추가 적립 안내

〈퍼시픽 간호사 국시대비 개념서〉는 최신 출제 경향을 분석하여 새롭게 출제된 개념을 추가하고 빈출 개념은 이해하기 쉽도록 정리하고 요약하였다. 더 나아가 헷갈리거나 복잡한 개념에 대한 암기 팁과 심화 내용까지 담고 있는 포괄적인 개념서다. 기출에 자주 출제되어 명확하게 알고 있어야 할 내용은 TIP 박스와 OX 퀴즈를 통해 꼭 챙길 수 있도록 하였다. 또한 각 챕터별 마지막 부분에 핵심 내용을 요약하여 빈출 개념에 대한 완벽한 숙지가 가능하도록 준비했다.

01 성장발달 _15
아동간호학의 정의 및 목적 ······························································· 17
성장발달의 이해 ················································································· 2 6
놀 이 ·································································································· 4 0
투 약 ·································································································· 4 6
단계별 발달과제 ················································································· 5 1
영아기 성장발달 ················································································· 6 0
분리불안 ························································································· 7 8
예방접종 ························································································· 8 2
유아기 성장발달 ················································································· 8 8
거부증과 분노발작 ······································································· 1 0 2
대소변 가리기(배변훈련) ····························································· 1 0 7
학령전기 성장발달 ··········································································· 1 1 1
학령기 성장발달 ··············································································· 1 2 6
청소년기 성장발달 ··········································································· 1 3 6
？ 시나문 _142
？ Final check _155

02 신생아_157
신생아의 생리적 특징 ······································································ 1 5 9
신생아 감각기능 ··············································································· 1 6 5
정상 신생아 사정 ············································································· 1 6 8
정상 신생아에게 나타날 수 있는 피부양상 ······························· 1 7 3
신생아의 구체적 신체사정 ·························································· 1 7 7
신생아에게 나타나는 정상 반사 ················································· 1 8 1
정상 신생아 간호중재 ······································································ 1 8 7
모유 수유 ························································································· 1 9 4
？ 시나문 _198
？ Final check _203

03 고위험신생아 _205
고위험신생아의 분류와 특성 ··························································· 2 0 7
고위험 신생아 간호········································································· 2 1 1
위관영양 ······················································································· 2 1 1
소화기계 질환 ············································································· 2 1 5
구순열/구개열 ········································································· 2 1 5
억제대 ······················································································ 2 2 1
기관식도루/식도폐색증 ··························································· 2 2 3
항문직장기형 ··········································································· 2 2 7
황 달 ······················································································· 2 3 0
혈액장애 ······················································································ 2 3 5
신생아 용혈성 질환 ································································ 235
호흡기계 질환 ············································································· 2 3 7
심혈관 장애 ················································································· 2 4 4
선천성 심질환 ········································································· 2 4 4
비뇨생식기 장애 ·········································································· 2 5 6
잠복고환/음낭수종 ·································································· 2 5 6
신경장애 ······················································································ 2 6 0
이분척추 ·················································································· 2 6 0
출생 시 손상 ··············································································· 2 6 4
두개외 출혈 ············································································· 2 6 4
상지마비/쇄골 골절/안면신경 마비/사경 ······························· 2 6 7
근골격 장애 ················································································· 2 7 2
만곡족 ······················································································ 2 7 2
발달성(선천성) 고관절 이형성증 ············································ 2 7 5
감염 ····························································································· 2 8 0
신생아 패혈증 ········································································· 2 8 0
괴사성 장염 ············································································· 2 8 3
칸디다증(아구창) ····································································· 2 8 7
모체 요인과 관련한 고위험 ························································ 2 8 9
당뇨병 어머니의 신생아 ························································· 2 8 9
선천성 대사 장애 ········································································ 2 9 2
선천성 갑상선 기능 저하증 ··················································· 2 9 2
페닐케톤뇨증 ··········································································· 2 9 5
갈락토오스혈증 ······································································· 2 9 8
유전성 질환 ················································································· 3 0 0
다운증후군 ·············································································· 3 0 0
？ 시나문 _303
？ Final check _308

04 소화기관 장애 _309
수분 전해질 불균형 장애 ································································ 311
소화기관 장애 증상 ········································································· 3 1 5
구 토 ···························································································· 3 1 5
설 사 ···························································································· 3 1 7
산 통 ···························································································· 3 2 3
폐쇄성 장애 ······················································································ 3 2 6
선천성 유문 협착 ········································································· 3 2 6
장중첩증 ······················································································· 3 3 1
담도 폐쇄증 ·················································································· 3 3 4
장폐색 ··························································································· 3 3 6
구조적 장애 ······················································································ 3 3 8
횡격막 탈장 ·················································································· 3 3 8
서혜부 탈장 ·················································································· 3 4 0
선천성 거대결장 ··········································································· 3 4 2
중 독 ································································································ 3 4 7
요충증 ······························································································· 3 5 1
？ 시나문 _353
？ Final check _359

05 비뇨생식기 장애 _361
요로감염 ··························································································· 3 6 3
구조적 장애 ······················································································ 3 6 5
폐쇄성 요로질환 ··········································································· 3 6 5
급성 사구체신염 ··············································································· 3 6 7
신증후군 ··························································································· 3 7 2
급성 신부전 ······················································································ 3 7 7
생식기 기능 장애 ············································································· 3 8 0
？ 시나문 _382
？ Final check _384

06 호흡기 장애 _385
상기도 감염 ················································································· 3 8 7
급성 비인두염 ········································································· 3 8 7
급성 인두염 ············································································· 3 8 9
편도선염 ·················································································· 3 9 2
중이염 ······················································································ 3 9 7
부비동염 ·················································································· 4 0 2
하부기도 감염 ············································································· 4 0 4
기관지염/세기관지염 ······························································· 404
폐 렴 ······················································································· 4 0 6
크룹증후군 ··················································································· 4 0 8
비감염성 장애 ············································································· 4 1 3
이물질 흡인/지질성 폐렴 ······················································· 4 1 3
만성 및 기타장애 ········································································ 4 1 6
천 식 ······················································································· 4 1 6
결 핵 ······················································································· 4 2 2
비출혈 ······················································································ 4 2 8
원인불명 장애 ············································································· 4 3 0
영아 돌연사 증후군/영아 무호흡증 ······································· 4 3 0
？ 시나문 _432
？ Final check _438

07 심혈관 장애 _439
후천성 심장장애 ·········································································· 4 4 1
혈관기능 장애 ············································································· 4 4 7
알레르기 자반증/가와사키병 ·················································· 4 4 7
？ 시나문 _453
？ Final check _456

08 혈액 및 세포 장애 _457
철분 결핍성 빈혈 ········································································ 4 5 9
응고장애 ······················································································ 4 6 3
혈우병 ······················································································ 4 6 3
특발성 혈소판 감소성 자반증 ················································ 4 6 7
세포장애 ··························································································· 4 7 1
백혈병 ··························································································· 4 7 1
뇌종양 ··························································································· 4 7 9
신경모세포종 ················································································ 4 8 2
신아세포종 ···················································································· 4 8 5
？ 시나문 _487
？ Final check _490

09 내분비 장애 _491
당뇨병 ······························································································· 4 9 3
성조숙증/요붕증 ··············································································· 5 0 3
？ 시나문 _506
？ Final check _508

10 보호기전 장애 _509
자가면역 염증성 질환 ······································································ 5 1 1
소아 류마티스성 관절염 ······························································ 5 11
알레르기 질환 ·················································································· 5 1 5
아토피성 피부염 ··········································································· 5 1 5
알레르기성 비염 ··········································································· 5 1 8
피부장애 ··························································································· 5 2 0
농가진 ··························································································· 5 2 0
여드름(심상성 좌창) ···································································· 5 2 2
감염성 장애 ······················································································ 5 2 4
수 두 ···························································································· 5 2 4
홍 역 ···························································································· 5 2 9
볼거리(유행성 이하선염) ····························································· 5 3 4
풍 진 ···························································································· 5 3 7
백일해 ··························································································· 5 3 9
성홍열 ··························································································· 5 4 3
파상풍 ··························································································· 5 4 7
A형 간염 ······················································································ 5 4 9
장미진(돌발진) ············································································· 5 5 1
？ 시나문 _553
？ Final check _558

11 신경 ㆍ 인지 장애 _559
열성경련 ······················································································ 5 6 1
발 작 ··························································································· 5 6 5
뇌수종(수두증) ············································································ 5 6 9
감염 ····························································································· 5 7 3
수막염/라이증후군 ·································································· 5 7 3
뇌성마비 ······················································································ 5 7 8
인지장애(지적장애) ····································································· 5 8 4
？ 시나문 _587
？ Final check _590

12 감각운동기능 장애 _591
감각장애 ······················································································ 5 9 3
골 절 ··························································································· 5 9 6
골수염 ·························································································· 6 0 2
척추측만증 ··················································································· 6 0 6
？ 시나문 _610
？ Final check _612

13 심리사회 장애 _613
정신건장 장애 ············································································· 6 1 5
틱 장애/학교 공포증 ······························································ 6 15
유뇨증 ······················································································ 6 1 8
약물 남용 ················································································ 6 2 0
식이 장애 ···················································································· 6 2 2
신경성 식욕부진/신경성 폭식증 ············································· 6 2 2
비 만 ······················································································· 6 2 6
청소년 비행 ················································································· 6 2 8
？ 시나문 _630
？ Final check _632
찾아보기 _633
정답모음 _639

머리말

제65회 간호사 국가고시를 준비하고 있는 전국의 예비 간호사분들께 응원의 인사를 보냅니다.
중간 ㆍ 기말 ㆍ 국가고시를 대비하여 방대한 양의 공부와 1,000시간의 실습을 병행하고 계실 여러분을 위해 어떻게 하면 더욱 효율적이고 효과적으로 시험 준비를 하실 수 있는지 고민하는 마음을 가지고 〈퍼시픽 간호사 국시대비 문제집〉을 개편하였습니다. 국가고시와 비슷한 정도의 난이도로 공부를 하고 실전 연습을 해본 후 이를 체화하여 국가고시에서 풀어낼 수 있도록 문제 난이도를 적절하게 조절하여 배치하였습니다. 2025년에 개정된 법규 및 정책을 최신 시행일에 맞게 개편 및 보강하였고, 새롭게 출제되거나 변경 된 개념은 최신 전공서적과 다양한 논문을 참고해 개정한 각 과목 개념서를 바탕으로 하였습니다.

2024년 간호사 국가고시의 체감 난이도는 중간 수준으로, 예년 국가고시의 난이도와 개념에서 크게 벗어나지 않도록 출제가 되었습니다. 물론 각 과목마다 2∼3문제 정도는 지금까지 기출에서 다루지 않은 지엽적인 내용과 새로운 유형이 포함되어 있긴 하지만, 시험의 당락을 결정지을 정도는 아니기 때문에 기출 문제뿐만 아니라 다양한 문제가 전부 수록되어 있는 〈퍼시픽 간호사 국시대비 문제집〉을 통해 문제 풀이 감각을 익힌다면 충분히 익숙해질 수 있을 것입니다.

간호사 국가고시 합격률에 큰 영향을 미칠 정도의 난이도 변화는 없었지만 2024 간호사 국가고시 시험에는 구체적인 수치와 지엽적인 개념 또한 알고 있어야 하는 문제들이 여럿 출제가 되었습니다. 예년 국가고시와는 비슷한 출제 경향을 보이지만 꼼꼼하게 공부하고 여러 유형의 문제를 풀어보지 않았다면 시험장에서 당황할 수 있는 문제가 출제되기도 하였습니다. 출제 범위와 영역에서는 큰 변화가 없지만 사례형 문제와 구체적인 수치를 묻는 문제 등을 풀기 위해 알아야 할 개념의 넓이와 깊이가 조금씩 깊어지는 추세입니다. 따라서 금년 〈퍼시픽 간호사 국시대비 문제집〉에서는 다양한 유형과 난이도의 문제들을 반영하여 개정
하고, 작년 국가고시에 출제된 문제와 그 변형문제를 수록하였습니다. 또한 ‘합격 선배들의 현장 풀이법’에서는 실제 작년 국가고시에서 출제된 문제 중 난이도가 높거나 중요한 문제를 과목별로 선택하여 관련된 개념, 풀이의 흐름, 꼭 암기해야 할 사항을 담아 시험 현장에서 어떠한 생각의 과정을 거쳐 문제에 접근해야 하는지 설명해두었습니다. 또한, 광범위한 시험범위의 개념을 포괄하면서도 최신 기출 경향을 반영하기 위해 문제집의 각 단원마다 빈출되는 개념을 요약 정리하였고, 해당되는 개념이 더욱 구체적으로 설명되어 있는 〈퍼시픽 간호사 국시대비 개념서〉의 페이지 번호를 적어두어 개념 이해와 문제 풀이를 더욱 쉽게 병행할 수 있도록 하였습니다. 더욱 상세한 설명 및 깔끔한 개념 정리가 필요한 문제는 옆에 QR코드를 추가하여 관련 개념과 추가 설명을 한눈에 파악할 수 있도록 준비하였습니다.

국가고시 시험을 앞둔 마음이 갈수록 떨리고 조급해질 수도, 기출과 다른 유형으로 혹은 높은 난이도로 출제될까 두려 울 수도 있을 것임에 깊이 공감합니다. 그렇다 하더라도 퍼시픽과 함께 충분히 잘 해내실 여러분들을 스스로 믿어주시기 바랍니다. 2025년 간호사 국가고시 대비 〈퍼시픽 간호사 국시대비 개념서〉를 통해 최근 출제 경향과 개념을 꼼꼼히 공부하시고, 그 개념을 〈퍼시픽 간호사 국시대비 문제집〉의 문제에 적용하여 문제 풀이 실력과 실전감각을 기른 뒤, 〈천기누설〉 mini Book으로 마지막 개념 정리를 한다면, 그동안 다져온 실력을 본시험에서 후회 없이 쏟아낼 수 있을 것입니다. 여러분의 합격을 퍼시픽이 진심
으로 응원합니다.

2024년 3월 퍼시픽 학술편찬국