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：2025-03-03

問題と解答：全865問

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質問 1：
A 19-year-old male client arrived via ambulance to the emergency room following a motorcycle accident. He is comatose. His face has evidence of dried blood. On assessment, the nurse notes an obvious injury to his left eye. The preferred positioning for a client with an obvious eye injury is:
A. Sitting with head support
B. Any position in which the client is comfortable
C. Reclining to control bleeding
D. Side-lying, either left or right
正解：A
解説: (Topexam メンバーにのみ表示されます)

質問 2：
When planning care for a 9-year-old client, the nurse uses which of the most effective means of helping siblings cope with their feelings about a brother who is terminally ill?
A. Open discussion and understanding
B. Play-acting out feelings in different roles
C. Drawing pictures
D. Storytelling
正解：B
解説: (Topexam メンバーにのみ表示されます)

質問 3：
A 70-year-old female client is admitted to the medical intensive care unit with a diagnosis of cerebrovascular accident (CVA). She is semicomatose, responding to pain and change in position. She is unable to speak or cough. In planning her nursing care for the first 24 hours following a CVA, which nursing diagnosis should receive the highest priority?
A. Ineffective airway clearance related to immobility, ineffective cough, and decreased level of consciousness
B. Altered cerebral tissue perfusion related to pathophysiological changes that decrease blood flow
C. Potential for injury related to impaired mobility and seizures
D. Impaired verbal communication related to aphasia
正解：A
解説: (Topexam メンバーにのみ表示されます)

質問 4：
An 80-year-old male client with a history of arteriosclerosis is experiencing severe pain in his left leg that started approximately 20 minutes ago. When performing the admission assessment, the nurse would expect to observe which of the following:
A. The left leg warmer to touch than the right leg
B. Decreased or absent pedal pulse in the left leg
C. Both lower extremities warm to touch with 2_pedal pulses
D. Both lower extremities cyanotic when placed in a dependent position
正解：B
解説: (Topexam メンバーにのみ表示されます)

質問 5：
A 14-year-old boy has had diabetes for 7 years. He takes 30 U of NPH insulin and 10 U of regular insulin every morning at 7 AM. He eats breakfast at 7:30 AM and lunch at noon. What time should he expect the greatest risk for hypoglycemia?
A. 1 PM
B. 11 AM
C. 3 PM
D. 9 AM
正解：B
解説: (Topexam メンバーにのみ表示されます)

質問 6：
A client is now pregnant for the second time. Her first child weighed 4536 g at delivery. The client's glucose tolerance test shows elevated blood sugar levels. Because she only shows signs of diabetes when she is pregnant, she is classified as having:
A. Type I diabetes mellitus
B. Type II diabetes mellitus
C. Gestational diabetes mellitus
D. Insulin-dependent diabetes
正解：C
解説: (Topexam メンバーにのみ表示されます)

質問 7：
A psychiatric nurse is providing an orientation to a new staff nurse. She reminds the nurse that psychiatrists often use categories of medications and that it is important that she recall that some categories of medications have synonyms. Another name used to describe minor tranquilizers is which of the following?
A. Antidepressant medications
B. Antianxiety medications
C. Antimania medication
D. Antipsychotic medications
正解：B
解説: (Topexam メンバーにのみ表示されます)

質問 8：
A 35-weeks-pregnant client is undergoing a nonstress test (NST). During the 20-minute examination, the nurse notes three fetal movements accompanied by accelerations of the fetal heart rate, each 15 bpm, lasting
15 seconds. The nurse interprets this test to be:
A. Reactive
B. Positive
C. Negative
D. Nonreactive
正解：A
解説: (Topexam メンバーにのみ表示されます)

質問 9：
A male client is scheduled for a liver biopsy. In preparing him for this test, the nurse should:
A. Explain that he will be kept NPO for 24 hours before the exam
B. Practice with him so he will be able to hold his breath for 1 minute
C. Explain that his vital signs will be checked frequently after the test
D. Explain that he will be receiving a laxative to prevent a distended bowel from applying pressure on the liver
正解：C
解説: (Topexam メンバーにのみ表示されます)

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NCLEX National Council Licensure Examination(NCLEX-RN) 認定 NCLEX-RN 試験問題:

1. A gravida 2 para 1 client delivered a full-term newborn 12 hours ago. The nurse finds her uterus to be boggy, high, and deviated to the right. The most appropriate nursing action is to:

A) Massage the uterus and re-evaluate in 30 minutes
B) Place the client on a pad count
C) Notify the physician
D) Have the client void and then re-evaluate the fundus

2. An 11-year-old boy has received a partial-thickness burn to both legs. He presents to the emergency room approximately 15 minutes after the accident in excruciating pain with charred clothing to both legs. What is the first nursing action?

A) Begin debridement by removing all charred clothing from wound.
B) Apply Silvadene cream (silver sulfadiazine).
C) Apply ice packs to both legs.
D) Immerse both legs in cool water.

3. A client is admitted to the hospital for an induction of labor owing to a gestation of 42 weeks confirmed by dates and ultrasound. When she is dilated 3 cm, she has a contraction of 70 seconds. She is receiving oxytocin.
The nurse's first intervention should be to:

A) Turn off the IV oxytocin
B) Notify the attending physician
C) Prepare for the delivery because the client is probably in transition
D) Check FHT

4. Which of the following risk factors associated with breast cancer would a nurse consider most significant in a client's history?

A) Nulliparity
B) Maternal family history of breast cancer
C) Early menopause
D) Menarche after age 13

5. A 27-year-old primigravida stated that she got up from the chair to fix dinner and bright red blood was running down her legs. She denies any pain previously or currently. The client is very concerned about whether her baby will be all right. Her vital signs include P 120 bpm, respirations 26 breaths/min, BP 104/58 mm Hg, temperature 98.2_F, and fetal heart rate 146 bpm. Laboratory findings revealed hemoglobin 9.0 g/dL, hematocrit 26%, and coagulation studies within normal range. On admission, the peripad she wore was noted to be half saturated with bright red blood. A medical diagnosis of placenta previa is made. The priority nursing diagnosis for this client would be:

A) Alteration in parenting related to potential fetal injury
B) Potential for fluid volume excess related to fluid resuscitation
C) Decreased cardiac output related to excessive bleeding
D) Anxiety related to threat to self

質問と回答：

質問 # 1
正解： D

質問 # 2
正解： D

質問 # 3
正解： A

質問 # 4
正解： B

質問 # 5
正解： C