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試験の準備方法-ハイパスレートのNCLEX-RN日本語問題集試験-最高のNCLEX-RN受験記
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NCLEX-RN試験は、最大265問の問題から構成され、候補者は最大6時間で受験することができます。この試験はコンピュータ適応型であり、候補者のパフォーマンスに基づいて問題の難易度が変化します。試験は、患者ケア、安全、薬理学、健康促進、疾患予防など、様々なトピックをカバーしています。
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NCLEX-RN試験は、重要な試験であり、十分な準備が必要です。そのため、多くの看護プログラムは、NCLEX-RNのレビューコースや学習教材を提供しており、学生が試験の準備をするのに役立ちます。また、レビュー用の書籍、フラッシュカード、オンラインコースなどの第三者の学習教材を使用する学生もいます。しかし、看護教育で習得したスキルや知識を試験で評価するため、準備が重要である一方で、看護理論と実践の堅実な基盤が不可欠です。
NCLEX National Council Licensure Examination(NCLEX-RN) 認定 NCLEX-RN 試験問題 (Q760-Q765):
質問 # 760
A male client was involved in a motor vehicle accident earlier in the day. The nurse caring for him on evenings notices that on admission to the hospital, he lost a lot of blood and required multiple blood transfusions. The nurse would anticipate which blood product would be ordered when a large blood loss has occurred?
- A. Platelets
- B. Whole blood
- C. Fresh frozen plasma
- D. Packed red blood cells
正解：B
解説：
Explanation
(A) Whole blood is the transfusion component of choice when large volumes of blood need to be replaced.
Whole blood contains all blood components that are lost during active bleeding. (B) Platelet therapy is indicated for thrombocytopenia if the client's platelet count is below 15,000/mm3. (C) Infusion of fresh frozen plasma is required when the prothrombin time and partial thromboplastic time are prolonged. (D) Packed red blood cells are transfused in instances of anemia with decreases in hematocrit and hemoglobin.
質問 # 761
The 4th of July holiday comes while a client is in the hospital being treated for schizophrenia. She is taking chlorpromazine and has improved to the point of being allowed to go with a group to the park for a picnic. The side effect of chlorpromazine that the nurse needs to keep in mind during this outing is:
- A. Photosensitivity
- B. Excessive appetite
- C. Hypotension
- D. Dryness of the mouth
正解：A
解説：
Explanation
(A) A decrease in blood pressure sometimes occurs with chlorpromazine. It would not be a factor influenced by a picnic in the park. (B) Protection from the sun is important in clients taking phenothiazines because they burn easily and severely. (C) An appetite increase sometimes occurs with chlorpromazine. It would not be affected by a picnic. (D) Dryness of the mouth may occur at any time and is not affected by the picnic outing.
質問 # 762
A common complication of cirrhosis of the liver is prolonged bleeding. The nurse should be prepared to administer?
- A. Vitamin A
- B. Vitamin C
- C. Vitamin K
- D. Vitamin E
正解：C
解説：
(A) Vitamin C does not directly affect clotting. (B) Vitamin K is a fat-soluble vitamin that depends on liver function for absorption. Vitamin K is essential for clotting. (C) Vitamin E does not directly affect clotting. (D) Vitamin A does not directly affect clotting.
質問 # 763
Signs and symptoms of an allergy attack include which of the following?
- A. Circumoral cyanosis
- B. Wheezing on inspiration
- C. Increased respiratory rate
- D. Prolonged expiration
正解：D
解説：
Explanation/Reference:
Explanation:
(A) Wheezing occurs during expiration when air movement is impaired because of constricted edematous bronchial lumina. (B) Respirations are difficult, but the rate is frequently normal. (C) The circumoral area is usually pale. Cyanosis is not an early sign of hypoxia. (D) Expiration is prolonged because the alveoli are greatly distended and air trapping occurs.
質問 # 764
A client has been in labor 10 hours and is becoming very tired. She has dilated to 7 cm and is at 0 station with the fetus in a right occipitoposterior position. She is complaining of severe backache with each contraction. One comfort measure the nurse can employ is to:
- A. Have her push with each contraction
- B. Use effleurage during the contraction
- C. Apply strong sacral pressure during the contraction
- D. Place her in knee-chest position during the contraction
正解：C
解説：
(A) This measure is inappropriate. The knee-chest position is employed to take pressure off the cord. (B) Effleurage is a comfort measure but not the one that will contribute most to the relief of backache caused by a posterior position. (C) Sacral pressure will counteract the pressure created by the position of the fetal head. (D) The client is not completely dilated. Pushing is contraindicated until the second stage of labor.
質問 # 765
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