تحديد الأولويات والتفويض بأسلوب NCLEX: حزمة المراجعة المكثفة

A nurse has called the rapid response team for a deteriorating patient. What should the nurse do while waiting for the team?

1. ALeave the patient for a few minutes to find the relatives and explain what is happening
2. BStay with the patient, give oxygen as prescribed and have recent vital signs ready
3. CGive a dose of every as-needed medication on the chart
4. DGo to the station to finish documentation for other patients

A day after a femur fracture, a young patient becomes confused and breathless, with small red spots on the chest. What should the nurse suspect?

1. AFat embolism syndrome
2. BNormal pain after a fracture
3. CAn allergic reaction to the cast
4. DAlcohol withdrawal

Before a defibrillator shock is delivered, what must the person operating it do?

1. AHold the patient’s hand to keep them still
2. BCall “all clear” and check that nobody is touching the patient or bed
3. CAsk a colleague to hold the paddles in place
4. DKeep the oxygen mask on the patient’s face, held against the chest

A nurse discovers that an insulin infusion was programmed using the wrong drug concentration in the pump library. What should the nurse do first?

1. ADouble the rate to correct for the error
2. BLeave it running and check the glucose at the next routine time
3. CReprogram the pump and finish the shift before reporting
4. DStop the infusion and check the patient’s blood glucose

A breathless patient in the emergency department has a BNP below 100 pg/mL. What does this suggest?

1. AThe kidneys are failing and the patient needs dialysis
2. BSevere heart failure is certainly the cause of the problem
3. CHeart failure is an unlikely cause of the breathlessness
4. DThe patient has had a myocardial infarction in the past day

مريض يتناول الوارفارين وINR مستقر 2,4، بدأ كورسًا من مضاد حيوي مثل السيبروفلوكساسين. بعد أسبوع صار INR 4,6. ما التفسير الأرجح؟

1. Aتناول المريض مزيدًا من الأطعمة الغنية بفيتامين K
2. Bتداخل دوائي يزيد تأثير الوارفارين
3. Cخطأ مخبري هو التفسير الوحيد الممكن
4. Dشفى المضاد الحيوي حاجة المريض إلى مضادات التخثر

Which of these is a non-drug measure that can help relieve pain?

1. ATelling the patient that the pain is not real
2. BRestricting visitors completely
3. CRepositioning and distraction
4. DKeeping the patient awake all night

Why might a patient with diabetes who takes a beta-blocker not notice hypoglycaemia early?

1. ABeta-blockers raise blood glucose, so true hypoglycaemia cannot happen at all
2. BBeta-blockers stop the liver from responding to insulin
3. CBeta-blockers make the patient sleep through the night
4. DBeta-blockers can mask warning signs such as tremor and a fast heart rate

لماذا لا ينبغي استخدام قناع الوجه البسيط مع تدفق أكسجين دون نحو 5 L/min؟

1. Aلأن القناع يعطي أكسجينًا أكثر من اللازم عند التدفقات المنخفضة
2. Bلأن الرباط المطاطي يكون مرتخيًا عند التدفقات المنخفضة
3. Cقد يتجمع CO₂ المزفور في القناع ويُعاد استنشاقه
4. Dلأنه لا يمكن ترطيب الأكسجين عند التدفقات المنخفضة

Four surgical patients need VTE prevention. For which patient is mechanical prophylaxis alone most appropriate?

1. AAn obese patient after hip surgery
2. BA patient who had a brain haemorrhage two days ago
3. CA patient after an uncomplicated knee replacement
4. DA patient with cancer having bowel surgery

A patient uses a continuous glucose monitor. Which statement is correct?

1. AIt makes finger-prick checks unnecessary in every situation
2. BIt reads glucose in fluid under the skin, a little behind blood glucose
3. CIt works by giving small doses of insulin automatically
4. DIt measures glucose directly in the blood every second of the day

A patient with trigeminal neuralgia has lost weight and has poor oral hygiene. Which plan is most appropriate?

1. AOffer soft, lukewarm food and advise chewing on the unaffected side
2. BTell the patient to stop brushing their teeth completely
3. CAdvise very hot drinks to relax the facial nerves
4. DEncourage hard, crunchy foods to strengthen the jaw muscles

أيّ طور من التئام الجروح يتضمن تكوين النسيج الحبيبي وأوعية دموية جديدة؟

1. Aطور التكاثر
2. Bطور الإرقاء (التخثر)
3. Cالطور الالتهابي
4. Dطور النضج

A patient arrives in the anaesthetic room without an identity band. What should the nurse do?

1. AProceed because the patient can say their name
2. BStop and confirm identity, then apply a band
3. CProceed and add a band once in recovery
4. DUse the spare identity band from the front of the patient's notes folder