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

A dying patient asks to see a chaplain or religious leader. What should the nurse do?

1. AExplain that religious matters are not part of care
2. BAsk the patient's doctor if a visit is allowed
3. CTell the patient to wait until visiting hours tomorrow
4. DArrange the visit as soon as possible

During medicines reconciliation, the patient says they take an anticoagulant at home, but it has not been prescribed in hospital. What should the nurse do?

1. AGive the patient's own supply without telling anyone
2. BInform the prescriber so the omission can be reviewed
3. CTell the patient to stop it for good
4. DIgnore it, as the hospital doctor knows best

Why should a child’s weight be recorded only in kilograms?

1. AKilograms are easier for parents to remember
2. BMixing up pounds and kilograms can lead to large dosing errors
3. CChildren weigh less, so smaller units are needed
4. DScales that show kilograms are always more accurate than those that show pounds

A nurse floated to an unfamiliar unit is asked to manage a device they have never been trained to use. What should the nurse do?

1. ADo it anyway, using only the device manual and the instructions on the screen
2. BAsk the patient or the family to explain how the device works
3. CTell the charge nurse and ask for help or a change of assignment
4. DLeave the device untouched and not tell anyone

Tugas mana yang harus didelegasikan perawat kepada asisten keperawatan untuk pasien dengan kewaspadaan jatuh?

1. AMengedukasi keluarga cara mencegah jatuh di rumah
2. BMembantu pasien ke toilet setiap 2 jam sesuai rencana
3. CMemutuskan apakah alarm tempat tidur masih diperlukan
4. DMengkaji dan mencatat skor risiko jatuh pasien setiap pagi

A patient arrives at the emergency department with a plan to end their life, but has normal vital signs. Which ESI level fits best?

1. ALevel 4
2. BLevel 2
3. CLevel 1
4. DLevel 5

Tanda apa yang menunjukkan reaksi transfusi pada menit-menit pertama?

1. AWarna kulit membaik dan lebih bertenaga
2. BDemam, menggigil, nyeri punggung, dan tekanan darah rendah
3. CLapar ringan
4. DKenaikan hemoglobin yang lambat dan stabil selama hari berikutnya

Seorang pasien yang menerima vankomisin IV mengalami kemerahan (flushing) dan ruam merah gatal di wajah dan leher selama infus cepat. Apa penyebab dan respons yang paling mungkin?

1. AGagal hati; hentikan semua obat secara permanen
2. BRespons normal; tingkatkan laju infus
3. CReaksi terkait infus; hentikan atau perlambat infus dan beri tahu penulis resep
4. DTerbakar sinar matahari; oleskan krim dan lanjutkan

Perubahan EKG mana yang berkaitan dengan hipokalsemia?

1. AGelombang delta yang menonjol
2. BInterval QT memendek
3. CInterval QT memanjang
4. DGelombang T tinggi dan runcing

A patient's potassium is 7,2 mEq/L, and the monitor shows wide QRS complexes. Several treatments are prescribed. Which should be given first?

1. AUrgent hemodialysis session
2. BAn oral potassium binder dose
3. CIV furosemide (a loop diuretic)
4. DIV calcium gluconate (or chloride)

How is adenosine given for supraventricular tachycardia?

1. AAs an intramuscular injection into the outer thigh muscle
2. BAs a slow infusion over one hour
3. CAs a rapid IV push followed by a fast saline flush
4. DAs a tablet under the tongue

A baby born to a mother on methadone becomes irritable on day 2, with a high-pitched cry, tremors, sneezing and poor feeding. What is the most likely cause?

1. ANeonatal opioid withdrawal syndrome
2. BNeonatal hypoglycaemia from maternal diabetes
3. CVitamin K deficiency bleeding
4. DNormal newborn behaviour

After coronary artery bypass surgery through a median sternotomy, which instruction is usually given for the first several weeks?

1. ASleep only on the stomach to protect the wound
2. BAvoid walking until the stitches are removed
3. CAvoid heavy lifting and pushing up with the arms
4. DLift the arms above the head often to stretch the chest

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

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

A patient receives phenytoin through a nasogastric tube along with continuous enteral feed. Which issue should the nurse know about?

1. AThe feed increases phenytoin levels and causes toxicity within hours
2. BPhenytoin must be crushed and mixed into the feed bag
3. CThe feed can reduce phenytoin absorption, so the feed is often paused around the dose
4. DPhenytoin makes the feed curdle, so the two must never be used in one patient

A large pituitary tumour presses on the optic chiasm. Which visual field defect is most typical?

1. AComplete blindness in one eye only
2. BLoss of central vision in both eyes
3. CLoss of the outer half of the field in both eyes
4. DLoss of the inner half of the field in both eyes

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

1. AUkuran pupil dan reaksinya dua kali sehari
2. BBerat badan harian dan lingkar perut
3. CArus puncak dan saturasi oksigen
4. DGlukosa kapiler sebelum setiap makan

Beberapa jam setelah kateter epidural dilepas, seorang pasien yang menggunakan antikoagulan mengalami nyeri punggung dan kelemahan tungkai yang memburuk. Apa yang harus dicurigai?

1. AHematoma epidural, yang membutuhkan tinjauan darurat dan MRI
2. BInfeksi saluran kemih yang menyebabkan nyeri punggung
3. CUlkus tekan sakrum yang menyebabkan nyeri tungkai alih
4. DHilangnya efek blok epidural secara normal sepanjang hari

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

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

Which finding in a newborn at 6 hours requires the most urgent action?

1. AMild moulding of the head
2. BCentral cyanosis, fast breathing and grunting
3. CSmall white milia on the nose and chin
4. DAcrocyanosis of the hands and feet

Which statement about patient-controlled analgesia (PCA) for a child is correct?

1. AThe nurse should press it every 5 minutes, day and night, to keep the pain away
2. BAny visitor may press it if the child seems uncomfortable
3. CParents should press the button whenever the child is asleep
4. DOnly the child presses the button, unless a protocol says otherwise

An infant on digoxin has vomited twice. The apical pulse is below the limit set by the prescriber. What should the nurse do?

1. AGive the dose and recheck the pulse in an hour
2. BWithhold the dose and inform the prescriber
3. CGive the dose with milk to stop the vomiting
4. DGive half the dose to be on the safe side

Which feature helps distinguish normal grief from major depression?

1. AIn grief, the person feels worthless and hopeless all the time
2. BIn grief, the person cannot feel any positive emotions or enjoy any memories of the person who died
3. CGrief always lasts less than 2 weeks
4. DIn grief, painful feelings come in waves and self-esteem is usually kept

A man whose wife died a month ago is rude and angry with the nurses about small things. What is the best understanding of his behaviour?

1. AHe should be told that his behaviour is unacceptable and that visits will be stopped
2. BHe does not care about his wife's death and is using it as an excuse to be rude
3. CHis anger may be part of grief, displaced onto staff, so she should not take it personally
4. DHe has antisocial personality disorder that was not noticed before

Latihan (nilai rekaan, bukan pedoman klinis). Suhu seorang pasien adalah 105,1 °F. Konversikan ke derajat Celsius T dengan °C = (°F − 32) × 5/9. Bulatkan ke satu tempat desimal.

Latihan (nilai rekaan, bukan pedoman klinis). Sebuah infus memberikan 8 mcg/menit. Nyatakan laju dosis ini D dalam mg/jam.

Seorang anak dengan berat 32 kg diresepkan 2,5 mg/kg suatu obat. Larutan stok mengandung 25 mg/mL. Tarik dosisnya: berapa volume V yang Anda berikan?

Resepnya 105 mikrogram. Ampul mengandung 0,5 mg/mL. Tarik dosis dalam alat suntik 1 mL: berapa volume V yang Anda berikan?

Infuskan 1500 mL selama 12 jam dengan set 10 tts/mL. Tentukan laju tetesan R dalam tetes per menit. Bulatkan ke bilangan bulat terdekat.

200 mg obat diencerkan dalam 100 mL dan diberikan dengan gravitasi melalui set 60 gtt/mL. Resepnya 100 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 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 500 mL dijalankan dengan pompa pada 50 mL/h. Pada pukul 15:00, 200 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: tidak ada gangguan; kelembapan: sangat lembap; aktivitas: kadang-kadang berjalan; mobilitas: sama sekali tidak bergerak; nutrisi: sangat buruk; gesekan dan geseran: tidak tampak masalah. Cari total Braden B.

Latihan (nilai rekaan, bukan pedoman klinis). Gunakan bagan NEWS2 (SpO₂ skala 1) untuk observasi berikut: frekuensi napas 14/menit, SpO₂ 98% dengan oksigen tambahan, tekanan darah 110/66 mmHg, nadi 82/menit, sadar penuh, suhu 36,3 °C. Pasien termasuk kelompok risiko klinis yang mana? Klik kelompok itu.

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