تحديد الأولويات والتفويض بأسلوب NCLEX: حزمة المراجعة المكثفة

A drowsy patient who has just returned from surgery starts to vomit. What should the nurse do first?

1. AGive an oral anti-sickness tablet
2. BRaise the legs above the heart
3. CGive a drink of water
4. DTurn the patient onto their side

مريض قصور قلب يعاني ضيق النفس مع خراخر في الرئتين. أي ترتيب للإجراءات صحيح؟

1. Aإعطاء الأدوية الفموية المجدولة أولًا، ثم إجلاس المريض
2. Bوزن المريض أولًا، ثم إعادة تقييم التنفس بعد أربع ساعات
3. Cالجلوس منتصبًا، وإعطاء الأكسجين حسب الوصفة، ثم استدعاء مقدّم الرعاية
4. Dإضجاع المريض ليرتاح، ثم بدء سوائل الصيانة الوريدية

ينبّه ماسح الباركود إلى أن الدواء لا يطابق سجل المريض. ماذا ينبغي أن تفعل الممرضة؟

1. Aإعطاء الدواء والإبلاغ عن التنبيه لاحقًا خلال الوردية
2. Bتجاوز التنبيه وإعطاء الدواء
3. Cالتوقف ومعرفة السبب قبل إعطاء الدواء
4. Dمسح سوار مريض آخر

A hospital will introduce new infusion pumps and wants to find out how the process could fail before any harm occurs. Which method fits best?

1. AA morbidity and mortality meeting
2. BAn incident report for each new pump
3. CFailure mode and effects analysis (FMEA)
4. DRoot cause analysis (RCA) of the new pumps

A patient taking phenazopyridine for bladder pain has bright orange urine. What should the nurse know about urine tests?

1. AThe drug improves the accuracy of all dipsticks
2. BThe color shows severe liver failure is present
3. CThe dye can interfere with dipstick color readings
4. DThe color proves blood is present in the urine

A patient's results: sodium 140 mEq/L, chloride 100 mEq/L, bicarbonate 12 mEq/L. What is the anion gap, and what does it suggest?

1. A12 mEq/L, a normal anion gap
2. B52 mEq/L, a very high anion gap
3. C28 mEq/L, a high anion gap
4. D40 mEq/L, a high anion gap

After a laparoscopic cholecystectomy, a patient has pain in the shoulder tip. What is the most likely cause?

1. AA heart attack caused by the stress of surgery
2. BA broken collarbone from being moved onto the table
3. CGas used during the operation irritating the diaphragm
4. DAn allergic reaction to the dressing

A patient took a large paracetamol (acetaminophen) overdose six hours ago and says they feel well. Why is treatment still urgent?

1. APatients who feel well after six hours never need any treatment at all
2. BParacetamol damage only shows up in the kidneys, many weeks later
3. CParacetamol overdose causes immediate breathing problems
4. DLiver damage develops later, and the antidote works best when given early

A patient on theophylline develops nausea, vomiting, a fast heart rate and restlessness. What should the nurse suspect?

1. AAn expected sign that the drug is working
2. BA theophylline allergy causing a rash
3. CTheophylline toxicity
4. DHypoglycaemia caused by the drug

A hypotensive patient has a temperature of 39,2 °C, warm flushed skin, a bounding pulse and a fast heart rate. Which type of shock is most likely?

1. ACardiogenic shock
2. BHypovolaemic shock from bleeding
3. CObstructive shock from tamponade
4. DEarly septic (distributive) shock

After a lumbar discectomy, which finding should the nurse report promptly?

1. AStiffness when getting out of bed
2. BNew weakness or numbness in the legs
3. CA dry, intact wound dressing
4. DMild pain at the wound site

مريض سكتة مع ضعف في الجانب الأيمن جاهز للانتقال من السرير إلى الكرسي. أيّ نهج هو الأكثر أمانًا؟

1. Aوضع الكرسي على اليمين ورفع المريض من الذراع الضعيفة
2. Bوضع الكرسي على الجانب الأيسر والدوران نحوه
3. Cأن يُطلب من المريض الوقوف وحده والمشي إلى الكرسي
4. Dسحب المريض للأعلى من الكتف الأيمن والمعصم

Why is a pregnancy test often done before surgery in women who could be pregnant?

1. AAnaesthesia, drugs and some tests may harm a fetus
2. BPregnant women cannot sign consent forms
3. CIt is needed to calculate the anaesthetic drug dose
4. DPregnancy always makes surgery impossible

A patient with diabetes has a foot ulcer. A sterile probe touches bone at the base of the ulcer. What should the nurse suspect?

1. AOsteomyelitis
2. BA healing category 1 ulcer
3. CVenous insufficiency
4. DSimple dry skin