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NCLEX-RN样本题

日期:2015-10-27 | 来源 :中国护士网 | 作者 :www.angel512.com |点击:

下面是这一小类的典型试题

1Which of the following assignments, ifmade by the registered nurse, would be appropriate for a LPV/LVN?
1. A 34-yaer-oldwoman with low back pain scheduled for a myelogram in the afternoon.
2. A 41-year-old woman in traction with a fractured femur

3. A newly diagnosed 43-year-old womanwith type 1 diabetes mellitus.

4. A 56-year-old man with emphysemascheduled to be discharged later today.

正确答案是,美国注册护士考试大纲,此病人状态稳定,可以在RN的监督下由LPN护理

2After receiving report from night nurse,which of the following patients should the nurse see FIRST

A 31-year-old woman refusing Carafatebefore breakfast.

A 40-year-old man with left-sidedweakness asking for assistance to the commode.

A 52-year-old woman complaining ofchills who is scheduled for a cholecystectomy.

A 65-year-old man with a nasogastrictube who had a bowel resection yesterday
美国注册护士考试大纲正确答案是,此人病情最不稳定

3The physician orders tobramycin sulfate(Nebucin) 3mg/kg IV every 8 hours for a 3-year-old boy. The nurse enters thepatient’s room to administer the medication and discovers that the boy does nothave an identification bracelet. What should the nurse do?
. Ask the parents at the child’s bedsideto state their child’s name.
. Ask the child to say his first and last name.

. Have a co-worker identify the child before giving themedication.

. Hold the medication until an identification braceletcan be obtained.

正确答案是,美国注册护士考试大纲,这个行为能使护士正确的确认孩子的身份,并及时给药。

4A 21-year-old woman in active labor isadmitted to the labor suite. An hour later, the membranes rupturespontaneously. The nurse observes a glistening white cord protruding from the*. Which of the following actions should the nurse take FIRST?

. Return to the nurses’ station and place an emergencycall to the physician.

. Administer oxygen by mask at 10-12 liters/minute andassess the mother’s vital signs.

. Place a clean towel over the cord and wet it withsterile normal saline.

. Apply manual pressure to the presenting part and havethe mother assume a knee-chest position.

正确答案是,脐带脱出是紧急情况,必须缓解对脐带的压迫防止出现胎儿乏氧。
5A 50-year-old male patient comes to the nurses’ stationand ask the nurse if he can go to the cafeteria to get something to eat. When toldthat his privileges do not include visiting the cafeteria, the patient becomesverbally abusive. Which of the following approaches by the nurse would be mosteffective?

. Tell the patient to lower his voice because he isdisturbing the other patients.

. Ask the patient what he wants from the cafeteria andhave it delivered to his room.

. Calmly but firmly escort the patient back to his room.

. Assign a nursing assistant to accompany the patient tothe cafeteria.

正确答案是,不应助长其攻击性行为,病人需要一致性的护理,及明确的行为预期和行为限定。

6A cast is applied to a 9-month-old girlfor the treatment of talipes eqinovarus. Which of the following instructions ismost essential for the nurse to give to the child’s mother regarding her care?

Offer appropriate toy for the age.

Make frequent clinic visits for cast adjustment.

Provide an analgesic as needed.

Do circulatory checks of the casted extremity

正确答案是,应用石膏后可能的并发症是循环障碍,病人家庭指导时包括所有的答案选项,但循环检查是最优先的。

7,The home health nurse is going tostart an IV with 5% dextrose in water (D5W) for a 76-year-old woman. To performthe venipuncture, the nurse should start the IV with which of the following?

. The veins of the client’s wrist on the nondominantside.

. The veins of the leg so it will not interfere with theclient’s ability to feed herself.

. The dorsal veins of the client’s forearm on thenondominant side.

. The dorsal surface of the client’s hand on thenondominant side.

  正确答案是,由于它具有容易穿刺、静脉有弹性及病人使用有限等特点,是最佳的注射部位。

8, A 7-year-old girl with type 1 insulindependent diabetes mellitus (IDDM) has been home sick for several days and isbrought to the emergency department by her parents. If the child isexperiencing ketoacidosis, the nurse would expect to see which of the followinglab results?

. Serum glucose 140 mg/dL

. Serum creatine 5.2 mg/dL

. Blood pH 7.28

. Hematocrit 38%

正确答案:.

9The nurse delivers external cardiaccompressions to a client while performing cardiopulmonary resuscitation (CPR).Which of the following actions by the nurse is the best?

. Maintain a position close to the client’s side with thenurse’s knees apart.

. Maintain vertical pressure on the client’s chestthrough the heel of the nurse’s hand.

. Re-check the nurse hand position after every 10 chestcompressions
. Check for a return of the client’s pulse after every 8breaths by the nurse.

正确答案是,护士的肘部应该固定不动,上臂伸直,肩部位于手的上方。错误的压力和手的位置不当会对病人造成伤害。

10The nurse obtains a health history froma patient admitted with acute glomerulonephritis that is associated with betahemolytic streptococcus. The nurse expects which of the following to besignificant in the health history?
The patient had sore throat two weeksearlier.
There is a family history ofglomerulonephritis.

The patient had a renal calculus twoyears earlier.

The patient had an accident involvingrenal trauma several years ago.

正确答案是,肾小球肾炎由β-溶血性链球菌引起,发生在呼吸道和皮肤感染后21天。

11The nurse plans care for a patientdiagnosed with an acute myocardial infarction. An appropriate nursing diagnosisis decreased cardiac output secondary to which of the following?

. Ventricular dysrhthmias

. Congestive heart failure.

. Recurrent myocardial infarction.

. Hypertensive crisis.
正确答案是,心梗后常见心律失常,并减少心脏效力。

12A client comes to the emergency roomcomplaining of nausea, vomiting, and several right upper quadrant pain. Histemperature is 101.3(38.5) and an abdominal X-ray reveals anenlarged gall bladder. He is scheduled for surgery. Which of the followingactions should the nurse take FIRST?

. Assessing the patient’s need for dietary teaching.

. Evaluating the patient’s fluid and electrolyte status.

. Examining the patient’s health history for allergies toantibiotics.

. Determining whether the patient has signed consent forsurgery.
正确答案是,反复呕吐后常见低钾血征和低镁血征。

13A patient is being treated in the burnunit for second- and third-degree burns over 45% of his body. The physician’sorders include the application of silver sufadiazine (Silvadene cream). Thebest way for the nurse to apply this medication is to use a sterile

. 4×4 soaked in saline.

. tongue depressor.

. gloved hand.
. Cotton-tipped applicator

正确答案是带无菌手套可以使组织损伤最少,并降低水泡破溃的机会。

14When caring for a patient with anorexianervosa, which of the following observations indicate to the nurse that thepatient’s condition is improving?

. The patient eats all the foods on the meal tray.

. The patient asks friends to bring her special foods

. The patient weighs herself daily

. The patient’s weight has increased

正确答案是,评价病人问题的最客观的结果是病人的体重。

 

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