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

Why is nail varnish or false nails often removed before surgery?

1. AThey are a common cause of wound infection
2. BThey can catch fire from the electrical equipment used in theatre
3. CThey make the anaesthetic work less well
4. DThey can affect pulse oximetry and checking skin colour

A man skips bowel cancer screening because he feels healthy and thinks cancer will not happen to him. Which Health Belief Model concept best explains this?

1. AHigh perceived benefits
2. BHigh self-efficacy
3. CStrong cues to action
4. DLow perceived susceptibility

A patient has highly contagious viral conjunctivitis. Which teaching is most important?

1. AWear a surgical mask whenever someone else is in the room
2. BKeep using the same contact lenses to protect the eyes
3. CRub the eyes gently to remove the discharge
4. DWash hands often and do not share towels, pillows or eye drops

Tindakan mana yang paling baik mencegah kesalahan rute pada infus epidural?

1. AMemberi label pada jalur epidural dan menjaganya pada pompa khusus tersendiri
2. BMenempelkan semua jalur menjadi satu agar rapi
3. CMenggunakan jenis pompa dan selang yang sama untuk semua infus pasien
4. DMenggunakan port IV yang bebas bila port epidural tersumbat

A patient at 35 weeks of pregnancy with high blood pressure calls the clinic. Which symptom needs urgent assessment?

1. ANeeding to pass urine more often
2. BMild ankle swelling at the end of the day
3. CA severe headache with blurred vision
4. DBackache after a long walk

Seorang perawat mengawasi asisten keperawatan baru. Kapan perawat harus memeriksa pekerjaan asisten dengan paling ketat?

1. AKetika asisten baru dalam tugas tersebut atau pasien kurang stabil
2. BHanya di akhir giliran jaga, ketika dokumentasi ditinjau
3. CHanya ketika asisten meminta bantuan untuk tugas yang dirasa sulit
4. DTidak pernah, karena asisten memegang sertifikat untuk peran tersebut

An older adult has left lower abdominal pain, fever and a raised CRP. Which condition is most likely?

1. AGastric ulcer
2. BBiliary colic
3. CAppendicitis
4. DDiverticulitis

After a viral illness, a patient has sharp chest pain that is worse lying flat and eased by sitting forward. What is the most likely cause?

1. AAortic dissection
2. BPericarditis
3. CStable angina
4. DPulmonary oedema

Which change in clotting tests is normal in late pregnancy?

1. APlatelets rise above 600 × 10³/µL
2. BaPTT doubles from baseline
3. CFibrinogen and D-dimer rise
4. DINR rises to about 3,0

A patient with a large, fast-growing lymphoma will start chemotherapy tomorrow. Which plan best prevents tumor lysis syndrome?

1. ANo special measures, because the risk starts only after a week
2. BFluid restriction and a high-potassium diet before the treatment
3. CIV hydration, a uric acid-lowering drug and frequent electrolytes
4. DCalcium supplements and a high-phosphate diet during treatment

Which group of effects would the nurse expect after a dose of an anticholinergic drug such as atropine?

1. ADry mouth, faster heart rate and dilated pupils
2. BBronchial secretions, wheeze and tearing of the eyes
3. CHeavy salivation, slow heart rate and small pupils
4. DDiarrhoea, frequent urination and sweating

An older patient who has taken omeprazole for many years has muscle cramps, tremor and an irregular heartbeat. Which lab finding is most likely linked to the drug?

1. AHigh serum sodium
2. BLow serum magnesium
3. CLow serum glucose
4. DHigh serum calcium

A patient's blood pressure is 120/60 mmHg. What is the approximate mean arterial pressure?

1. A100 mmHg
2. B80 mmHg
3. C90 mmHg
4. D60 mmHg

Four surgical patients need VTE prevention. For which patient is mechanical prophylaxis alone most appropriate?

1. AAn obese patient after hip surgery
2. BA patient with cancer having bowel surgery
3. CA patient after an uncomplicated knee replacement
4. DA patient who had a brain haemorrhage two days ago

A patient taking a GLP-1 receptor agonist has severe, constant upper abdominal pain spreading to the back, with vomiting. What should the nurse suspect?

1. AAcute pancreatitis
2. BA simple urinary tract infection
3. CNormal nausea from the drug
4. DLow blood glucose

Seorang pasien KAD membaik: glukosa 9 mmol/L, keton 0,4 mmol/L, pH 7,36. Ia makan dan minum. Bagaimana insulin IV dihentikan?

1. AMenghentikan semua insulin, karena ketoasidosis telah teratasi sepenuhnya
2. BMenghentikan insulin IV sekarang dan memulai insulin subkutan besok
3. CMemberikan insulin subkutan hanya bila glukosa naik di atas 20 mmol/L
4. DMemberikan insulin subkutan bersama makan, lalu menghentikan IV setelah tumpang tindih

Which check is routinely made for a patient with a burn wound?

1. AMeasles vaccination status
2. BVisual acuity in both eyes
3. CBlood group of the next of kin
4. DTetanus immunisation status

A patient who takes NSAIDs suddenly develops severe epigastric pain, a rigid abdomen and shoulder-tip pain. Which finding would most support the likely diagnosis?

1. AFluid levels in the bladder on an ultrasound scan
2. BFree air under the diaphragm on an erect chest X-ray
3. CTall, peaked T waves on a 12-lead ECG
4. DA raised serum lipase three times the upper limit

A woman at 37 weeks had a placental abruption. Which laboratory finding suggests she is developing disseminated intravascular coagulation (DIC)?

1. AA raised haemoglobin level
2. BA low fibrinogen level and low platelets
3. CA high fibrinogen level and high platelets
4. DA low white cell count only

A woman in active labour has been at 6 cm for 4 hours despite regular contractions. Which factor among the "5 Ps" should the nurse consider first?

1. AThe placenta: whether it is anterior or posterior
2. BThe past history of her mother's labour
3. CThe pulse rate during contractions
4. DThe passenger: fetal size, position or presentation

How should anti-sickness medicine be given to a child receiving chemotherapy that often causes vomiting?

1. ABefore the chemotherapy starts and then regularly
2. BOnly after the child has already vomited at least twice
3. COnly at night, when the child is asleep
4. DOnly if the child asks for it

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

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

A woman has new anxiety, weight loss, a tremor, heat intolerance and a fast heart rate. Which test is most important before diagnosing an anxiety disorder?

1. AAn MRI of the knee
2. BThyroid function tests
3. CUrine drug screen only
4. DSerum lithium level

A patient who has taken haloperidol for many years now has repeated lip smacking and tongue movements. Which action is most appropriate?

1. AGive benztropine, because it reliably reverses these movements
2. BReassure the patient that the movements will soon stop on their own
3. CIncrease the haloperidol dose, because a higher dose suppresses the abnormal movements of the mouth and tongue
4. DReport the movements, assess them with a scale such as the AIMS and ask for a medication review

Latihan (nilai rekaan, bukan pedoman klinis). Perhitungan laju tetesan menghasilkan 242,727 gtt/menit. Aturan dalam latihan ini adalah laju tetesan dibulatkan ke tetes bulat terdekat. Nilai x berapa yang Anda catat?

Latihan (nilai rekaan, bukan pedoman klinis). Sebuah infus dimulai pada 20:35 dan selesai pada 08:05 keesokan paginya (jam 24 jam). Berapa jam t infus itu berjalan? Berikan jawaban dalam jam sebagai desimal, dibulatkan ke dua tempat desimal.

Berapa miligram obat m yang terdapat dalam 20 mL larutan 2% (b/v)?

Resepnya 1000 unit obat yang tersedia sebagai 5000 unit/mL. Tarik dosis dalam alat suntik 1 mL: berapa volume V yang Anda berikan?

Sebuah infus menetes 20 gtt/min melalui set 20 gtt/mL. Berapa mililiter V yang diterima pasien dalam 4 jam?

Sebuah kantong berisi 500 mg obat dalam 100 mL dan mengalir dengan laju 25 mL/h. Berapa miligram per jam D yang diterima pasien?

Latihan (nilai rekaan, bukan pedoman klinis). Catatan menunjukkan asupan dan haluaran seorang pasien selama satu shift 12 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 500 mL dimulai pada pukul 12:30 dan dijalankan dengan pompa pada 50 mL/h. Berapa mL V yang tersisa di kantong pada pukul 17:30?

Latihan (nilai rekaan, bukan pedoman klinis). Seorang pasien latihan dinilai dengan skala Braden: persepsi sensorik: tidak ada gangguan; kelembapan: kadang-kadang lembap; aktivitas: kadang-kadang berjalan; mobilitas: sedikit terbatas; nutrisi: sangat baik; gesekan dan geseran: berpotensi bermasalah. Cari total Braden B.

Latihan (nilai rekaan, bukan pedoman klinis). Seorang pasien latihan dinilai dengan skala jatuh Morse: riwayat jatuh dalam 3 bulan terakhir: tidak; diagnosis sekunder: ya; alat bantu jalan: tidak ada, tirah baring, atau dibantu perawat; terapi IV atau saline lock: tidak; cara berjalan: normal, tirah baring, atau kursi roda; status mental: melebih-lebihkan atau melupakan batas kemampuannya. Dengan batas 0–24 rendah, 25–44 sedang, dan 45 atau lebih tinggi, klik tingkat risiko jatuhnya.

1. 1risiko rendah
2. 2risiko sedang
3. 3risiko tinggi