تحديد الأولويات والتفويض بأسلوب NCLEX: حزمة المراجعة المكثفة

A patient’s peripheral IV site is swollen, pale and cool, and the infusion has slowed. What should the nurse do first?

1. AApply a tight bandage over the site to reduce swelling
2. BFlush the cannula hard to clear the blockage
3. CStop the infusion and remove the cannula
4. DIncrease the infusion rate to overcome the resistance

A severely malnourished patient started nutrition two days ago and now has weakness and confusion. Which laboratory result should the nurse check first?

1. ASerum amylase
2. BSerum cholesterol
3. CSerum phosphate
4. DThyroid hormone

Which room lighting is safest at night for a patient at high risk of falls?

1. AA low night light that lights the path to the bathroom
2. BComplete darkness so the patient sleeps more deeply
3. COnly the light from the television screen
4. DBright overhead lights left on all night in the room

تسرّبت كيس دواء علاج كيميائي على الأرض. ما الخطوة الأولى؟

1. Aتركه حتى يجف ثم تنظيفه في نهاية الوردية
2. Bمسحه بسرعة بمناديل ورقية وبأيدٍ عارية
3. Cأن تطلب من عامل النظافة مسحه بالممسحة المعتادة
4. Dارتداء معدات الوقاية من عدّة الانسكاب واحتواء الانسكاب

A patient on hemodialysis has an arteriovenous (AV) fistula in the left arm. Where should the nurse draw routine blood samples?

1. AFrom the fistula
2. BFrom the left wrist
3. CFrom the right arm
4. DFrom the left hand

A patient receiving chemotherapy has a white cell count of 1,8 × 10³/µL with 20% neutrophils and 5% bands. What is the absolute neutrophil count (ANC)?

1. A450/µL
2. B360/µL
3. C4,500/µL
4. D1,800/µL

أي دواء يُستخدم لعكس الهيبارين غير المجزأ؟

1. Aفلومازينيل
2. Bفيتامين K (فيتومينادايون)
3. Cنالوكسون
4. Dكبريتات البروتامين

A nurse teaches a patient with asthma about a new inhaled steroid "preventer". Which statement shows a need for further teaching?

1. A"I will use it every day even when I feel well."
2. B"I will rinse my mouth after using it."
3. C"I'll keep my reliever inhaler with me."
4. D"I will only use it when I'm wheezy."

A patient is on a short course of oral prednisolone for an asthma exacerbation. Which effect should the nurse monitor for?

1. ARaised blood glucose
2. BLow blood pressure
3. CLow blood sodium
4. DSlow heart rate

A patient with small-cell lung cancer becomes confused. Sodium is 122 mmol/L (122 mEq/L) with concentrated urine, and there are no signs of dehydration. What is the most likely cause?

1. AExcess salt in the diet over several weeks
2. BCranial diabetes insipidus from brain metastases
3. CSyndrome of inappropriate ADH secretion
4. DSevere dehydration from poor oral intake

A patient has confirmed meningococcal meningitis. What is usually offered to their close household contacts?

1. AA full course of IV antibiotics in hospital
2. BA lumbar puncture to check for infection
3. CPreventive antibiotics
4. DNo action unless they develop symptoms

A patient has erratic glucose readings. The nurse finds a soft, rubbery lump where they always inject. What is the most important teaching?

1. AUse healthy sites and check glucose often, as less insulin may be needed
2. BDouble the insulin dose because the lump blocks the insulin
3. CKeep injecting into the lump, because it hurts less there
4. DMassage the lump firmly after every injection

Which diet is usually recommended for a patient with cirrhosis and hepatic encephalopathy?

1. AOnly clear fluids for several weeks
2. BNormal protein and enough calories, with a late-evening snack
3. CA very low-protein diet for the rest of their life to lower ammonia
4. DNo food at all until the confusion settles

A patient's platelet count is 18 × 10⁹/L (18,000/µL). Which order should the nurse question?

1. AOral paracetamol for headache
2. BAn intramuscular injection
3. CDaily full blood count
4. DA soft diet with mouthwashes