試験科目：National Council Licensure Examination(NCLEX-RN)
問題と解答：全865問 NCLEX-RN 勉強
NO.1 A 10-year-old client with a pin in the right femur is immobilized in traction. He is exhibiting
behavioral changes including restlessness, difficulty with problem solving, inability to concentrate on
activities, and monotony. Which of the following nursing implementations would be most effective in
helping him cope with immobility?
A. Providing him with books, challenging puzzles, and games as diversionary activities
B. Having a volunteer come in to sit with the client and to read him stories
C. Allowing him to do as much for himself as he is able, including learning to do pin-site care under
D. Stimulating rest and relaxation by gentle rubbing with lotion and changing the client's position
(A) These activities could be frustrating for the client if he is having difficulty with problem solving
and concentration. (B) Selfcare is usually well received by the child, and it is one of the most useful
interventions to help the child cope with immobility. (C) This may be helpful to the client if he has no
visitors, but it does little to help him develop coping skills. (D) This will helpto prevent skin irritation
or breakdown related to immobility but will not help to prevent behavioral changes related to
NO.2 In acute episodes of mania, lithium is effective in 1-2 weeks, but it may take up to 4 weeks, or
even a few months, to treat symptoms fully. Sometimes an antipsychotic agent is prescribed during
the first few days or weeks of an acute episode to manage severe behavioral excitement and acute
psychotic symptoms. In addition to the lithium, which one of the following medications might the
A. Sertraline (Zoloft)
B. Diazepam (Valium)
C. Alprazolam (Xanax)
D. Haloperidol (Haldol)
(A) Diazepam is an antianxiety medication and is not designed to reduce psychotic symptoms. (B)
Haloperidol is an antipsychotic medication and may be used until the lithium takes effect. (C)
Sertraline is an antidepressant and is used primarily to reduce symptoms of depression. (D)
Alprazolam is an antianxiety medication and is not designed to reduce psychotic symptoms.
NO.3 The nurse is assisting a 4th-day postoperative cholecystectomy client in planning her meals for
tomorrow's menu. Which vitamin is the most essential in promoting tissue healing?
A. Vitamin A
B. Vitamin D
C. Vitamin B1
D. Vitamin C
(A) Vitamin C (ascorbic acid) is essential in promoting wound healing and collagen formation. (B)
Vitamin B1 (thiamine) maintains normal gastrointestinal (GI) functioning, oxidizes carbohydrates, and
is essential for normal functioning of nervous tissue. (C) Vitamin D regulates absorption of calcium
and phosphorus from the GI tract and helps prevent rickets. (D) Vitamin A is necessary for the
formation and maintenance of skin and mucous membranes. It is also essential for normal growth
and development of bones and teeth.
NO.4 A woman diagnosed with multiple sclerosis is disturbed with diplopia. The nurse will teach her
A. Take more frequent naps
B. Use artificial tears
C. Limit activities which require focusing (close vision)
D. Wear a patch over one eye
Limiting activities requiring close vision will not alleviate the discomfort of double vision.
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.
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.
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