Soal latihan bergaya NCLEX-PN (LPN/LVN): paket kilat

At what angle is an intramuscular injection given?

1. A45 degrees
2. B90 degrees
3. C15 degrees
4. D30 degrees

Seorang pasien yang bingung berulang kali mencoba memanjat pagar tempat tidur yang dinaikkan. Apa pendekatan yang paling aman?

1. AMengikat pergelangan tangan pasien ke tempat tidur
2. BMenaikkan pagar lebih tinggi dan meninggalkan pasien sendirian di ruang yang tenang agar ia tenang
3. CMengkaji ulang dan mempertimbangkan alternatif seperti tempat tidur rendah dan observasi lebih ketat
4. DMemberikan sedatif tanpa evaluasi medis

Which kitchen practice helps prevent scald burns in young children?

1. AHold the child while drinking a hot drink
2. BLeave hot drinks at the edge of the table
3. CTurn pot handles toward the back of the stove
4. DLet the child stand on a chair beside the stove

Seorang perawat melihat rekannya berpindah dari satu pasien ke pasien berikutnya tanpa kebersihan tangan. Tindakan terbaik apa?

1. AMelaporkannya secara anonim kepada manajer sebulan kemudian
2. BMenunggu untuk melihat apakah rekan tersebut melakukannya lagi lain kali
3. CTidak mengatakan apa-apa, untuk menghindari konflik dalam tim
4. DMengingatkan rekan tersebut dengan sopan saat itu juga

A woman calls to say her husband suddenly has a drooping face and slurred speech. What should the nurse advise?

1. ACall emergency services now and note the time it started
2. BDrive him to the hospital yourself after he has eaten dinner
3. CBook an appointment with his doctor next week
4. DLet him lie down and see if it improves

A patient with anorexia nervosa is admitted. Which finding is the priority?

1. ASays she feels fat although she is very thin
2. BRefuses to eat in front of other people
3. CHeart rate 38/min and potassium 2,8 mEq/L
4. DHas fine, downy hair on her arms

Why should a urinary catheter drainage bag be kept below the level of the bladder?

1. ATo keep the urine warm
2. BTo stop the catheter from falling out
3. CTo make the bag easier for the nurse to empty
4. DTo prevent urine flowing back into the bladder

A nurse phones a doctor about a deteriorating patient using SBAR. Which statement belongs in the "R" section?

1. A"I am calling about Mr Smith, who is breathless."
2. B"Please review him within the next 15 minutes."
3. C"He was admitted three days ago with pneumonia."
4. D"His blood pressure is 85/50 and he is confused."

Seorang pasien dengan aritmia ventrikel menunjukkan pola berputar (torsades de pointes) pada monitor. Elektrolit mana yang umum diberikan IV sebagai terapi?

1. AMagnesium sulfat
2. BNatrium bikarbonat
3. CKalsium karbonat
4. DKalium fosfat

A patient on high-dose dexamethasone has a white cell count of 15 × 10³/µL, mostly mature neutrophils with no bands. They have no fever and no signs of infection. What is the most likely explanation?

1. AA new leukemia that is confirmed by this result alone
2. BA steroid effect that moves neutrophils into the circulating blood
3. CA laboratory error, because steroids always lower the white count
4. DCertain sepsis that needs antibiotics started without delay

Apa yang membuat overdosis antidepresan trisiklik seperti amitriptilin sangat berbahaya?

1. AAritmia jantung dan kejang
2. BBatu ginjal
3. CGlukosa darah tinggi mendadak
4. DGagal hati berat dalam beberapa jam

Which statement about raloxifene for postmenopausal osteoporosis is correct?

1. AIt acts like oestrogen in all tissues, including the breast, and relieves hot flushes
2. BIt is a bisphosphonate taken weekly with water
3. CIt has no effect on the risk of blood clots
4. DIt acts like oestrogen on bone but blocks oestrogen in the breast, and raises clot risk

A 34-year-old has hypertension that is hard to control and a low serum potassium without taking diuretics. Which cause should be considered?

1. AEssential hypertension of ageing
2. BPrimary hyperaldosteronism
3. CHypothyroidism
4. DIron-deficiency anaemia

A patient declines enoxaparin for VTE prevention because it is made from pork, which conflicts with their beliefs. What is the best response?

1. ATell the patient that refusal means they cannot have surgery
2. BGive the injection anyway without explaining what the medicine is made from
3. CRespect the decision, inform the prescriber and discuss non-animal options
4. DDocument the refusal in the notes and take no further action at all

An 85-year-old care home resident becomes newly confused and is falling more often. A UTI is one possibility. Why?

1. AConfusion is the only symptom of a UTI at any age
2. BA UTI cannot occur in people over 80
3. CUrinary infections always cause a high fever in older adults
4. DOlder adults often show infection as confusion

A nurse teaches a carer to give buccal midazolam for prolonged seizures. Which statement shows a need for further teaching?

1. A"I will call an ambulance if the care plan tells me to."
2. B"I will put something between his teeth so he does not bite his tongue."
3. C"I will write down the time the seizure started and the time I gave the dose."
4. D"I will give it into the space between his gum and cheek."

Pengkajian di sisi tempat tidur mana yang digunakan untuk memantau asites?

1. AGlukosa kapiler sebelum setiap makan
2. BArus puncak dan saturasi oksigen
3. CUkuran pupil dan reaksinya dua kali sehari
4. DBerat badan harian dan lingkar perut

A patient on modified-release morphine for cancer pain has needed four breakthrough doses every day for several days. What should the nurse do?

1. AGive all breakthrough doses at the same time
2. BReport it, as the regular background dose may need review
3. CStop the breakthrough doses to reduce opioid use
4. DTell the patient to put up with the pain between doses

A woman's epidural has just been inserted. Which nursing action is a priority in the next hours?

1. AKeep her lying flat on her back
2. BEncourage her to walk around the room on her own
3. CCheck her blood pressure and bladder often
4. DRestrict all oral and IV fluids

An ultrasound at 30 weeks shows polyhydramnios and no visible fetal stomach bubble. Which fetal condition should be considered?

1. AFetal growth from maternal diabetes only
2. BOesophageal atresia
3. CRenal agenesis
4. DPost-term pregnancy

A 12-year-old with type 1 diabetes will play a long football match. What should the nurse advise?

1. ACheck glucose before playing and keep fast-acting carbohydrate at hand
2. BInject an extra dose of insulin into the thigh just before he starts running
3. CAvoid sport, because exercise is unsafe with diabetes
4. DSkip the meal before the match to avoid high glucose

Which statement by the parent of a child with peanut allergy shows a need for further teaching?

1. A"I'll call an ambulance every time I use the auto-injector, even if she seems to recover quickly."
2. B"I'll read food labels for peanuts every time I shop."
3. C"I'll check the use-by date on her auto-injectors regularly and replace them before they expire."
4. D"If she has a bad reaction, I'll give an antihistamine and wait an hour before using the auto-injector."

Which physical finding is common in bulimia nervosa?

1. ASwelling of the salivary glands at the angle of the jaw
2. BRaised blood pressure, a fast pulse and a high temperature
3. CA high serum potassium level
4. DVery low body weight with lanugo hair

Tidak lama setelah menerima haloperidol, kepala seorang pasien terpuntir ke satu sisi, matanya terpaku ke atas, dan ia mengeluh tenggorokannya terasa sempit. Apa yang pertama kali harus dilakukan perawat?

1. AMemberikan dosis haloperidol lagi
2. BMenganjurkannya meregangkan lehernya
3. CMenenangkannya bahwa ini kecemasan terhadap obat baru dan membiarkannya beristirahat tenang sendirian
4. DMeminta bantuan medis segera dan memberikan antikolinergik yang diresepkan, sambil mengawasi jalan napas

Latihan (nilai rekaan, bukan pedoman klinis). Konversi berat menghasilkan 73,9316 kg. Aturan dalam latihan ini adalah berat dibulatkan ke persepuluhan kilogram terdekat. Nilai x berapa yang Anda catat?

Latihan (nilai rekaan, bukan pedoman klinis). Sebuah infus dimulai pada 22:10 dan selesai pada 01:45 keesokan paginya (jam 24 jam). Berapa menit t infus itu berjalan?

Seorang pasien berbobot 22 kg dan diresepkan 5 mg/kg sebagai dosis tunggal. Tentukan dosisnya D dalam mg.

Resepnya 7700 unit obat yang tersedia sebagai 10000 unit/mL. Tarik dosis dalam alat suntik 1 mL: berapa volume V yang Anda berikan?

Sebuah infus menetes 50 gtt/min melalui set 60 gtt/mL. Berapa mililiter V yang diterima pasien dalam 6 jam?

Infus berisi 100 mg dalam 250 mL berjalan pada 24 mL/h. Berapa mikrogram per menit D yang diterima pasien?

Latihan (nilai rekaan, bukan pedoman klinis). Catatan menunjukkan asupan dan haluaran seorang pasien selama satu shift 8 jam. Infus IV berjalan dengan laju yang ditunjukkan selama seluruh shift. Cari total asupan I dalam mL.

Latihan (nilai rekaan, bukan pedoman klinis). Sebuah kantong 1000 mL dijalankan dengan pompa pada 80 mL/h. Pada pukul 07:00, 750 mL sudah diinfuskan. Berapa jam t lagi sampai kantong kosong? Bulatkan ke satu angka desimal.

Latihan (nilai rekaan, bukan pedoman klinis). Seorang pasien latihan dinilai dengan skala Braden: persepsi sensorik: terbatas sepenuhnya; kelembapan: selalu lembap; aktivitas: terbaring di tempat tidur; mobilitas: tanpa keterbatasan; nutrisi: kemungkinan tidak adekuat; gesekan dan geseran: berpotensi bermasalah. Cari total Braden B.

Latihan (nilai rekaan, bukan pedoman klinis). Gunakan bagan NEWS2 (SpO₂ skala 1) untuk observasi berikut: frekuensi napas 9/menit, SpO₂ 90% dengan udara ruangan, tekanan darah 110/66 mmHg, nadi 82/menit, sadar penuh, suhu 35,8 °C. Pasien termasuk kelompok risiko klinis yang mana? Klik kelompok itu.

1. 1rendah
2. 2rendah–sedang
3. 3sedang
4. 4tinggi