تحديد الأولويات والتفويض بأسلوب NCLEX: حزمة المراجعة المكثفة

Two nursing assistants argue loudly at the station about their assignments. What is the charge nurse’s best first step?

1. AChange both of their assignments without any discussion
2. BMeet both of them privately to hear each side
3. CIgnore it and hope they sort it out
4. DReport them to human resources at once

أي علامة لدى المريض غير متوقعة وتتطلب تصرفًا بعد استئصال البروستات عبر الإحليل مع غسل مستمر للمثانة؟

1. Aبول وردي فاتح يزداد صفاءً على مدار اليوم
2. Bتقلصات خفيفة في المثانة تخف بمضاد التشنج الموصوف
3. Cالإحساس بالحاجة إلى التبول رغم وجود القسطرة
4. Dبول أحمر فاتح مع خثرات وانخفاض تدفقه من القسطرة

ما الغرض من كتابة الحروف بنمط «الرجل الطويل» (Tall Man)، كما في hydrOXYzine وhydrALAZINE؟

1. Aتسهيل التمييز بين أسماء الأدوية المتشابهة
2. Bالإشارة إلى الاسم التجاري
3. Cبيان أيّ الدواءين من الأدوية عالية الخطورة
4. Dبيان تركيز الدواء

A nurse floated to an unfamiliar unit is asked to manage a device they have never been trained to use. What should the nurse do?

1. ATell the charge nurse and ask for help or a change of assignment
2. BAsk the patient or the family to explain how the device works
3. CLeave the device untouched and not tell anyone
4. DDo it anyway, using only the device manual and the instructions on the screen

A patient's levothyroxine dose was changed today. When is the TSH usually rechecked?

1. AAfter about 1 year
2. BAfter about 3 days
3. CAfter about 24 hours
4. DAfter about 6–8 weeks

مريض بقصور القلب يتناول ليزينوبريل وسبيرونولاكتون ومكمل بوتاسيوم. اليوم البوتاسيوم 6,0 mEq/L. ما التفسير الأرجح؟

1. Aتُؤخذ معًا عدة أدوية ترفع البوتاسيوم
2. Bيسبب سبيرونولاكتون فقد البوتاسيوم
3. Cيخفض ليزينوبريل البوتاسيوم
4. Dليس لمكملات البوتاسيوم تأثير في مستوى المصل

Why is blood pressure monitored closely in a patient with an epidural infusion?

1. AThe local anaesthetic can block sympathetic nerves and cause hypotension
2. BBlood pressure readings show whether the catheter is infected
3. CEpidurals always cause severe hypertension that needs regular treatment
4. DThe epidural pump uses the blood pressure to set the rate

A patient with a small leg wound has severe pain out of proportion to the skin changes, rapidly spreading redness and signs of sepsis. What should be suspected?

1. ANecrotising fasciitis
2. BAn allergic reaction to the dressing
3. CSimple cellulitis that will settle with oral antibiotics
4. DA superficial bruise

A nurse measures blood pressure on a large upper arm using a cuff that is too small. What effect will this have?

1. AThe reading will be accurate but slower
2. BOnly the pulse rate will be affected
3. CThe reading will be falsely high
4. DThe reading will be falsely low

During a cardiac arrest, the monitor shows an organised rhythm, but there is no pulse. What should the team do?

1. ADeliver an unsynchronised shock at once and then check the pulse
2. BGive adenosine to slow the rhythm down
3. CStop CPR, because an organised rhythm on the monitor means recovery
4. DContinue CPR and give adrenaline (epinephrine), as the rhythm is non-shockable

After pressing the plunger of an insulin pen, what should the patient do?

1. ALeave the needle on the pen for the next injection
2. BInject a second dose straight away to be sure
3. CPull the needle out at once and rub the site firmly
4. DKeep the needle in the skin for about 10 seconds

A patient with SIADH needs IV fluid. Which fluid is most likely to worsen the hyponatraemia?

1. A3% saline
2. B8,4% sodium bicarbonate
3. C20% human albumin
4. D5% glucose (dextrose, D5W)

Why are antiemetics usually given before chemotherapy starts?

1. AThey stop the chemotherapy from causing hair loss and mouth sores
2. BThey cannot be given once nausea has started
3. CPreventing nausea works better than treating it later
4. DAntiemetics make the chemotherapy work better

In recovery, an awake and anxious patient cannot lift their head, and their breaths are shallow and weak. What is the most likely cause?

1. AA simple panic attack
2. BNormal tiredness after surgery
3. COpioid overdose with pinpoint pupils
4. DResidual neuromuscular blockade