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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. Reclining to control bleeding
B. Sitting with head support
C. Side-lying, either left or right
D. Any position in which the client is comfortable
正解：B
解説: (Pass4Test メンバーにのみ表示されます)
質問 2：
On the third postpartum day, a client complains of extremely tender breasts. On palpation, the nurse notes a very firm, shiny appearance to the breasts and some milk leakage. She is bottle feeding. The nurse should initially recommend to her to:
A. Apply ice packs to the breasts and wear a supportive, well-fitting bra
B. Allow the infant to breast-feed at the next feeding time to empty the breasts
C. Take a warm shower and express milk from both breasts until empty
D. Take 2 ibuprofen (Motrin) tablets by mouth now because the baby will be returning for feeding in 20 minutes
正解：A
解説: (Pass4Test メンバーにのみ表示されます)
質問 3：
A client who has sustained a basilar skull fracture exhibits blood-tinged drainage from his nose. After establishing a clear airway, administering supplemental O2, and establishing IV access, the next nursing intervention would be to:
A. Perform a halo test and glucose level on the drainage
B. Pass a nasogastric tube through the left nostril
C. Place a 4 X 4 gauze in the nares to impede the flow
D. Gently suction the nasal drainage to protect the airway
正解：A
解説: (Pass4Test メンバーにのみ表示されます)
質問 4：
A nurse is taking a maternal history for a client at her first prenatal visit. Her pregnancy test was positive, she has two living children, she had one spontaneous abortion, and one infant died at the age of 3 months. Which of the following best describes the client at the present?
A. Gravida 5, para 4, ab 0
B. Gravida 4, para 2, ab 1
C. Gravida 5, para 3, ab 1
D. Gravida 4, para 3, ab 0
正解：C
解説: (Pass4Test メンバーにのみ表示されます)
質問 5：
A client had a right below-the-knee amputation 4 days ago. He is complaining of pain in his right lower leg.
The nurse should:
A. Call the physician to request a psychological consultation for the client
B. Remind the client that he no longer has that part of his leg and assure him he will be OK
C. Turn on the television to distract the client's attention from his amputated leg
D. Give the client his order of Demerol 50 mg IM prn
正解：D
解説: (Pass4Test メンバーにのみ表示されます)
質問 6：
A male client has experienced low back pain for several years. He is the primary support of his wife and six children. Although he would qualify for disability, he plans to continue his employment as long as possible.
His back pain has increased recently, and he is unable to control it with non-steroidal anti-inflammatory agents. He refuses surgery and cannot take narcotics and remain alert enough to concentrate at work. His physician has suggested application of a transcutaneous electrical nerve stimulation (TENS) unit. Which of the following is an appropriate rationale for using a TENS unit for relief of pain?
A. TENS units have an ultrasonic effect that relaxes muscles, decreases joint stiffness, and increases range of motion.
B. TENS units produce endogenous opioids that affect the central nervous system with analgesic potency comparable to morphine.
C. TENS units work on the gate-control theory of pain; biostimulation therapy of large fibers block painful stimuli.
D. TENS units prevent muscle spasms, decrease the potential for further injury, and minimize pressure on joints.
正解：C
解説: (Pass4Test メンバーにのみ表示されます)
質問 7：
A depressed client is seen at the mental health center for follow-up after an attempted suicide 1 week ago. She has taken phenelzine sulfate (Nardil), a monoamine oxidase (MAO) inhibitor, for 7 straight days. She states that she is not feeling any better. The nurse explains that the drug must accumulate to an effective level before symptoms are totally relieved. Symptom relief is expected to occur within:
A. 3 months
B. 2-4 weeks
C. 2 months
D. 10 days
正解：B
解説: (Pass4Test メンバーにのみ表示されます)
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. Reclining to control bleeding
B. Sitting with head support
C. Side-lying, either left or right
D. Any position in which the client is comfortable
正解：B
解説: (Pass4Test メンバーにのみ表示されます)
質問 2：
On the third postpartum day, a client complains of extremely tender breasts. On palpation, the nurse notes a very firm, shiny appearance to the breasts and some milk leakage. She is bottle feeding. The nurse should initially recommend to her to:
A. Apply ice packs to the breasts and wear a supportive, well-fitting bra
B. Allow the infant to breast-feed at the next feeding time to empty the breasts
C. Take a warm shower and express milk from both breasts until empty
D. Take 2 ibuprofen (Motrin) tablets by mouth now because the baby will be returning for feeding in 20 minutes
正解：A
解説: (Pass4Test メンバーにのみ表示されます)
質問 3：
A client who has sustained a basilar skull fracture exhibits blood-tinged drainage from his nose. After establishing a clear airway, administering supplemental O2, and establishing IV access, the next nursing intervention would be to:
A. Perform a halo test and glucose level on the drainage
B. Pass a nasogastric tube through the left nostril
C. Place a 4 X 4 gauze in the nares to impede the flow
D. Gently suction the nasal drainage to protect the airway
正解：A
解説: (Pass4Test メンバーにのみ表示されます)
質問 4：
A nurse is taking a maternal history for a client at her first prenatal visit. Her pregnancy test was positive, she has two living children, she had one spontaneous abortion, and one infant died at the age of 3 months. Which of the following best describes the client at the present?
A. Gravida 5, para 4, ab 0
B. Gravida 4, para 2, ab 1
C. Gravida 5, para 3, ab 1
D. Gravida 4, para 3, ab 0
正解：C
解説: (Pass4Test メンバーにのみ表示されます)
質問 5：
A client had a right below-the-knee amputation 4 days ago. He is complaining of pain in his right lower leg.
The nurse should:
A. Call the physician to request a psychological consultation for the client
B. Remind the client that he no longer has that part of his leg and assure him he will be OK
C. Turn on the television to distract the client's attention from his amputated leg
D. Give the client his order of Demerol 50 mg IM prn
正解：D
解説: (Pass4Test メンバーにのみ表示されます)
質問 6：
A male client has experienced low back pain for several years. He is the primary support of his wife and six children. Although he would qualify for disability, he plans to continue his employment as long as possible.
His back pain has increased recently, and he is unable to control it with non-steroidal anti-inflammatory agents. He refuses surgery and cannot take narcotics and remain alert enough to concentrate at work. His physician has suggested application of a transcutaneous electrical nerve stimulation (TENS) unit. Which of the following is an appropriate rationale for using a TENS unit for relief of pain?
A. TENS units have an ultrasonic effect that relaxes muscles, decreases joint stiffness, and increases range of motion.
B. TENS units produce endogenous opioids that affect the central nervous system with analgesic potency comparable to morphine.
C. TENS units work on the gate-control theory of pain; biostimulation therapy of large fibers block painful stimuli.
D. TENS units prevent muscle spasms, decrease the potential for further injury, and minimize pressure on joints.
正解：C
解説: (Pass4Test メンバーにのみ表示されます)
質問 7：
A depressed client is seen at the mental health center for follow-up after an attempted suicide 1 week ago. She has taken phenelzine sulfate (Nardil), a monoamine oxidase (MAO) inhibitor, for 7 straight days. She states that she is not feeling any better. The nurse explains that the drug must accumulate to an effective level before symptoms are totally relieved. Symptom relief is expected to occur within:
A. 3 months
B. 2-4 weeks
C. 2 months
D. 10 days
正解：B
解説: (Pass4Test メンバーにのみ表示されます)
Kouga -
て三日後に受験して受かったってっ感じ。Pass4Testさんありがとう。問題集はいつも素敵でございますね。