تحديد الأولويات والتفويض بأسلوب NCLEX: حزمة المراجعة المكثفة

A nurse teaches a patient who uses home oxygen. Which statement shows a need for further teaching?

1. A“I will put up no-smoking signs at the front door and in my room.”
2. B“My husband can smoke in my room if the window is open.”
3. C“I will keep the oxygen away from the gas stove.”
4. D“I will not use oil-based creams on my face.”

A visitor on the ward becomes threatening and shows a knife. What is the nurse’s priority?

1. AArgue with the visitor to persuade them to leave
2. BIgnore the visitor and carry on with patient care
3. CMove away to safety, keep others away and call security or the police
4. DTry to take the knife away from the visitor straight away before anyone is hurt

A patient is on seizure precautions. Which equipment should be ready at the bedside?

1. AA tongue blade to put between the teeth
2. BWorking suction and oxygen equipment
3. CRestraints ready for all four limbs
4. DAn ice pack to place on the forehead

A nurse has weeping dermatitis on both hands. What is the most appropriate action?

1. AUse extra alcohol hand rub on the lesions
2. BAvoid direct patient care and handling of equipment until it heals, and see occupational health
3. CCover the lesions with a waterproof bandage and keep working with patients as usual
4. DContinue care as usual and wear one pair of gloves

A nurse completed the hepatitis B vaccine series. Which result shows protective immunity?

1. AA raised ALT level
2. BA positive HBsAg test
3. CAnti-HBs of 10 mIU/mL or more
4. DA positive IgM anti-HBc

A patient with kidney stones and fatigue has a calcium of 11,6 mg/dL (2,9 mmol/L), a high parathyroid hormone (PTH) and a low phosphate. Which condition is most likely?

1. APrimary hyperparathyroidism
2. BCancer-related hypercalcemia
3. CVitamin D deficiency
4. DHypoparathyroidism

What should a nurse do during a generalised tonic-clonic seizure?

1. AHold the limbs firmly to stop the jerking and prevent injury
2. BGive the patient a drink of water
3. CProtect the head, time the seizure and do not put anything in the mouth
4. DPut a tongue depressor between the teeth so that the tongue is not bitten

A patient with diabetes is found confused with slurred speech and weakness on one side. What should the nurse check first?

1. ACapillary blood glucose
2. BUrine output for the last day
3. CSerum cholesterol
4. DBody mass index

أيّ توليفة من فئات الأدوية تحسّن البقاء على قيد الحياة في قصور القلب مع كسر قذف منخفض؟

1. Aمدرّ عروي وديجوكسين ونترات وحاصر قنوات الكالسيوم
2. Bمضاد التهاب غير ستيرويدي وأسبرين وستاتين ومدرّ ثيازيدي
3. Cمدرّ عروي وحده بأعلى جرعة متحملة
4. Dمثبط الإنزيم المحوِّل للأنجيوتنسين أو ARNI، وحاصر بيتا، وMRA، ومثبط SGLT2

انفصل أنبوب مفجّر صدر المريض عن وحدة التصريف. ماذا ينبغي أن تفعل الممرضة أولًا؟

1. Aنزع المفجّر من الصدر وتغطية الموضع
2. Bإعادة توصيله، أو وضع طرف الأنبوب في ماء معقم، ثم التقييم
3. Cإطباق الأنبوب عدة ساعات وإعادة فحص المريض لاحقًا
4. Dتركه مفتوحًا للهواء حتى يصل الطبيب لمراجعته

Which approach helps most when talking to a patient with expressive aphasia?

1. AAvoid talking to them until their speech has recovered
2. BAsk questions that can be answered with yes, no or a gesture
3. CFinish their sentences quickly to save them effort
4. DSpeak louder, because the patient cannot hear well

A patient with acromegaly snores loudly, stops breathing at times in sleep and is sleepy during the day. What is most likely?

1. ANarcolepsy
2. BObstructive sleep apnoea
3. CAn anxiety disorder
4. DNormal snoring

مريض لديه فغر لفائفي جديد وخرجه غزير جدًا. ما الخطر الرئيسي؟

1. Aالجفاف وفقد الصوديوم والبوتاسيوم والمغنيزيوم
2. Bفرط السوائل وتورم الكاحلين
3. Cالإمساك وانحشار البراز في الأمعاء فوق الفغر
4. Dارتفاع الكالسيوم وحصى الكلى خلال أيام

Using the adult rule of nines, what is the total burn area of the whole right arm plus the whole front of the trunk (both with partial-thickness burns)?

1. A18%
2. B27%
3. C45%
4. D36%