NCLEX NCLEX-RN 問題集

質問 1：
Iron dextran (Imferon) is a parenteral iron preparation.
The nurse should know that it:
A. Is also called intrinsic factor
B. Requires use of the Z-track method
C. Should be given SC
D. Must be given in the abdomen
正解：B
解説: (Topexam メンバーにのみ表示されます)

質問 2：
A client with a head injury asks why he cannot have something for his headache. The nurse's response is based on the understanding that analgesics could:
A. Elevate the blood pressure
B. Counteract the effects of antibiotics
C. Stimulate the central nervous system
D. Mask symptoms of increasing intracranial pressure
正解：D
解説: (Topexam メンバーにのみ表示されます)

質問 3：
A female client admitted to the labor and delivery unit thinks her bag of water "broke" approximately 2 hours ago. She is having mild contractions 5 minutes apart. The most immediate nursing intervention would be to:
A. Place the nitrazine test paper at the cervical os and note the color change.
B. Notify the physician.
C. Assess the FHR.
D. Note the color and amount of fluid on her clothes.
正解：C
解説: (Topexam メンバーにのみ表示されます)

質問 4：
A 13-year-old hemophiliac is hospitalized for hemarthrosis of his right knee. To relieve the pain, the nurse should:
A. Administer aspirin for pain
B. Encourage active range of motion to right knee
C. Place on bed rest; elevate and splint the right knee
D. Apply moist heat to the right knee
正解：C
解説: (Topexam メンバーにのみ表示されます)

質問 5：
Which of the following would indicate the need for further teaching for the client with COPD? The client verbalizes the need to:
A. Take vitamin supplementation
B. Eliminate intake of milk and milk products
C. Eat small, frequent meals
D. Eat high-calorie, high-protein foods
正解：B
解説: (Topexam メンバーにのみ表示されます)

質問 6：
A 19-year-old client has sustained a C-7 fracture, which resulted in his spinal cord being partially transected.
By 2 weeks' postinjury, his neck has been surgically stabilized, and he has been transferred from the intensive care unit. A potential life-threatening complication the nurse monitors the client for is:
A. Central cord syndrome
B. Spinal shock
C. Autonomic dysreflexia
D. Bradycardia
正解：C
解説: (Topexam メンバーにのみ表示されます)

質問 7：
A 55-year-old woman entered the emergency room by ambulance. Her primary complaint is chest pain. She is receiving O2 via nasal cannula at 2 L/min for dyspnea. Which of the following findings in the client's nursing assessment demand immediate nursing action?
A. Associated symptoms of indigestion and nausea
B. Restlessness and apprehensiveness
C. History of hypertension treated with pharmacological therapy
D. Inability to tolerate assessment session with the admitting nurse
正解：B
解説: (Topexam メンバーにのみ表示されます)

質問 8：
A 9-month-old infant visits her pediatrician for a routine visit. A developmental assessment was initiated by the nurse. Which skill would cause the nurse to be concerned about the infant's developmental progression?
A. She stands while holding onto furniture.
B. She creeps and crawls.
C. She pulls herself to her feet with help.
D. She sits briefly alone with assistance.
正解：D
解説: (Topexam メンバーにのみ表示されます)

質問 9：
On morning rounds, the nurse found a manic-depressive client who is taking lithium in a confused mental state, vomiting, twitching, and exhibiting a coarse hand tremor. Which one of the following nursing actions is essential at this time?
A. Administer her next dosage of lithium, and then call the physician.
B. Place her on NPO to decrease the excretion of lithium from her body, and call the physician.
C. Contact the lab and request a lithium level in 30 minutes, and call the physician.
D. Withhold her lithium, and report her symptoms to the physician.
正解：D
解説: (Topexam メンバーにのみ表示されます)