تحديد الأولويات والتفويض بأسلوب NCLEX: حزمة المراجعة المكثفة

يسأل مريض مساعد التمريض عن الآثار الجانبية لدواء جديد. ماذا ينبغي أن يفعل المساعد؟

1. Aطمأنة المريض بأن الآثار الجانبية نادرة
2. Bالبحث عن الدواء على الإنترنت وقراءة ما يقوله
3. Cالقول إن الممرضة ستأتي للإجابة، وإبلاغ الممرضة
4. Dشرح الآثار الجانبية المذكورة في نشرة الدواء للمريض

A patient has full-thickness burns all the way around the chest and is finding it harder to breathe, although the airway is clear. What does this suggest?

1. AThe tight burned skin is restricting chest movement, so an escharotomy may be needed
2. BThe patient has had too little IV fluid and needs a fast bolus to improve the breathing
3. CThe burns are healing and the skin is tightening normally
4. DThe patient is anxious and only needs reassurance

Where is a gait belt placed when helping a patient to walk?

1. AAround the patient’s waist, over clothing
2. BAround the chest, under the arms
3. CAround both thighs, just above the knees
4. DAround the hips, directly on bare skin

عند الدخول، تتضمن قائمة الأدوية المنزلية دواءً مميِّعًا للدم غير موجود في أوامر المستشفى الجديدة. ماذا ينبغي أن تفعل الممرضة؟

1. Aتجاهله، لأن أوامر المستشفى تحل محل الأدوية المنزلية
2. Bإخبار المريض بأن يتناول مخزونه الخاص سرًّا
3. Cإعطاء الجرعة المنزلية دون أمر
4. Dتوضيح التباين مع واصف الدواء

A patient has had severe watery diarrhea for 4 days. Which laboratory pattern would the nurse expect?

1. ALow potassium and low bicarbonate
2. BHigh sodium and high calcium
3. CHigh potassium and high bicarbonate
4. DLow glucose and high magnesium

A patient with a heart murmur and fever has three sets of blood cultures, taken hours apart, all growing the same Streptococcus species. What does this suggest?

1. APersistent bacteremia, as in infective endocarditis
2. BA urinary tract infection that has spread to the skin
3. CContamination of all three samples during collection
4. DA normal finding in patients with heart murmurs

عند إعطاء الإنسولين، أيّ عبارة صحيحة؟

1. Aتبديل مواقع الحقن لتجنب الضخامة الشحمية
2. Bيُعطى الإنسولين سريع المفعول عند النوم فقط
3. Cيجب رجّ الإنسولين بقوة قبل الاستخدام
4. Dالحقن دائمًا في المكان نفسه لامتصاص ثابت

A patient with known cirrhosis suddenly vomits large amounts of bright red blood and becomes tachycardic. What is the most likely cause?

1. ASwallowed blood from a nosebleed
2. BA Mallory-Weiss tear from a small amount of vomiting
3. CBleeding from ruptured oesophageal varices
4. DA lower GI bleed from diverticular disease

أيّ عبارة عن الحجرة الفاصلة (spacer) للمنشق ذي الجرعة المقيسة صحيحة؟

1. Aتلزم تنسيق أقل، ويصل دواء أكثر إلى الرئتين
2. Bصُممت لاستخدامها مع المنشقات ذات المسحوق الجاف
3. Cتعني أنه يمكن إيقاف منشق الستيرويد الوقائي تمامًا
4. Dتجعل كل بخة من الدواء أقوى من المعتاد

A 70-year-old man has a small abdominal aortic aneurysm found on screening and is placed under surveillance. Which advice is most important?

1. AStop smoking, control BP and seek help at once for sudden back pain
2. BHave the aneurysm repaired immediately, whatever its size or growth rate
3. CStop all blood pressure medicines to avoid low pressure
4. DAvoid all exercise and lifting for the rest of his life to protect the aorta

Before checking a capillary glucose, why should the patient wash their hands with soap and water?

1. AWashing lowers the glucose in the blood
2. BWashing prevents all infection from the lancet
3. CSugar on the skin can give a falsely high reading
4. DSoap makes the blood flow faster from the finger

A patient with Parkinson's disease becomes agitated and confused at night. Which newly prescribed drug should the nurse question?

1. AParacetamol (acetaminophen)
2. BLactulose
3. CMelatonin
4. DHaloperidol

Which is a recognised risk of long-term proton pump inhibitor use?

1. AHypomagnesaemia
2. BHypernatraemia
3. CHypercalcaemia
4. DHyperkalaemia

A patient arrives in the anaesthetic room without an identity band. What should the nurse do?

1. AProceed because the patient can say their name
2. BStop and confirm identity, then apply a band
3. CProceed and add a band once in recovery
4. DUse the spare identity band from the front of the patient's notes folder