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NCLEXのNCLEX-RNテスト難易度の試験問題集

 

NO.1 Cystic fibrosis is transmitted as an autosomal recessive trait. This means that:
A. Both parents must be carriers for a child to have the disease
B. Fathers carry the gene and pass it to their daughters
C. Mothers carry the gene and pass it to their sons
D. Both parents must have the disease for a child to have the disease
Answer: A

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Explanation:
(A) Cystic fibrosis is not an X-linked or sex-linked disease. (B) The only characteristic on the Y
chromosome is the trait for hairy ears. (C) Both parents do not need to have the disease but must be
carriers. (D) If a trait is recessive, two genes (one from each parent) are necessary to produce an
affected child.

NO.2 Prior to an amniocentesis, a fetal ultrasound is done in order to:
A. Locate the position of the placenta and fetus
B. Ensure that the fetus is mature enough to perform the amniocentesis
C. Evaluate fetal lung maturity
D. Evaluate the amount of amniotic fluid
Answer: A

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Explanation:
(A) Amniocentesis can be performed to assess for lung maturity. Fetal ultrasound can be used for
gestational dating, although it does not separately determine lung maturity. (B) Ultrasound can
evaluate amniotic fluid volume, which may be used to determine congenital anomalies. (C)
Amniocentesis involves removal of amniotic fluid for evaluation. The needle, inserted through the
abdomen, is guided by ultrasound to avoid needle injuries, and the test evaluates the position of the
placenta and the fetus. (D) Amniocentesis can be performed as early as the 15th-17th week of
pregnancy.

NO.3 In client teaching, the nurse should emphasize that fetal damage occurs more frequently with
ingestion of drugs during:
A. Third trimester
B. First trimester
C. Second trimester
D. Every trimester
Answer: B

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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.

NO.4 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. Hold the morning lithium dose and continue to observe the client
B. Notify the physician immediately
C. Obtain an order for benztropine (Cogentin)
D. Administer the morning lithium dose as scheduled
Answer: D

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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).

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試験番号:NCLEX-RN 合格体験談
試験科目:「National Council Licensure Examination(NCLEX-RN)」
最近更新時間:2017-01-10
問題と解答:865

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