor, delivery, recovery, postpartum unit. The nurse completes her assessment and determines the client is in the first stage of labor. The nurse should instruct her:
A. To push before becoming fully dilated
B. Not to push with her contractions
C. To hold her breath during contractions
D. To be flat on her back
正解：B
解説: (Topexam メンバーにのみ表示されます)

質問 5：
A 55-year-old man is admitted to the hospital with complaints of fatigue, jaundice, anorexia, and clay-colored stools. His admitting diagnosis is "rule out hepatitis." Laboratory studies reveal elevated liver enzymes and bilirubin. In obtaining his health history, the nurse should assess his potential for exposure to hepatitis.
Which of the following represents a high-risk group for contracting this disease?
A. American Indians
B. Oncology nurses
C. Heterosexual males
D. Jehovah's Witnesses
正解：B
解説: (Topexam メンバーにのみ表示されます)

質問 6：
Goal setting for a client with Meniere's disease should include which of the following?
A. Frequent ambulation
B. Consumption of three meals per day
C. Prevention of a fall injury
D. Prevention of infection
正解：C
解説: (Topexam メンバーにのみ表示されます)

質問 7：
An 80-year-old widow is living with her son and daughter- in-law. The home health nurse has been making weekly visits to draw blood for a prothrombin time test. The client is taking 5 mg of coumadin per day. She appears more debilitated, and bruises are noted on her face. Elder abuse is suspected. Which of the following are signs of persons who are at risk for abusing an elderly person?
A. A family member who is having marital problems and is regularly abusing alcohol
B. A person with adequate communication and coping skills who is employed by the family
C. A lifelong friend of the client who is often confused
D. A friend of the family who wants to help but is minimally competent
正解：A
解説: (Topexam メンバーにのみ表示されます)

質問 8：
A client with cystic fibrosis exhibits activity intolerance related to the pulmonary problems associated with his disease. However, he needs to be encouraged to participate in daily physical exercise. The ultimate aim of exercise is to:
A. Help him overcome respiratory infections
B. Create a sense of well-being and self-worth
C. Promote normal growth and development
D. Establish an effective, habitual breathing pattern
正解：D
解説: (Topexam メンバーにのみ表示されます)

質問 9：
A 24-year-old male client is admitted with a diagnosis of sickle cell anemia. The nurse discusses his disease with him and emphasizes the following information:
A. His daily diet should include a large amount of fluid.
B. He should not be concerned about having to fly on a commuter airplane on a weekly basis.
C. He should not worry about having children because this disease is passed on only by female carriers.
D. He should monitor his sputum, stools, and urine for signs of bleeding.
正解：A
解説: (Topexam メンバーにのみ表示されます)

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NCLEX NCLEX-RN 認定試験の出題範囲：

トピック	出題範囲
トピック 1	Safe and Effective Care Environment: This section of the exam measures skills of Registered Nurses and covers how to manage client care while maintaining a safe and effective healthcare environment. It includes Management of Care, which assesses coordination with interdisciplinary teams, delegation, legal responsibilities, and resource utilization. It also includes Safety and Infection Control, focusing on minimizing risk to clients and staff through infection prevention, safe equipment use, emergency procedures, and addressing environmental hazards.
トピック 2	Health Promotion and Maintenance: This section of the exam measures skills of Clinical Nurse Educators and covers strategies to support wellness and prevent disease. It includes client education across age groups, prenatal and postnatal care, and community health promotion. Nurses are tested on performing screenings, recognizing risk factors, and adapting education based on learning needs and readiness.
トピック 3	Physiological Integrity: This section of the exam measures skills of Acute Care Nurses and focuses on maintaining physical health through four subdomains. Basic Care and Comfort assesses support with daily living tasks and comfort measures. Pharmacological and Parenteral Therapies covers safe medication administration and client monitoring. Reduction of Risk Potential evaluates the ability to detect and prevent complications. Physiological Adaptation tests management of clients with acute, chronic, or life-threatening health conditions using clinical interventions.
トピック 4	Psychosocial Integrity: This section of the exam measures skills of Mental Health Nurses and covers emotional, mental, and social well-being. It includes assessing psychological needs, substance use, abuse, grief, and coping challenges. The nurse must use therapeutic communication, recognize psychosocial stressors, and support clients with behavioral disorders while maintaining cultural sensitivity.

参照：https://www.nclex.com/files/2023_RN_Test%20Plan_English_FINAL.pdf