NCLEX NCLEX-PN 問題集

質問 1：
A nurse working in a pediatric clinic observes bruises on the body of a four year-old boy. The parents report the boy fell riding his bike. The bruises are located on his posterior chest wall and gluteal region. The nurse should:
A. Recommend ROM to the patient's spine to decrease healing time.
B. Suggest a script for counseling for the family to the doctor on duty.
C. Notify the case manager in the clinic about possible child abuse concerns.
D. Recommend a warm bath for the boy to decrease healing time.
正解：C
解説: (Topexam メンバーにのみ表示されます)

質問 2：
The nurse who was not promoted then went to the utility room and slammed several cupboard doors while looking for Kleenex. This behavior exemplifies:
A. reaction formation.
B. displacement.
C. conversion.
D. sublimation.
正解：B
解説: (Topexam メンバーにのみ表示されます)

質問 3：
After group therapy, the female victim of intimatepartner violence confides to the nurse that
she does not feel in any immediate danger. Which of the following statements about victims of domestic violence is true?
A. Victims of domestic violence often overestimate their safety risk.
B. Victims of domestic violence are typically in a state of denial.
C. Victims of domestic violence are often the best predictors of their risk of harm.
D. Victims of domestic violence know that keeping peace with their partner is the best method of preventing another attack.
正解：C
解説: (Topexam メンバーにのみ表示されます)

質問 4：
Assessment of a client with a cast should include:
A. discomfort of the metacarpals.
B. moist skin essential, pain threshold.
C. capillary refill, warm toes, no discomfort.
D. posterior tibial pulses, warm toes.
正解：C
解説: (Topexam メンバーにのみ表示されます)

質問 5：
A nurse is caring for a client with an elevated urine osmolarity. The nurse should assess the client for:
A. hyperkalemia.
B. fluid volume excess.
C. fluid volume deficit.
D. hypercalcemia.
正解：C
解説: (Topexam メンバーにのみ表示されます)

質問 6：
When assessing a client in the Emergency Department whose membranes have ruptured, the nurse notes that the fluid is a greenish color. What is the cause of this greenish coloration?
A. meconium
B. caput
C. hydramnios
D. blood
正解：A
解説: (Topexam メンバーにのみ表示されます)

質問 7：
A client has sustained a hyphema. What intervention should the nurse take?
A. Apply atropine eye drops.
B. Have the client wear ear protectors in the future.
C. Apply an ice pack to the site of injury.
D. Keep the client at bed rest, typically with the head of the bed propped up.
正解：D
解説: (Topexam メンバーにのみ表示されます)

質問 8：
Which of the following might be an appropriate nursing diagnosis for an epileptic client?
A. Risk for Injury
B. Dysreflexia
C. Unbalanced Nutrition
D. Urinary Retention
正解：A
解説: (Topexam メンバーにのみ表示されます)

質問 9：
People who live in poverty are most likely to obtain health care from:
A. Emergency Departments or urgent care centers.
B. their primary care physician (family doctor).
C. specialists.
D. a neighborhood clinic.
正解：A
解説: (Topexam メンバーにのみ表示されます)