تحديد الأولويات والتفويض بأسلوب NCLEX: حزمة المراجعة المكثفة

بالغ مستقر لديه ألم بطني وعلامات حيوية طبيعية. سيحتاج إلى فحوص دم وتصوير مقطعي محوسب. أي مستوى ESI يناسب؟

1. Aالمستوى 5
2. Bالمستوى 4
3. Cالمستوى 1
4. Dالمستوى 3

A patient in acute mania paces constantly, has lost weight and will not sit down to eat. Which intervention is most helpful?

1. AOffer high-calorie finger foods and drinks the patient can take while moving
2. BWait until the mania settles before worrying about nutrition
3. CLeave meals in the room and let the patient eat whenever and whatever they choose
4. DInsist that the patient sits at the table until the meal is finished

Which part of a sterile surgical gown is considered sterile once it is on?

1. AThe whole gown, including the back, the collar and the area below the waist
2. BThe front from the neck down to the knees
3. COnly the back of the gown, which nobody touches
4. DThe front from chest to the level of the sterile field, and the sleeves

A nurse teaches a patient with active pulmonary tuberculosis who is going home on treatment. Which statement shows a need for further teaching?

1. A“I will come back for sputum tests as planned.”
2. B“I will need to take my medicines for several months.”
3. C“I can stop taking the pills once I feel better.”
4. D“I will cover my mouth with a tissue when I cough.”

An older adult takes lisinopril and furosemide and recently started daily ibuprofen for knee pain. The creatinine has risen from 1,0 to 1,8 mg/dL (88 to 159 µmol/L). What is the most likely cause?

1. AMore activity has increased the patient's muscle mass quickly
2. BThe NSAID reduces kidney blood flow on top of the other two drugs
3. CNormal aging of the kidneys over a period of a few weeks
4. DA laboratory error, since ibuprofen has no effect on the kidney

أثناء تسريب كبريتات المغنيزيوم الوريدي، أي تقييم يكشف السمية مبكرًا على أفضل وجه؟

1. Aمنعكسات الركبة ومعدل التنفس وكمية البول
2. Bلون الجلد وزمن عودة امتلاء الشعيرات كل ساعة
3. Cسكر الدم وحجم الحدقة كل ساعة
4. Dأصوات الأمعاء ومحيط البطن

What is the recommended first aid for a thermal burn?

1. ACool it under cool running water for about 20 minutes
2. BApply ice directly to the burn until the pain stops completely
3. CBurst any blisters to release the fluid
4. DSpread butter or oil over the burn

A patient rescued from a house fire has soot around the mouth, singed nasal hairs and a hoarse voice. What is the main concern?

1. AAirway swelling from inhalation injury
2. BA minor throat infection
3. CDehydration from sweating
4. DHypothermia from the fire service water

A patient has a prosthetic heart valve. Which teaching best reduces the risk of infective endocarditis?

1. AAvoid eating dairy products and raw vegetables
2. BTake a daily antibiotic tablet indefinitely
3. CAvoid all physical exercise for the rest of their life
4. DKeep teeth and gums healthy with regular dental check-ups

After chest trauma, a patient is hypotensive with reduced breath sounds on the left. Which finding suggests a haemothorax rather than a tension pneumothorax?

1. ATrachea pushed away from the affected side
2. BDistended neck veins
3. CDullness to percussion on the affected side
4. DHyper-resonance on the affected side

After a change in the levothyroxine dose, when is the TSH usually rechecked?

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

The nurse has four urology patients. Which one needs to be seen first?

1. AA patient with a nephrostomy who has rigors and a BP of 86/50 mmHg
2. BA patient with stress incontinence asking about pelvic floor exercises
3. CA patient after TURP with light pink drainage and mild discomfort
4. DA patient with a suprapubic catheter due for a routine change

Patients on immune checkpoint inhibitors may develop immune-related side effects. Which symptom should they report promptly?

1. AMild tiredness after a busy day
2. BNew diarrhoea or abdominal pain
3. CA small bruise after a knock
4. DSlight hair thinning over months

A nurse teaches a patient with a new ileostomy. Which statement shows a need for further teaching?

1. A"I'll report if my output becomes very watery and high."
2. B"I'll watch for dizziness and dark urine."
3. C"I'll chew my food well to avoid blockages."
4. D"I'll drink less so my bag fills more slowly."