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試験番号：NCLEX-RN問題集
試験科目：National Council Licensure Examination(NCLEX-RN)
最近更新時間：2017-11-30
問題と解答：全865問 NCLEX-RN 勉強資料
100％の返金保証。1年間の無料アップデート。
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NO.1 A client has returned to the unit from the recovery room after having a thyroidectomy. The
nurse knows that a major complication after a thyroidectomy is:
A. Myxedema
B. Hypercalcemia
C. Respiratory obstruction
D. Fistula formation
Answer: C
NCLEX-RN 問題例 NCLEX-RN 合格点
Explanation:
(A)
Respiratory obstruction due to edema of the glottis, bilateral laryngeal nerve damage, or tracheal
compression from hemorrhage is a major complication after a thyroidectomy.
(B)
Hypocalcemia accompanied by tetany from accidental removal of one or more parathyroid glands is a
major complication, not hypercalcemia. (C) Fistula formation is not a major complication associated
with a thyroidectomy. It is a major complication with a laryngectomy.(D) Myxedema is
hypothyroidism that occurs in adults and is not a complication of a thyroidectomy. A thyroidectomy
client tends to develop thyroid storm, which is excess production of thyroid hormone.
NO.2 A client has been taking lithium 300 mg po bid for the past two weeks. This morning her
lithium level was 1 mEq/L. The nurse should:
A. Notify the physician immediately
B. Obtain an order for benztropine (Cogentin)
C. Hold the morning lithium dose and continue to observe the client
D. Administer the morning lithium dose as scheduled
Answer: D
Explanation:
(A) There is no need to phone the physician because the lithium level is within therapeutic range and
because there are no indications of toxicity present. (B) There is no reason to withhold the lithium
because the blood level is within therapeutic range. Also, it is necessary to give the medication as
scheduled to maintain adequate blood levels. (C) The lab results indicate that the client's lithium level
is within therapeutic range (0.2-1.4 mEq/L), so the medication should be given as ordered. (D)
Benztropine is an antiparkinsonism drug frequently given to counteractextrapyramidal symptoms
associated with the administration of antipsychotic drugs (not lithium).
NO.3 An 80-year-old male client with a history of arteriosclerosis is experiencing severe pain in his
left leg that started approximately 20 minutes ago. When performing the admission assessment, the
nurse would expect to observe which of the following:
A. The left leg warmer to touch than the right leg
B. Both lower extremities cyanotic when placed in a dependent position
C. Decreased or absent pedal pulse in the left leg
D. Both lower extremities warm to touch with 2_pedal pulses
Answer: C
NCLEX-RN 方法 NCLEX-RN 教本
Explanation:
(A) This statement describes a normal assessment finding of the lower extremities. (B) This
assessment finding reflects problems caused by venous insufficiency. (C) Decreased or absentpedal
pulses reflect a problem caused by arterial insufficiency. (D) The leg that is experiencing arterial
insufficiency would be cool to touch due to the decreased circulation.
NO.4 In client teaching, the nurse should emphasize that fetal damage occurs more frequently with
ingestion of drugs during:
A. Every trimester
B. Third trimester
C. First trimester
D. Second trimester
Answer: C
NCLEX-RN 保証 NCLEX-RN 研修
Explanation:
(A) Organogenesis occurs in the first trimester. Fetus is most susceptible to malformation during this
period. (B) Organogenesis has occurred by the second trimester. (C) Fetal development is complete
by this time. (D) The dangerous period for fetal damage is the first trimester, not the entire
pregnancy.
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