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

When should blood cultures be taken in a patient with suspected sepsis?

1. AOnly after three days of antibiotics, to see if they are working
2. BBefore antibiotics are given, as long as this does not delay them
3. COnly if the temperature rises above 40 °C
4. DAfter the patient has recovered from the infection

Before giving a PRN dose of oral morphine, which assessment is most important?

1. AThe patient's blood glucose level
2. BThe respiratory rate and level of sedation
3. CThe patient's weight and height, recorded on admission
4. DThe patient's last bowel movement

A patient on contact precautions must be taken to another department for a test. What is correct?

1. ACover wounds, give the patient a clean gown and tell the receiving department
2. BPut the patient in a separate elevator with the doors open
3. CCancel the test until the precautions are no longer needed, however urgent it is
4. DHave the patient wear an N95 respirator during transport

A nurse sees a doctor about to insert a central line without a sterile gown, and a polite comment was ignored. Which TeamSTEPPS phrase helps to stop the procedure?

1. A“I am concerned, I am uncomfortable, this is a safety issue.”
2. B“I am sure you know what you are doing.”
3. C“I will mention this to the manager at the next staff meeting.”
4. D“Let’s talk about it after you have finished.”

A patient wants to leave the hospital against medical advice. What should the nurse do?

1. ALet the patient leave without telling anyone
2. BInform the provider, explain the risks and document the discussion
3. CHide the patient’s clothes and belongings until the provider arrives
4. DLock the door so the patient cannot leave the unit

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

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

A patient with leukaemia has a very low platelet count. Which nursing precaution is appropriate?

1. AUse a soft toothbrush and an electric razor
2. BTake temperatures rectally
3. CGive medicines by intramuscular injection
4. DEncourage contact sports to keep fit

A nurse teaches a patient with hypertension about their medicines. Which statement shows a need for further teaching?

1. A"I'll stop my tablets once my readings are normal."
2. B"I'll keep taking my tablets even if I feel well."
3. C"I'll get up slowly from sitting."
4. D"I'll have my blood pressure checked regularly."

After surgery for colon cancer, a patient's CEA had fallen to normal, but it has been rising over the last two checks. What does this most likely suggest?

1. AA normal change after surgery that needs no follow-up
2. BA sure sign that the cancer has been fully cured
3. CA sign of iron deficiency from the earlier bleeding
4. DPossible recurrence that needs further assessment

Which set of results best shows that diabetic ketoacidosis is resolving?

1. AA falling glucose with a still widening anion gap
2. BA rising potassium with a falling bicarbonate
3. CA falling glucose with a falling serum bicarbonate
4. DA closing anion gap with a rising bicarbonate and pH

A patient is due the first dose of IV cefuroxime. Which question is most important before giving it?

1. A"Have you taken paracetamol today?"
2. B"Do you prefer the drip in your left arm or in your right arm?"
3. C"Have you ever had a reaction to penicillin or another antibiotic?"
4. D"Have you eaten anything in the last two hours?"

A patient on stable warfarin is prescribed a course of metronidazole. What is the likely effect, and what should the nurse expect?

1. AThe INR stays the same, as these drugs do not interact
2. BMetronidazole replaces warfarin, so warfarin is stopped
3. CThe INR rises, so closer INR monitoring is needed
4. DThe INR falls, so the risk of clotting increases

After an above-knee amputation, which measure helps prevent a hip flexion contracture?

1. AKeeping a pillow under the stump at all times, day and night
2. BSitting in a chair for most of the day with the hips bent
3. CKeeping the hip bent to reduce stump swelling
4. DLying prone for periods and avoiding pillows under the stump

Seconds after an intramuscular injection, a patient becomes pale, sweaty and faint, with a heart rate of 48/min. There is no rash, wheeze or swelling, and they recover quickly when laid flat. What is the most likely cause?

1. AA vasovagal reaction
2. BA myocardial infarction
3. CAnaphylaxis
4. DA tension pneumothorax

Why is nimodipine given to patients after a subarachnoid haemorrhage?

1. ATo raise the blood pressure and improve perfusion
2. BTo dissolve the blood clot around the aneurysm
3. CTo reduce brain injury from delayed vasospasm
4. DTo stop seizures in the first few days

A patient with a brain injury has a mean arterial pressure of 80 mmHg and an ICP of 25 mmHg. How should the nurse interpret this?

1. AThe ICP cannot affect brain perfusion if the blood pressure is normal
2. BThe cerebral perfusion pressure is 80 mmHg, which is normal
3. CThe cerebral perfusion pressure is 55 mmHg, below the usual target
4. DThe cerebral perfusion pressure is 105 mmHg, which is too high

Which early symptoms suggest local anaesthetic systemic toxicity?

1. AA red rash only at the injection site, with no other symptoms
2. BIncreased hunger and thirst over several hours, with a dry mouth
3. CTingling around the mouth, a metallic taste and tinnitus
4. DMild itching of the feet the next day

On day 3 after surgery, a patient has a temperature of 38,6 °C, respiratory rate 24/min, pulse 118/min, BP 92/58 mmHg and new confusion. What should the nurse do?

1. AEscalate urgently and start the sepsis pathway
2. BRecord the observations and continue routine care
3. CEncourage oral fluids and wait for the doctor's round
4. DGive paracetamol and recheck in four hours

Lokia berbau busuk pada hari ke-3 setelah melahirkan paling mungkin menunjukkan:

1. ADehidrasi
2. BInfeksi rahim (endometritis)
3. CLokia normal
4. DKandung kemih penuh yang menekan rahim

A woman at 41 weeks has a Bishop score of 3 and is booked for induction. What is the most likely first step?

1. ACervical ripening with a prostaglandin
2. BA high-dose oxytocin infusion straight away
3. CAn immediate amniotomy at the bedside
4. DAn emergency caesarean

A child is in skin traction for a leg fracture. Which nursing action is correct?

1. ALift the weights off when the child is uncomfortable
2. BLet the weights rest on the floor while the child sleeps, so the pull is gentler
3. CKeep the weights hanging freely, clear of the bed and floor
4. DRemove the traction tapes every hour to check the skin

Temuan mana pada anak dengan pirau ventrikuloperitoneal yang memerlukan tindak lanjut segera?

1. ANafsu makan dan bermain yang normal
2. BBenjolan kecil dan lunak di atas katup yang tidak berubah
3. CJaringan parut yang sudah sembuh di sepanjang jalur pirau
4. DSakit kepala, muntah berulang, dan rasa kantuk yang meningkat

Which information is essential when documenting the use of physical restraint?

1. AThe nurse's personal opinion of the patient's character and attitude
2. BThe full names of the other patients who saw the incident
3. CThe reason for it, alternatives tried, start and end times, and the observations made
4. DOnly the time the restraint started and the name of the nurse in charge of the shift

Seorang pasien dengan gangguan panik yang diketahui mengatakan ia mengalami nyeri dada dan sulit bernapas. Apa yang pertama kali harus dilakukan perawat?

1. AMemberinya ceramah tentang restrukturisasi kognitif
2. BMengatakan bahwa ini hanya serangan panik lagi
3. CMengkajinya secara fisik, termasuk tanda vital, dan melakukan EKG sesuai kebijakan, sebelum berasumsi ini adalah panik
4. DMemintanya bernapas pelan ke dalam kantong kertas dan meninggalkannya sendiri sampai paniknya mereda, seperti yang selalu terjadi pada gangguan panik

Latihan (nilai rekaan, bukan pedoman klinis). Sebuah dosis dicatat pada 21:10 (jam 24 jam). Entri mana yang merupakan waktu yang sama pada jam 12 jam? Klik entri itu.

1. 19:10 PM
2. 29:10 AM
3. 311:10 PM
4. 48:10 PM

Latihan (nilai rekaan, bukan pedoman klinis). Sebuah infus memberikan 25 mcg/menit. Nyatakan laju dosis ini D dalam mg/jam.

Sebuah vial berisi 500 mg serbuk. Labelnya menyatakan: tambahkan 9,6 mL air untuk injeksi sehingga volume totalnya 10 mL. Resepnya 30 mg. Berapa volume V larutan hasil rekonstitusi yang Anda berikan?

Seorang anak dengan berat badan 12 kg diresepkan 15 mg/kg per dosis suspensi oral yang mengandung 200 mg dalam 5 mL. Berapa volume V yang Anda berikan?

Infuskan 1000 mL selama 12 jam dengan set 60 tts/mL. Tentukan laju tetesan R dalam tetes per menit. Bulatkan ke bilangan bulat terdekat.

Infus berisi 100 mg dalam 250 mL berjalan pada 3 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 keseimbangan cairan B = asupan − haluaran dalam mL (jawaban negatif berarti kehilangan bersih). Hitung serpihan es setengah volumenya.

Latihan (nilai rekaan, bukan pedoman klinis). Sebuah kantong 500 mL dimulai pada pukul 08:15 dan dijalankan dengan pompa pada 50 mL/h. Berapa mL V yang tersisa di kantong pada pukul 15:45?

Latihan (nilai rekaan, bukan pedoman klinis). Seorang pasien latihan dinilai dengan skala Braden: persepsi sensorik: terbatas sepenuhnya; kelembapan: jarang lembap; aktivitas: hanya bisa duduk di kursi; mobilitas: sama sekali tidak bergerak; nutrisi: kemungkinan tidak adekuat; gesekan dan geseran: bermasalah. Cari total Braden B.

Latihan (nilai rekaan, bukan pedoman klinis). Seorang pasien latihan dinilai dengan skala Braden: persepsi sensorik: tidak ada gangguan; kelembapan: sangat lembap; aktivitas: hanya bisa duduk di kursi; mobilitas: sama sekali tidak bergerak; nutrisi: sangat buruk; gesekan dan geseran: bermasalah. Gunakan kategori 19–23 tidak berisiko, 15–18 ringan, 13–14 sedang, 10–12 tinggi, dan 9 atau kurang sangat tinggi. Klik tingkat risikonya.

1. 1tidak berisiko
2. 2risiko ringan
3. 3risiko sedang
4. 4risiko tinggi
5. 5risiko sangat tinggi