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

While wearing sterile gloves, where should the nurse keep their hands?

1. AAbove waist level and in sight
2. BFolded under the armpits to keep warm
3. CBehind the back when not in use
4. DResting on the edge of the sterile field

Which nursing diagnosis is written in the problem–aetiology–signs (PES) format?

1. ATurn the patient every two hours to protect the skin
2. BImpaired skin integrity related to immobility, as shown by a sacral wound
3. CPneumonia related to a bacterial infection in the right lung
4. DPain related to pain, as shown by the patient saying that it hurts a lot

Before a blood transfusion is started, which check is required?

1. AOne nurse checks the blood product against the order at the nurses’ station
2. BThe nurse checks only that the bag number matches the order
3. CThe patient signs the blood bag label to confirm their name before it is hung
4. DThe patient’s identity is checked against the blood product and its paperwork at the bedside

Seorang pasien menerima obat kewaspadaan tinggi melalui infus kontinu. Saat serah terima, praktik mana yang paling aman?

1. APerawat yang pulang mengatakan bahwa "pompanya baik-baik saja" di meja perawat
2. BPerawat yang datang memeriksanya di akhir shift
3. CKedua perawat memeriksa pompa dan kantong terhadap resep
4. DHanya kecepatan yang diperiksa, bukan obat atau konsentrasinya

A nurse sees a nursing assistant leave a confused patient’s bed in the highest position after care. What should the nurse do?

1. ALeave it because the patient is asleep
2. BWrite it in the assistant’s yearly review only
3. CAsk the family to lower the bed when they next visit
4. DLower the bed now and remind the assistant why it matters

A patient on airborne precautions for suspected tuberculosis must go to the radiology department. What should the patient wear during transport?

1. ANothing, if the trip is short
2. BA surgical mask
3. CA fit-tested N95 respirator
4. DGloves and a gown only

Why are people with diabetes advised to have regular eye screening?

1. ATo check whether they need reading glasses for close work
2. BTo measure their blood glucose through the eye
3. CTo prevent conjunctivitis
4. DTo detect diabetic retinopathy early, before sight is lost

During a general anaesthetic, a patient develops a rapidly rising temperature, muscle rigidity and rising carbon dioxide levels. What should be suspected?

1. AMalignant hyperthermia
2. BNeuroleptic malignant syndrome from antipsychotics
3. CPostoperative infection
4. DA normal response to surgery

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

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

The nurse teaches a patient who is collecting a 24-hour urine sample at home. Which statement shows a need for further teaching?

1. A"I'll keep the container cool as the laboratory told me to"
2. B"I'll ask whether any foods or drugs should be avoided first"
3. C"I'll empty my bladder at the end time and add that urine"
4. D"If I forget to save one void, I'll just carry on to the end"

Which signs suggest early lithium toxicity?

1. AHair loss and dark urine only
2. BPinpoint pupils and slow breathing
3. CDiarrhoea, vomiting, coarse tremor and drowsiness
4. DVery high blood pressure and a severe headache

Pasangan efek samping mana yang khas untuk pengobatan amiodaron jangka panjang?

1. APertumbuhan gusi berlebih dan pertumbuhan rambut berlebih
2. BDisfungsi tiroid dan fibrosis paru
3. COtotoksisitas dan nefrotoksisitas
4. DBatuk kering dan angioedema

A patient with heart failure starts dapagliflozin, an SGLT2 inhibitor. Which teaching is most relevant?

1. AExpect the urine to turn bright orange and stain underwear and clothes
2. BAvoid drinking any fluids at all for the first week of treatment
3. CTake an extra dose if the ankles swell
4. DKeep the genital area clean, as fungal infections are more common

An older patient with three rib fractures is breathing shallowly and refuses to cough because of pain. What is the priority intervention?

1. AKeep the patient flat and still in bed until the pain settles
2. BWithhold analgesia to avoid depressing breathing
3. CEffective analgesia so they can breathe deeply and cough
4. DStrap the chest tightly with bandages to stop the ribs moving

Why is pyridostigmine often taken about 30–60 minutes before meals by patients with myasthenia gravis?

1. ATo reduce stomach acid so the food is digested better
2. BTo improve the strength of chewing and swallowing at mealtimes
3. CTo stop the drug from irritating an empty stomach later on
4. DTo lower the blood glucose rise after eating a meal

Seorang pasien stroke iskemik akut bukan kandidat trombolisis. Pada hari 1 TD 190/100 mmHg tanpa kegawatan lain. Apa yang umumnya tepat?

1. AMenghindari penurunan agresif dan mengikuti target tim stroke
2. BMenurunkannya dengan cepat ke 110/70 mmHg dengan obat IV
3. CMembaringkan pasien datar dan memberi bolus cairan besar
4. DMemberikan semprotan nitrat setiap 5 menit sampai di bawah 120 mmHg

Why is IV albumin often given after a large-volume paracentesis?

1. ATo prevent low blood pressure and kidney injury from fluid shifts
2. BTo raise the blood glucose after the procedure
3. CTo treat infection in the ascitic fluid
4. DTo replace the clotting factors and platelets lost in the drained fluid

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

Which measure helps prevent venous thromboembolism after a caesarean?

1. AKeeping the knees bent on pillows
2. BBed rest for several days
3. CEarly mobilisation
4. DRestricting fluids

Seorang mahasiswa keperawatan merawat bayi baru lahir yang menjalani fototerapi untuk ikterus. Tindakan mana yang perlu dikoreksi?

1. AMelepas pelindung mata saat menyusui ketika lampu dimatikan
2. BMenutup mata bayi dengan pelindung mata selama fototerapi
3. CMemeriksa suhu dan hidrasi bayi secara berkala
4. DMengoleskan minyak bayi pada kulit sebelum lampu dinyalakan

A child with suspected measles is admitted. Which precaution is most important?

1. AContact precautions only, with gloves
2. BDroplet precautions in a shared bay
3. CAirborne precautions, ideally in a negative-pressure room
4. DNo special precautions once the rash appears

A child is recovering from Kawasaki disease at home. Which finding is expected in the recovery phase?

1. AA new high fever lasting several days
2. BPeeling skin on the fingers and toes
3. CA new purple rash on the legs
4. DSudden chest pain during play

A patient taking sertraline wants to take ibuprofen regularly for arthritis. What should the nurse teach?

1. AThe combination increases the risk of bleeding, especially in the stomach, so discuss it with the prescriber
2. BThe combination is completely safe because they act on different systems
3. CIbuprofen will make the sertraline work faster
4. DIbuprofen should be taken instead of sertraline on the days when the arthritis pain is bad, to avoid any interaction

A patient with borderline personality disorder says, "If you don't make Anna my nurse again tomorrow, I'll cut myself." What is the most appropriate response?

1. ATell her that if she cuts herself again, she will be discharged from the ward at once without any follow-up
2. BAgree to assign Anna to her every day so that she stays safe
3. CIgnore the threat, because she is only trying to manipulate staff
4. DTake the statement seriously, assess her risk and explain that nursing assignments are decided by the team

Latihan (nilai rekaan, bukan pedoman klinis). Seorang bayi baru lahir memiliki berat 8 lb 10 oz. Dengan 1 lb = 16 oz dan 1 kg = 2,2 lb, cari berat m dalam kilogram. Bulatkan ke dua tempat desimal.

Latihan (nilai rekaan, bukan pedoman klinis). Selama satu shift seorang pasien mengonsumsi 3 cangkir dari teh, 3 tbsp dari suplemen cair, 1½ tsp dari sirup batuk. Dengan ekuivalen yang diberikan, cari total asupan oral V dalam mL.

Berapa miligram obat m yang terdapat dalam 50 mL larutan 2% (b/v)?

Resepnya 3,56 mg. Ampul mengandung 4000 mikrogram per mL. Tarik dosis dalam alat suntik 1 mL: berapa volume V yang Anda berikan?

Infus diresepkan pada 25 mL/h, tetapi tidak ada pompa. Infus berjalan dengan gravitasi melalui set infus 60 gtt/mL. Tentukan laju tetes R dalam tetes per menit.

200 mg obat diencerkan dalam 100 mL dan diberikan dengan gravitasi melalui set 15 gtt/mL. Resepnya 40 mg per jam. Tentukan laju tetes R dalam tetes per menit.

Latihan (nilai rekaan, bukan pedoman klinis). Catatan menunjukkan asupan dan haluaran seorang pasien selama satu shift 12 jam. Berat badan pasien 54 kg. Cari rata-rata haluaran urine U dalam mL/kg/jam. Bulatkan ke dua angka desimal.

Latihan (nilai rekaan, bukan pedoman klinis). Sebuah kantong 500 mL dijalankan dengan pompa pada 75 mL/h. Pada pukul 21:30, 300 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: kadang-kadang lembap; aktivitas: sering berjalan; mobilitas: sangat terbatas; nutrisi: sangat buruk; gesekan dan geseran: bermasalah. Cari total Braden B.

Latihan (nilai rekaan, bukan pedoman klinis). Gunakan bagan NEWS2 (SpO₂ skala 1) untuk observasi berikut: frekuensi napas 20/menit, SpO₂ 98% dengan udara ruangan, tekanan darah 92/56 mmHg, nadi 88/menit, sadar penuh, suhu 39,6 °C. Pasien termasuk kelompok risiko klinis yang mana? Klik kelompok itu.

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