A pregnant client experiences a precipitous delivery. The nursing action during a precipitous delivery is to:
A. Cross client's legs tightly
B. Push against the perineum to stop delivery
C. Leave the room to call the physician
D. Control the delivery by guiding expulsion of fetus
正解:D
解説: (Pass4Test メンバーにのみ表示されます)
質問 2:
A mother is unsure about the type of toys for her 17-month-old child. Based on knowledge of growth and development, what toy would the nurse suggest?
A. Various large colored blocks to teach visual discrimination
B. A large toy with movable parts to improve pincer grasp
C. A pull toy to encourage locomotion
D. A mobile to improve hand-eye coordination
正解:C
解説: (Pass4Test メンバーにのみ表示されます)
質問 3:
A 55-year-old man is admitted to the hospital with complaints of fatigue, jaundice, anorexia, and clay-colored stools. His admitting diagnosis is "rule out hepatitis." Laboratory studies reveal elevated liver enzymes and bilirubin. In obtaining his health history, the nurse should assess his potential for exposure to hepatitis.
Which of the following represents a high-risk group for contracting this disease?
A. Heterosexual males
B. American Indians
C. Oncology nurses
D. Jehovah's Witnesses
正解:C
解説: (Pass4Test メンバーにのみ表示されます)
質問 4:
A 56-year-old psychiatric inpatient has had recurring episodes of depression and chronic low self-esteem. She feels that her family does not want her around, experiences a sense of helplessness, and has a negative view of herself. To assist the client in focusing on her strengths and positive traits, a strategy used by the nurse would be to:
A. Encourage or direct client to attend activities that offer simple methods to attain success
B. Tell the client to attend all structured activities on the unit
C. Not allow any dependent behaviors by the client because she must learn independence and will have to ask for any assistance from staff
D. Increase the client's self-esteem by asking that she make all decisions regarding attendance in group activities
正解:A
解説: (Pass4Test メンバーにのみ表示されます)
質問 5:
A client has been admitted to the labor and delivery unit in active labor. After assessing her, the RN notes that the client's fetus position is left occipital posterior. Which of the following statements best describes what this means to the labor process:
A. Prolongs the client's first stage of labor
B. Decreases the overall time of the labor process
C. Prolongs the client's third stage of labor
D. Decreases the time of the client's first stage of labor
正解:A
解説: (Pass4Test メンバーにのみ表示されます)
質問 6:
A 29-year-old client is admitted for a hysterectomy. She has repeatedly told the nurses that she is worried about having this surgery, has not slept well lately, and is afraid that her husband will not find her desirable after the surgery. Shortly into the preoperative teaching, she complains of a tightness in her chest, a feeling of suffocation, lightheadedness, and tingling in her hands. Her respirations are rapid and deep. Assessment reveals that the client is:
A. Having a heart attack
B. Hyperventilating
C. Wanting attention from the nurses
D. Suffering from complete upper airway obstruction
正解:B
解説: (Pass4Test メンバーにのみ表示されます)
質問 7:
A 1000-mL dose of lactated Ringer's solution is to be infused in 8 hours. The drop factor for the tubing is 10 gtt/mL. How many drops per minute should the nurse administer?
A. 48 gtt/min
B. 20 gtt/min
C. 125 gtt/min
D. 21 gtt/min
正解:D
解説: (Pass4Test メンバーにのみ表示されます)
Hanatsuka -
この前、ちょっと不満があります。NCLEX-RN問題集を購入して、試験と全然違います。試験の費用が高いのに、御社の資料を利用して試験に失敗しましたが、試験が変革したということを教えられました。
最近更新された問題集を私に送って、私はもう一度試験に参加して、無事に試験に合格しました。
いい信用がありますね。ありがとうございました。