NCLEX-RN科目対策、National Council Licensure Examination(NCLEX-RN)



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試験科目:National Council Licensure Examination(NCLEX-RN)
問題と解答:全865問 NCLEX-RN 無料ダウンロード

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NO.1 The pediatrician has diagnosed tinea capitis in an 8- year-old girl and has placed her on oral
griseofulvin. The nurse should emphasize which of these instructions to the mother and/or child?
A. May discontinue medication when the child experiences symptomatic relief.
B. Administer oral griseofulvin on an empty stomach for best results.
C. Discontinue drug therapy if food tastes funny.
D. Observe for headaches, dizziness, and anorexia.
Answer: D

(A) Giving the drug with or after meals may allay gastrointestinal discomfort. Giving the drug with a
fatty meal (ice cream or milk) increases absorption rate. (B) Griseofulvin may alter taste sensations
and thereby decrease the appetite. Monitoring of food intake is important, and inadequate nutrient
intake should be reported to the physician. (C) The child may experience symptomatic relief after 48-
96 hours of therapy. It is important to stress continuing the drug therapy to prevent relapse (usually
about 6 weeks). (D) The incidence of side effects is low; however, headaches are common. Nausea,
vomiting, diarrhea, and anorexia may occur. Dizziness, although uncommon, should be reported to
the physician.

NO.2 A 44-year-old female client is receiving external radiation to her scapula for metastasis of
breast cancer.
Teaching related to skin care for the client would include which of the following?
A. Encourage her to wear a tight-fitting vest to support her scapula.
B. Teach her to cover broken skin in the treated area with a medicated ointment.
C. Teach her to completely clean the skin to remove all ointments and markings after each treatment
D. Encourage her to avoid direct sunlight on the area being treated.
Answer: D

(A) The skin in a treatment area should be rinsed with water and patted dry. Markings should be left
intact, and the skin should not be scrubbed. (B) Clients should avoid putting any creams or lotions on
the treated area. This could interfere with treatment. (C) Radiation therapy clients should wear loose-
fitting clothes and avoid tight, irritating fabrics. (D) The area of skin being treated is sensitive to
sunlight, and the client should take care to prevent sun damage by avoiding direct sunlight and
covering the area when she is in the sun.

NO.3 Prior to an amniocentesis, a fetal ultrasound is done in order to:
A. Evaluate fetal lung maturity
B. Evaluate the amount of amniotic fluid
C. Ensure that the fetus is mature enough to perform the amniocentesis
D. Locate the position of the placenta and fetus
Answer: D

(A) Amniocentesis can be performed to assess for lung maturity. Fetal ultrasound can be used for
gestational dating, although it does not separately determine lung maturity. (B) Ultrasound can
evaluate amniotic fluid volume, which may be used to determine congenital anomalies. (C)
Amniocentesis involves removal of amniotic fluid for evaluation. The needle, inserted through the
abdomen, is guided by ultrasound to avoid needle injuries, and the test evaluates the position of the
placenta and the fetus. (D) Amniocentesis can be performed as early as the 15th-17th week of

NO.4 Three weeks following discharge, a male client is readmitted to the psychiatric unit for
depression. His wife stated that he had threatened to kill himself with a handgun. As the nurse
admits him to the unit, he says, "I wish I were dead because I am worthless to everyone; I guess I am
just no good." Which response by the nurse is most appropriate at this time?
A. "You've been feeling sad and alone for some time now?"
B. "I know with your wife and new baby that you do have a lot to live for."
C. "Don't you think this is a sign of your illness?"
D. "I don't think you are worthless. I'm glad to see you, and we will help you."
Answer: A

This response does not acknowledge the client's feelings.
This is a closed question and does not encourage communication.
This response negates the client's feelings and does not require a response from the client. (D) This
acknowledges the client's implied thoughts and feelings and encourages a response.

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