CSLB General Building (B) Trade Practice Test
常见问题
这里有多少道 NCLEX-RN Nursing 练习题?+
一整套原创 NCLEX-RN Nursing 练习题,覆盖官方内容板块、按真实考试权重分布、附解析。免费,无需注册。
NCLEX-RN Nursing 考试是什么样的?+
大约 120 道题。先在这里按主题刷题,再做完整计时模考检验准备度。
这些是真实考题吗?+
不是。每道题都是 100% 原创,依据公开一手来源编写并附解析。我们从不抄袭真题或付费备考资料。
我可以用中文或西班牙语学吗?+
PrepPass 练习提供英文、中文、西班牙文。官方考试以英文进行 —— 你随时可以把题目语言切回英文,熟悉考试当天的确切术语。
样题与解析
以下是本题库中的部分真题与完整解析。完整题库请用上方的刷题工具。
- 1. Management of Care
A charge nurse is assigning tasks at the start of a shift. Which task is appropriate to delegate to unlicensed assistive personnel (UAP)?
- a.Taking vital signs on a stable postoperative client
- b.Performing the initial assessment of a newly admitted client
- c.Adjusting the flow rate of a continuous IV infusion
- d.Teaching a client how to use an incentive spirometer
答案: a
解析: UAP may perform routine, standardized tasks such as vital signs on stable clients. Assessment, IV titration, and client teaching require the judgment of a licensed nurse and cannot be delegated.
- 2. Management of Care
Which task can the RN appropriately delegate to a UAP for a client on strict intake and output monitoring?
- a.Emptying the urinary drainage bag and recording the amount
- b.Interpreting the significance of a low urine output
- c.Deciding whether to notify the provider about the output
- d.Adjusting the client's fluid restriction
答案: a
解析: Measuring and recording output is a routine task suitable for UAP. Interpreting values, clinical decision-making, and modifying the plan of care remain RN responsibilities.
- 3. Safety & Infection Control
A client is receiving oxygen at 4 L/min by nasal cannula. Which instruction promotes safety?
- a.Post no-smoking signs and keep open flames away from the oxygen
- b.Allow smoking if the client stays six feet from the tank
- c.Use petroleum-based lubricant on the client's dry lips
- d.Increase the flow rate whenever the client feels anxious
答案: a
解析: Oxygen supports combustion, so no smoking or open flames are permitted near it, and only water-based lubricants should be used. Flow rate changes require a provider order.
- 4. Health Promotion
The nurse is teaching parents about infant nutrition. When is it generally appropriate to introduce solid foods?
- a.Around 6 months of age
- b.At 2 months of age
- c.At 12 months of age
- d.As soon as the newborn shows hunger cues
答案: a
解析: Solid foods are typically introduced around 6 months, when the infant can sit with support and has lost the tongue-thrust reflex. Earlier introduction increases the risk of choking and allergies.
- 5. Psychosocial Integrity
A client newly diagnosed with cancer says, 'I just can't believe this is happening to me.' Which response is most therapeutic?
- a.This must be very difficult for you. Tell me what you are feeling
- b.At least it was caught early, so try to stay positive
- c.You should focus on your treatment plan now
- d.Many people do well with this diagnosis
答案: a
解析: Acknowledging the client's emotion and inviting them to share feelings uses empathy and open-ended communication. False reassurance and changing the focus block therapeutic dialogue.
- 6. Psychosocial Integrity
A nurse is assessing a client for postpartum depression. Which finding warrants further evaluation?
- a.Persistent sadness and disinterest in the infant after three weeks
- b.Occasional tearfulness that resolves within two weeks
- c.Fatigue related to nighttime feedings
- d.Excitement about caring for the newborn
答案: a
解析: Persistent sadness and lack of interest in the infant beyond two weeks suggest postpartum depression rather than transient baby blues, and require further evaluation and support.
- 7. Basic Care & Comfort
A client is being repositioned to prevent complications of immobility. Which position best relieves pressure on the sacrum while maintaining alignment?
- a.The 30-degree lateral (side-lying) position
- b.Supine with the head of the bed at 90 degrees
- c.Prone position for extended periods
- d.High Fowler's position continuously
答案: a
解析: The 30-degree lateral position offloads the sacrum and trochanter while maintaining alignment. High Fowler's and prolonged supine positions increase shear and sacral pressure.
- 8. Pharmacological Therapies
A client taking a monoamine oxidase inhibitor (MAOI) for depression requires dietary teaching. Which food should be avoided?
- a.Aged cheese and cured meats
- b.Fresh apples
- c.White rice
- d.Steamed carrots
答案: a
解析: Tyramine-rich foods such as aged cheese and cured meats can trigger a hypertensive crisis in clients taking MAOIs and must be avoided.
- 9. Physiological Adaptation
A nurse is caring for a client with diabetic ketoacidosis. Which arterial blood gas finding is expected?
- a.Metabolic acidosis
- b.Respiratory alkalosis
- c.Metabolic alkalosis
- d.Respiratory acidosis
答案: a
解析: Diabetic ketoacidosis produces excess ketoacids, causing metabolic acidosis with a low pH and low bicarbonate. Kussmaul respirations develop as compensation.
- 10. Physiological Adaptation
A nurse is monitoring a client after a total hip replacement. Which finding suggests a possible pulmonary embolism?
- a.Sudden dyspnea, chest pain, and tachycardia
- b.Gradual improvement in mobility
- c.Mild incisional soreness
- d.Decreased appetite
答案: a
解析: Sudden dyspnea, pleuritic chest pain, and tachycardia after orthopedic surgery suggest a pulmonary embolism, a medical emergency requiring immediate action.