تحديد الأولويات والتفويض بأسلوب NCLEX: حزمة المراجعة المكثفة

One day after surgery, a patient walked safely with the RN this morning. The RN now asks a nursing assistant to walk her again. Which instruction is most important?

1. A“Walk her to the end of the corridor and back twice before lunch.”
2. B“Try to finish the walk before the lunch trays arrive.”
3. C“Stop and call me at once if she feels dizzy or short of breath.”
4. D“Make sure she wears her own slippers if she has them.”

An older adult with type 2 diabetes is confused and very dehydrated. The glucose is 900 mg/dL (50 mmol/L), and blood and urine show no significant ketones. What is the most likely problem?

1. ADiabetic ketoacidosis
2. BHypoglycemia with rebound
3. CHyperosmolar hyperglycemic state
4. DStress-induced mild hyperglycemia

An adult with hepatitis A is incontinent of stool. Which precautions are used?

1. AAirborne precautions in a negative-pressure room with the door closed
2. BA protective environment with filtered air
3. CDroplet precautions with a surgical mask
4. DContact precautions in addition to standard precautions

A patient asks for a pain tablet. The record shows none has been given, but the patient says, “The other nurse gave me one earlier.” What should the nurse do?

1. AGive the tablet, because the record shows none was given
2. BTell the patient they must be confused
3. CGive half a tablet now, to be safe, and the other half later if needed
4. DCheck with the other nurse and the records before giving another dose

مريض يتناول الوارفارين للرجفان الأذيني INR لديه 1,4. ماذا يعني ذلك؟

1. Aالجرعة مناسبة تمامًا ولا تحتاج إلى تغيير
2. Bالتخثر المضاد أقل من الهدف، لذلك تزداد احتمالات الجلطات والسكتة الدماغية
3. Cلم يعد المريض بحاجة إلى تناول الوارفارين
4. Dالمريض معرض لخطر نزف مرتفع ويحتاج إلى فيتامين K فورًا

A patient on clozapine reports a sore throat and fever. The ANC is 400/µL (0,4 × 10⁹/L). What should the nurse do?

1. AHold the clozapine and report the result at once
2. BGive the next dose and recheck the ANC next month
3. CHalve the dose and give it with a throat lozenge
4. DGive the dose with food to protect the stomach

قبل إعطاء حاصر بيتا، أي علامة هي الأهم للتحقق منها؟

1. Aحركة الأمعاء
2. Bسكر الدم فقط
3. Cدرجة الحرارة فقط
4. Dمعدل ضربات القلب وضغط الدم

أيّ تغير في تخطيط القلب يرتبط تقليديًا بفرط بوتاسيوم الدم الشديد؟

1. Aموجات T عالية ومدببة
2. Bموجات U بارزة
3. Cانخفاض ST فقط
4. Dقِصر فاصل PR

Why is a raised serum lactate concerning in a patient with shock?

1. AIt suggests tissues are short of oxygen and using anaerobic metabolism
2. BIt means the kidneys are working harder than normal to clear fluid
3. CIt confirms a bacterial infection is present
4. DIt shows only that the patient has eaten a large meal in the past hour

Twelve hours after a coronary stent, a patient has sudden severe chest pain again with new ST elevation in the same leads. What is the most likely cause?

1. ANormal pain from the procedure site
2. BPericarditis from the catheter
3. CIndigestion from the hospital meal
4. DAcute stent thrombosis

كيف ينبغي تسخين سائل الغسيل الصفاقي قبل الاستخدام؟

1. Aفي فرن الميكروويف
2. Bيجب استخدامه باردًا من الثلاجة
3. Cفي وعاء من ماء الصنبور الساخن
4. Dفي مسخّن حراري جاف مخصص

A patient with acute glomerulonephritis has a BP of 190/115 mmHg, a severe headache and blurred vision. Which is the priority?

1. ARecheck the BP at the next routine round
2. BEncourage a walk to relieve the headache
3. CUrgent escalation for BP control and close neuro checks
4. DGive extra oral fluids to correct the low urine output

ما مقدار الفتحة التي ينبغي قصها في جهاز الفغر؟

1. Aأي حجم، ما دام الفغر مغطى
2. Bأكبر من الفغر بنحو 2 cm من كل الجوانب
3. Cأصغر قليلًا من الفغر لإحكام الإغلاق
4. Dأكبر من الفغر بنحو 2–3 mm من كل الجوانب

A 62-year-old with known reflux reports burning central chest pain with sweating and breathlessness that began while walking. What should the nurse do first?

1. ARecord a 12-lead ECG and escalate as possible cardiac pain
2. BBook a routine endoscopy for later in the week
3. CGive an antacid and reassess the pain in an hour
4. DAdvise the patient to avoid spicy food at future meals