تحديد الأولويات والتفويض بأسلوب NCLEX: حزمة المراجعة المكثفة

After a hip replacement, a patient has sudden severe hip pain, and the operated leg looks shorter and turned. What should the nurse suspect?

1. AA pressure injury on the heel
2. BDislocation of the new hip
3. CNormal pain after surgery
4. DA urinary tract infection

A patient has a wrist restraint. The nurse finds the fingers on that hand pale, cool and tingling. What should the nurse do first?

1. ATighten the restraint so the patient moves less
2. BRaise the arm on a pillow and check again in two hours
3. CLoosen the restraint and assess the circulation
4. DDocument the finding and continue with the medication round

A patient is admitted to an inpatient mental health unit. Why are personal belongings checked?

1. ATo make a list of valuable items for insurance
2. BTo remove items that could be used to harm self or others
3. CTo find out what the patient likes to wear during the hospital stay
4. DTo decide which family members may visit

أيّ اقتران بين كائن ممرض واحتياطات الانتقال الخاصة به صحيح؟

1. Aالنكاف – الرذاذ
2. Bالإنفلونزا – الانتقال عبر الهواء فقط
3. CC. difficile – الانتقال عبر الهواء
4. Dالحصبة – التلامس فقط

مريض موعد الديجوكسين مستحق له بوتاسيومه 3,1 mEq/L. لماذا هذه النتيجة مهمة؟

1. Aيحمي انخفاض البوتاسيوم القلب من الآثار الجانبية للديجوكسين
2. Bيزيد انخفاض البوتاسيوم خطر سمية الديجوكسين
3. Cيجعل انخفاض البوتاسيوم الديجوكسين غير فعّال، لذلك ينبغي مضاعفة الجرعة
4. Dلا يتداخل البوتاسيوم والديجوكسين

In the first 24 hours after a major burn, which laboratory pattern is most expected?

1. ALow potassium and low hematocrit
2. BLow sodium and low hematocrit
3. CHigh calcium and high albumin
4. DHigh potassium and high hematocrit

Which is a first-line nursing measure to help prevent constipation in hospital?

1. AEncouraging fluids, fibre and mobility
2. BGiving an enema to every patient on admission
3. CKeeping the patient in bed
4. DRestricting fluids to reduce urine output

A few hours after cardiac surgery, a patient has low blood pressure, a raised jugular venous pressure and quiet, muffled heart sounds. What should be suspected?

1. ACardiac tamponade
2. BPneumonia
3. CHypovolaemia from dehydration
4. DHyperkalaemia

Suspected pulmonary TB is being investigated. How are sputum samples usually collected?

1. AA single sample after the first week of treatment
2. BA swab from the nose only
3. CSeveral samples, ideally including early-morning sputum
4. DOne sample of saliva collected at any time of the day

أثناء نوبة ربو شديدة، يرتفع PaCO₂ لدى المريض من منخفض إلى طبيعي بينما يبدو منهكًا. ماذا يعني ذلك؟

1. Aالمريض يتعب وقد يتبع ذلك فشل تنفسي
2. Bالمريض يفرط في التنفس بسبب القلق
3. Cالنوبة تتراجع ويمكن تقليل العلاج
4. Dالعينة على الأرجح وريدية ويمكن تجاهلها

When a patient sticks out their tongue, it points to the right. Which nerve is affected?

1. AThe left trigeminal nerve (V)
2. BThe right hypoglossal nerve (XII)
3. CThe left hypoglossal nerve (XII)
4. DThe right facial nerve (VII)

A patient with a known ureteric stone develops a fever of 39 °C (102,2 °F) and rigors. Scanning shows a blocked, swollen kidney. What is needed?

1. AOral antibiotics and waiting for the stone to pass
2. BA fluid restriction to reduce the swelling
3. CStrong pain relief alone, then discharge
4. DUrgent drainage of the kidney plus IV antibiotics

Which burn should usually be discussed with a specialist burns service even if it is small?

1. AA partial-thickness burn on the hand
2. BA tiny burn on the forearm with redness only
3. CA small superficial sunburn on the back
4. DA healed burn scar from many years ago

At the end of an operation, the final count shows one swab missing. What should happen?

1. ALet the patient leave and search the theatre later
2. BTell the surgeon, search, and X-ray if it is not found
3. CClose the wound, as the swab was probably thrown away
4. DRecord the count as correct to avoid a delay