تحديد الأولويات والتفويض بأسلوب NCLEX: حزمة المراجعة المكثفة

A patient receiving an aminoglycoside antibiotic, such as gentamicin, reports ringing in the ears. What should the nurse do?

1. AGive the next dose early to finish the course
2. BReassure the patient that it is a normal effect
3. CHold the next dose and report it promptly
4. DAdvise the patient to use ear drops

Which nursing approach may raise intracranial pressure in a patient with a head injury?

1. AKeeping the head in line with the body
2. BDoing suctioning, turning and bathing all at the same time
3. CKeeping the room calm and quiet
4. DSpacing out care with rest periods in between activities

A cup of water is spilled over an infusion pump plugged into the wall. What should the nurse do?

1. ATurn the pump upside down to drain it while running
2. BWipe it dry quickly with a towel and keep using it for the infusion
3. CLeave it running and place a towel over it until it dries
4. DSwitch it off and unplug it safely, then have it checked before reuse

A patient’s WBC is 4,000/mm³, with 30% neutrophils and 5% bands. What is the absolute neutrophil count (ANC)?

1. A140/mm³
2. B3,500/mm³
3. C1,200/mm³
4. D1,400/mm³

A patient receives repeated nebulized albuterol (salbutamol) for severe asthma. Which laboratory change should the nurse watch for?

1. AA rise in serum sodium
2. BA fall in blood glucose
3. CA rise in serum calcium
4. DA fall in serum potassium

أي نمط من النتائج يناسب SIADH؟

1. Aصوديوم المصل مرتفع، وأسمولية المصل مرتفعة، والبول مخفف جدًا
2. Bصوديوم المصل منخفض، وأسمولية المصل مرتفعة، والبول مخفف
3. Cصوديوم المصل منخفض، وأسمولية المصل منخفضة، والبول مركّز
4. Dصوديوم طبيعي مع بول مخفف جدًا

Which is a major risk factor for Clostridioides difficile infection?

1. ARecent broad-spectrum antibiotic use
2. BA diet high in fibre and fresh fruit
3. CTaking regular paracetamol
4. DRegular exercise

A patient with diabetes is found confused with slurred speech and weakness on one side. What should the nurse check first?

1. AUrine output for the last day
2. BCapillary blood glucose
3. CBody mass index
4. DSerum cholesterol

A patient has exercise-induced asthma. Which advice is most appropriate?

1. AAvoid all forms of exercise permanently to prevent attacks
2. BUse the reliever inhaler shortly before exercise and warm up
3. CTake a beta-blocker before exercise
4. DExercise only in cold, dry air to toughen the airways

أيّ نهج لإزالة مفجّر الصدر يُدرَّس عادةً؟

1. Aإزالته أثناء حبس النفس أو الزفير، ثم إغلاق الموضع
2. Bإزالته والشفط لا يزال يعمل بكامل قوته
3. Cإزالته ببطء بينما يأخذ المريض شهيقًا طويلًا عميقًا
4. Dإزالته وترك الموضع مفتوحًا للتصريف يومًا

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

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

Weeks after starting insulin, a patient with newly diagnosed type 1 diabetes needs much less insulin and has frequent mild hypos. What is the most likely explanation?

1. AThe patient actually has type 2 diabetes
2. BThe insulin has gone off and should be replaced
3. CA honeymoon phase, but insulin is still needed
4. DThe diabetes has been cured, so insulin can stop

Which task for a stable patient with an established ileostomy can usually be delegated to a trained healthcare assistant (nursing assistant)?

1. ATeaching the patient about high-output risks
2. BEmptying the pouch and measuring the output
3. CAssessing the stoma for signs of necrosis
4. DDeciding whether IV fluids are needed

A patient with small cell lung cancer is confused and drowsy. Sodium is 118 mmol/L and the urine is highly concentrated. Which complication is likely?

1. ATumour lysis syndrome
2. BHypercalcaemia of malignancy
3. CDiabetes insipidus
4. DSIADH