تحديد الأولويات والتفويض بأسلوب NCLEX: حزمة المراجعة المكثفة

A pregnant nurse is on the unit. Which patient should the charge nurse avoid assigning to her?

1. AA patient with a sealed radioactive implant for cervical cancer
2. BA patient with type 2 diabetes who needs insulin teaching before discharge
3. CA patient with a fractured wrist
4. DA patient after a hip replacement

A patient admitted with a stroke this morning asks for a glass of water. What should the nurse do first?

1. AAsk the family to help the patient drink while sitting upright in a chair at the bedside
2. BGive thickened fluids without checking the swallow
3. CCheck that a swallow screen has been done before giving anything by mouth
4. DGive the water through a straw so it goes down slowly

أيّ طريقة لخلع القفازات صحيحة؟

1. Aغسل اليدين بالقفازين ثم إعادة استخدام القفازين للمهمة التالية
2. Bنزع القفازين معًا في الوقت نفسه من أطراف الأصابع
3. Cنزع القفاز الثاني بقرص خارجه باليد العارية، ثم الغسل
4. Dنزع الأول من الخارج، ثم إدخال إصبع عارٍ تحت حافة القفاز الثاني

A nurse teaches new parents how to cope with an infant’s crying. Which statement shows a need for further teaching?

1. A“If I get frustrated, I will put him safely in the crib and take a short break.”
2. B“I can call a friend or family member to help when I am tired.”
3. C“If he won’t stop crying, a quick shake will get his attention.”
4. D“I will check whether he is hungry, wet or too warm.”

A patient with recurrent gout starts allopurinol. Which laboratory result shows that the treatment is achieving its goal?

1. AA falling serum uric acid
2. BA rising serum calcium
3. CA falling serum potassium
4. DA rising white cell count

A patient receiving IV magnesium sulfate has a respiratory rate of 9/min and absent patellar reflexes. After stopping the infusion, which medication should the nurse expect to give?

1. ASodium bicarbonate
2. BPotassium chloride
3. CProtamine sulfate
4. DCalcium gluconate

Why is an ankle–brachial pressure index (ABPI) measured before applying compression bandages to a leg ulcer?

1. ATo check for a urinary tract infection that could delay ulcer healing
2. BTo measure how deep the ulcer is and how much exudate it produces
3. CTo exclude significant arterial disease, as compression could cut off blood flow
4. DTo work out the patient's fluid needs

A patient with an epidural catheter develops new back pain and increasing leg weakness when the block should be wearing off. What should be suspected?

1. AMild hypokalaemia
2. BMuscle strain from lying in the same position in bed for many hours
3. CThe normal expected effect of the local anaesthetic
4. DAn epidural haematoma or abscess compressing the spinal cord

After a bronchoscopy with throat anaesthesia, when can the patient eat and drink?

1. AAfter a full 24 hours without food
2. BOnly after a chest X-ray has been reported
3. CImmediately after the scope is removed
4. DWhen the gag and cough reflexes have returned

مريض في رجفان أذيني معدل قلبه 165/min وضغطه 78/45 mmHg مع ألم صدر وتشوش جديد. ما العلاج الذي ينبغي أن تتوقعه الممرضة؟

1. Aتقويم نظم القلب الكهربائي المتزامن العاجل
2. Bبيسوبرولول فموي ومراجعة في الصباح
3. Cأتروبين وريدي لتحسين ضغط الدم
4. Dإزالة الرجفان غير المتزامنة كما في توقف القلب

How does bladder training help urge incontinence?

1. AA catheter is used every night
2. BThe patient goes to the toilet every 15 minutes
3. CThe patient drinks as little as possible
4. DThe time between voids is slowly increased

The night after hip surgery, an 84-year-old becomes suddenly confused and tries to pull out their IV line. What is the most appropriate first step?

1. AApply wrist restraints to protect the IV line
2. BAsk for a strong sedative so that the patient can sleep
3. CTell the family that this is the start of dementia
4. DLook for causes such as low oxygen, pain, retention or infection

How is the height of an epidural sensory block usually checked?

1. ATapping the knee with a reflex hammer and recording the score
2. BMeasuring the patient's blood glucose level
3. CChecking the colour of the patient's urine
4. DTesting sensation to cold with ice or a cold spray

A patient is booked for a urea breath test for H. pylori. Which medicine should usually be stopped 2 weeks before the test?

1. ALevothyroxine
2. BOmeprazole
3. CAmlodipine
4. DParacetamol (acetaminophen)