NCLEX NCLEX-RN問題集

質問 1：
A 68-year-old man was recently diagnosed with endstage renal disease. He has not yet begun dialysis but is experiencing severe anemia with associated symptoms of dyspnea on exertion and chest pain. Which statement best describes the management of anemia in renal failure?
A. Hematocrit levels usually remain slightly below normalin clients with renal failure.
B. The renal secretion of erythropoiesis is decreased. The bone marrow requires erythropoietin to mature red blood cells.
C. Transfusion is often begun as early as possible to prevent complications of anemia such as dyspnea and angina.
D. Anemia in renal failure is frequently caused by low serum iron and ferritin and corrected by oral iron and ferritin replacement therapy.
正解：B
解説: (Pass4Test メンバーにのみ表示されます)

質問 2：
A young child has been placed in a spica cast. The chief concern of the nurse during the first few hours is:
A. Using heated fans to dry the cast
B. Prevention of loss of muscle tone
C. Prevention of neurovascular complications
D. Immobilization of the affected limb
正解：C
解説: (Pass4Test メンバーにのみ表示されます)

質問 3：
The physician has prescribed metoclopramide (Reglan). When assessing the client, the nurse would expect to find which of the following responses?
A. Increase in peristalsis
B. Drowsiness
C. Disorientation
D. Increase in gastric secretions
正解：A
解説: (Pass4Test メンバーにのみ表示されます)

質問 4：
An 8-year-old child is admitted to the hospital for surgery. She has had no previous hospitalizations, and both she and her family appear anxious and fearful. It will be most helpful for the nurse to:
A. Take time to orient the child and her family to the hospital and the forthcoming events
B. Tell the child and her family that there is nothing to worry about, that the operation will not take long, and she will soon be as "good as new"
C. Explain that as soon as the child goes to the operating room she will have time to answer any questions the family has
D. Take the child to her room and calmly and matter-offactly begin to get her ready to go to the operating room
正解：A
解説: (Pass4Test メンバーにのみ表示されます)

質問 5：
Which of the following lab data is representative of a client with aplastic anemia?
A. Red blood cells 1 million, white blood cells 1500, thrombocytes 16,000
B. Hemoglobin 9.2, hematocrit 27, red blood cells 3.2 million
C. White blood cells 3000, hematocrit 27, red blood cells 2.8 million
D. White blood cells 4000, erythrocytes 2.5 million, thrombocytes 100,000
正解：A
解説: (Pass4Test メンバーにのみ表示されます)

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