最新なNCLEX NCLEX-PN問題集（725題）、真実試験の問題を全部にカバー！

質問 1：
A nurse is reviewing a patient's arterial blood gas values. Which of the following conditions apply under the following values? pH- 7.49 Bicarbonate ion 24 mEq/dl PaCO2 - 31 mmHg PaO2 - 52 mmHg FiO2 - .22
A. respiratory alkalosis
B. metabolic acidosis
C. respiratory acidosis
D. metabolic alkalosis
正解：A
解説: (Pass4Test メンバーにのみ表示されます)

質問 2：
A client is 36 hours post-op a TKR surgery. 270 cc's of sero-sanguinous accumulates in the surgical drains. What action should the nurse take?
A. Notify the doctor
B. Empty the drain
C. Do nothing
D. Remove the drain
正解：A
解説: (Pass4Test メンバーにのみ表示されます)

質問 3：
A 13 year old girl is admitted to the ER with lower right abdominal discomfort. The admitting nursing should take which the following measures first?
A. Provide pain reduction techniques without administering medication.
B. Administer Loritab to the patient for pain relief.
C. Place the patient in right sidelying position for pressure relief.
D. Start a Central Line.
正解：A
解説: (Pass4Test メンバーにのみ表示されます)

質問 4：
A nurse discharge planner is preparing a client for discharge from an acute care setting. The nurse assesses that skilled home care services are clinically indicated. This assessment is based on all of the following indicators except:
A. the client is ordered to continue IV antibiotics 5 days post discharge.
B. the client has a Foley catheter.
C. the client's family is available to care for him 24 hours a day.
D. the client has been admitted to the hospital three times in the last 2 months.
正解：C
解説: (Pass4Test メンバーにのみ表示されます)

質問 5：
A stool culture reveals Shigella. What corollary should the nurse recognize regarding this bacterial infection?
A. The nurse should wear a one-way breathing apparatus when giving client care.
B. People who have been in contact with the client need to be tested.
C. Shigella is an airborne infection.
D. Shigella is a bacteria sometimes found in stagnant water.
正解：D
解説: (Pass4Test メンバーにのみ表示されます)

質問 6：
Padding on a restraint helps:
A. to keep infection and wounds down.
B. to keep restraints in place.
C. with pressure distribution so that bony prominences do not receive pressure when a client pulls against the restraints.
D. the client feel more secure.
正解：C
解説: (Pass4Test メンバーにのみ表示されます)

質問 7：
Laboratory tests reveal the following electrolyte values for Mr. Smith: Na 135 mEq/L, Ca
8.5 mg/dL, Cl 102 mEq/L, and K 2.0 mEq/L. Which of the following values should the nurse report to the physician because of its potential risk to the client?
A. K
B. Na
C. Cl
D. Ca
正解：A
解説: (Pass4Test メンバーにのみ表示されます)

質問 8：
A 46 year-old has returned from a heart catheterization and wants to get up to start walking 3 hours after the procedure. The nurse should:
A. Allow the patient to begin limited ambulation with assistance.
B. Recommend a physical therapy consultation for ambulation.
C. Tell the patient to remain with leg straight for another 6 hours and check the chart for activity orders.
D. Tell the patient to remain with the leg straight for at least another hour and check the chart for activity orders.
正解：D
解説: (Pass4Test メンバーにのみ表示されます)