NCLEX-RN更新版、NCLEX-RN難易度受験料
NO.1 A client with a diagnosis of C-4 injury has been stabilized and is ready for discharge. Because
this client is at risk for autonomic dysreflexia, he and his family should be instructed to assess for and
report:
A. Pallor and itching of the face and neck
B. Dizziness and tachypnea
C. Headache and facial flushing
D. Circumoral pallor and lightheadedness
Answer: C
NCLEX-RN内容
Explanation:
(A) Tachypnea is not a symptom. (B) Circumoral pallor is not a symptom. (C) Autonomic dysreflexia is
an uninhibited and exaggerated reflex of the autonomic nervous system to stimulation, which results
in vasoconstriction and elevated blood pressure. (D) Pallor and itching are not symptoms.
NO.2 A woman diagnosed with multiple sclerosis is disturbed with diplopia. The nurse will teach her
to:
A. Limit activities which require focusing (close vision)
B. Wear a patch over one eye
C. Use artificial tears
D. Take more frequent naps
Answer: B
NCLEX-RN受験料過去問
Explanation:
(A)
Limiting activities requiring close vision will not alleviate the discomfort of double vision.
(B)
Frequent naps may be comforting, but they will not prevent double vision. (C) Artificial tears are
necessary in the absence of a corneal reflex, but they have no effect on diplopia.
(D)
An eye patch over either eye will eliminate the effects of double vision during the time the eye patch
is worn. An eye patch is safe for a person with an intact corneal reflex.
NO.3 A male client is experiencing extreme distress. He begins to pace up and down the corridor.
What nursing intervention is appropriate when communicating with the pacing client?
A. Increase the level of his supervision.
B. Walk with him as he paces.
C. Ask him to sit down. Speak slowly and use short, simple sentences.
D. Help him to recognize his anxiety.
Answer: B
NCLEX-RN短期
Explanation:
(A) The nurse should not ask him to sit down. Pacing is the activity he has chosen to deal with his
anxiety. The nurse dealing with this client should speak slowly and with short, simplesentences. (B)
The client may already recognize the anxiety and is attempting to deal with it. (C) Walk with the client
as he paces. This gives support while he uses anxiety-generated energy. (D) Increasing the level of
supervision may be appropriate after he stops pacing. It would minimize self-injury and/or loss of
control.
NO.4 A client with cirrhosis of the liver becomes comatose and is started on neomycin 300 mg q6h
via nasogastric tube. The rationale for this therapy is to:
A. Promote diuresis
B. Acidify the small bowel
C. Prevent systemic infection
D. Decrease ammonia formation
Answer: D
NCLEX-RN模試エンジン NCLEX-RN購入
Explanation:
(A) Neomycin is an antibiotic, but this is not the Rationale for administering it to a client in hepatic
coma. (B) Diuretics and salt-free albumin are used to promote diuresis in clients with cirrhosis of the
liver. (C) Neomycin destroys the bacteria in the intestines. It is the bacteria in the bowel that break
down protein into ammonia. (D) Lactulose is administered to create an acid environment in the
bowel. Ammonia leaves the blood and migrates to this acidic environment where it is trapped and
excreted.
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試験番号：NCLEX-RN 認定デベロッパー試験科目：「National Council Licensure Examination(NCLEX-RN)」
最近更新時間：2016-11-10
問題と解答：865
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