تحديد الأولويات والتفويض بأسلوب NCLEX: حزمة المراجعة المكثفة

One day after surgery, a patient walked safely with the RN this morning. The RN now asks a nursing assistant to walk her again. Which instruction is most important?

1. A“Make sure she wears her own slippers if she has them.”
2. B“Try to finish the walk before the lunch trays arrive.”
3. C“Walk her to the end of the corridor and back twice before lunch.”
4. D“Stop and call me at once if she feels dizzy or short of breath.”

An adult choking on food is coughing forcefully and can speak a little. What should the nurse do?

1. AEncourage the patient to keep coughing and stay with them
2. BGive the patient water to wash the food down
3. CGive abdominal thrusts straight away until the food comes out
4. DSweep the mouth blindly with a finger

Which practice reduces back strain when a nurse moves a patient or heavy object?

1. ABend at the waist and keep both knees straight
2. BKeep the load close to the body and avoid twisting
3. CStand with the feet close together for balance
4. DHold the load at arm’s length to keep it steady

A nurse teaches a patient with neutropenia about preventing infection at home. Which statement shows a need for further teaching?

1. A“I will check my temperature and call if I have a fever.”
2. B“I will wash my hands often and ask visitors to do the same.”
3. C“I will avoid crowds and people who have colds.”
4. D“I can clean the cat’s litter box if I wear a face mask.”

A patient starts lisinopril (an ACE inhibitor). Which laboratory values should the nurse expect to be monitored?

1. ATSH and free T₄
2. BPotassium and creatinine
3. CCalcium and phosphate
4. DALT and bilirubin

The nurse prepares a patient for a 2-hour oral glucose tolerance test tomorrow morning. Which statement shows a need for further teaching?

1. A"I'll fast overnight but can drink plain water"
2. B"I'll stay seated during the test if I can"
3. C"I can have a light breakfast before the test"
4. D"I'll avoid smoking until the test is over"

A patient says they are "allergic" to codeine because it made them constipated. How should this be recorded?

1. AAs a side effect or intolerance, not a true allergy
2. BIt should not be recorded at all
3. CAs an allergy to all painkillers
4. DAs a severe anaphylactic allergy to all opioids

أي مجموعة من الموجودات تميّز على أفضل نحو الصدمة القلبية المنشأ عن صدمة نقص الحجم؟

1. Aجلد بارد شاحب
2. Bارتفاع الضغط الوريدي الوداجي وخراخر في الرئتين
3. Cتسرّع القلب وانخفاض ضغط الدم ونبض محيطي ضعيف خيطي
4. Dقلة إخراج البول

Which energy-conservation advice is most useful for a patient with severe COPD?

1. AHold the breath while lifting heavy objects
2. BDo all the household tasks quickly in the morning to get them done
3. CSit down for tasks such as washing and dressing, and pace activities
4. DAvoid any activity at all, staying in a chair to save their energy

A patient has new chest pain at rest. The ECG shows ST depression, but serial troponins remain normal. Which diagnosis fits best?

1. AST-elevation myocardial infarction
2. BUnstable angina
3. CStable angina
4. DNon-ST-elevation myocardial infarction

Which statement about storing insulin is correct?

1. AInsulin that has been frozen can be used once it has thawed
2. BUnopened insulin goes in the fridge and must never be frozen
3. CInsulin should be kept on a sunny windowsill to stay warm
4. DAll insulin must be stored in the freezer to keep it stable

A patient had rapid-acting insulin before lunch, then vomited the meal 15 minutes later. What should the nurse do?

1. AGive the evening long-acting insulin early to balance it
2. BMonitor glucose closely and tell the prescriber about the hypo risk
3. CGive another insulin dose because the meal was lost
4. DIgnore it, because vomiting raises blood glucose

Which finding means a patient is usually ready to leave recovery for the ward?

1. AAwake, with a clear airway, stable observations and controlled pain
2. BSystolic BP falling steadily over the last hour, with a rising pulse rate
3. CStill drowsy and needing a jaw thrust to breathe
4. DPain score 9/10 and vomiting repeatedly

A patient with bone metastases is starting regular zoledronic acid. Which advice is important?

1. AHave a dental check and report jaw pain or loose teeth
2. BStop drinking all fluids on the day of each infusion
3. CAvoid all physical activity for six months
4. DTake extra calcium only on the day of infusion