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

What is the main purpose of a wound drain after surgery?

1. ATo keep the wound edges apart until it heals
2. BTo remove fluid or blood that could collect and delay healing
3. CTo give antibiotics directly into the wound until it has fully healed
4. DTo measure the temperature inside the wound

Why is heat usually avoided on a fresh soft-tissue injury during the first day?

1. AIt makes the muscles weaker for several weeks
2. BIt narrows blood vessels and reduces blood flow to the injury
3. CIt numbs the area so the patient cannot feel pain
4. DIt widens blood vessels and can increase swelling and bleeding

Kapan respirator N95 dilepas setelah merawat pasien dengan kewaspadaan udara?

1. ASetelah keluar dari ruangan dan menutup pintu
2. BSebelum melepas sarung tangan, di dalam ruangan
3. CTidak pernah; dipakai selama sisa shift
4. DSegera setelah memasuki ruangan

The laboratory reports that a blood sample labeled with one patient’s name has a blood group different from that patient’s previous result. What is the most likely problem and response?

1. AA laboratory machine fault, so no action is needed
2. BThe previous result was wrong, so it is deleted
3. CA wrong-patient sample, so the test is repeated and the event reported
4. DA normal change in the patient’s blood group over the years since the last test

A patient with schizophrenia says voices are telling him to hurt his roommate. What is the priority?

1. AIgnore the comment, because voices are part of his illness
2. BTell him the voices are not real and leave him alone
3. CKeep everyone safe and tell the team, as the risk of harm is high
4. DAsk the roommate to stay in the room with him and help calm him down

A child with sickle cell disease in a pain crisis develops chest pain, fever and an SpO₂ of 89%. What does this most likely mean?

1. AA minor chest infection that can safely wait until the morning round
2. BAcute chest syndrome, which needs urgent escalation and oxygen
3. CAnxiety that will settle with reassurance
4. DAn ordinary pain crisis that will improve with rest

Which examination findings suggest a large pleural effusion on one side?

1. AWheeze heard over both lungs
2. BA hyper-resonant chest with the trachea pulled towards that side
3. CNormal breath sounds and normal percussion
4. DDull percussion and reduced breath sounds over the lung base

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. AStable angina
2. BAortic dissection
3. CPulmonary oedema
4. DPericarditis

A patient with hepatic encephalopathy is receiving lactulose. Which finding best shows that the treatment is effective?

1. ASix to eight watery stools a day with dizziness
2. BNo bowel movement for 2 days and calm sleep
3. CA rising serum ammonia with a slower flapping tremor
4. DTwo to three soft stools a day and clearer thinking

The nurse teaches a patient with severe neutropenia after chemotherapy. Which statement shows a need for further teaching?

1. A"I'll avoid people who have a cold or the flu"
2. B"I'll wash my hands before eating and after the toilet"
3. C"I'll call the clinic if my temperature rises"
4. D"I'll check my temperature rectally to be accurate"

Kombinasi SSRI dengan obat mana yang paling meningkatkan risiko sindrom serotonin?

1. APenghambat monoamin oksidase
2. BAmoksisilin
3. COmeprazol
4. DParasetamol

A pregnant woman develops a deep vein thrombosis. Which anticoagulant is usually preferred?

1. AWarfarin
2. BAspirin alone
3. CLow-molecular-weight heparin, such as enoxaparin
4. DRivaroxaban, a direct oral factor Xa inhibitor

Cairan pada drainase dada telah berhenti berayun. Apa artinya?

1. AUnit drainase mulai mengalirkan perut
2. BParu telah mengembang kembali, atau selang tertekuk atau tersumbat
3. CPermukaan air di bilik kini terlalu tinggi untuk bergerak
4. DPneumotoraks baru berkembang di sisi lain

A patient with a tracheostomy suddenly becomes distressed, and a suction catheter will not pass down the tube. What should the nurse do first?

1. AGive a nebulised bronchodilator
2. BInflate the cuff with more air
3. CIncrease the oxygen and wait
4. DRemove the inner cannula

A patient with CKD is booked for a CT scan with iodinated contrast. Which measure helps protect the kidneys?

1. AGiving a dose of ibuprofen before the scan
2. BGood hydration around the scan, often with IV fluids
3. CDoubling the dose of contrast for a clearer image
4. DRestricting all fluids for 24 hours before the scan

The nurse has four patients. Which one needs to be seen first?

1. AA patient on insulin for DKA whose potassium is now 2,9 mmol/L
2. BA patient with stable CKD waiting for a renal diet review
3. CA patient with Parkinson's disease whose next dose is due in two hours
4. DA patient with hypothyroidism asking when to take levothyroxine

Why are laxatives and enemas avoided when appendicitis is suspected?

1. AThey may increase the risk of perforation
2. BThey make the blood tests impossible to read
3. CThey stop antibiotics from being absorbed
4. DThey always cause the appendix to bleed heavily

A nurse teaches a patient after a colonoscopy with polyp removal. Which statement shows a need for further teaching?

1. A"Some wind and bloating today is expected."
2. B"I should report a fever or a swollen, painful abdomen."
3. C"Severe abdominal pain is normal for a week afterwards."
4. D"I'll report heavy bleeding from my bottom."

Pada pemeriksaan tungkai dalam BUBBLE-HE, bagaimana ibu pascapersalinan dikaji untuk tromboemboli vena saat ini?

1. AMencari pembengkakan satu sisi, rasa hangat, kemerahan, dan nyeri tekan pada tungkai
2. BHanya memeriksa pengisian kapiler jari kaki
3. CMemijat betis untuk meraba bekuan
4. DMenekuk telapak kaki ke atas dengan kuat dan mengandalkan nyeri betis (tanda Homans)

A woman with active genital herpes lesions is admitted in early labour with intact membranes. What should the nurse expect?

1. AA vaginal birth with no special precautions
2. BA fetal scalp electrode for close monitoring
3. CRupture of the membranes to speed up labour
4. DA caesarean birth to reduce the risk of neonatal herpes

How does hydroxyurea (hydroxycarbamide) help children with sickle cell disease?

1. AIt increases fetal haemoglobin, which reduces sickling
2. BIt removes extra iron after blood transfusions
3. CIt kills bacteria in the blood and prevents infections
4. DIt replaces the missing clotting factors

An infant with heart failure is breathing fast and working hard. Which position helps most?

1. ALying flat on the left side only
2. BProne with the head turned to the side
3. CFlat on the back with the legs raised
4. DSemi-upright, with the head and chest raised

Which statement about benzodiazepines in anxiety disorders is correct?

1. AThey are the preferred long-term treatment for generalised anxiety disorder
2. BThey give rapid relief but are generally used only short-term because of tolerance and dependence
3. CThey are safe to stop suddenly after many months of daily use
4. DThey take 4–6 weeks to have any effect on anxiety, like antidepressants

A behaviour plan states that staff will no longer give attention to a child's tantrums but will praise calm behaviour. For the first few days, the tantrums become worse. What does this most likely show?

1. AThat the child needs firm punishment for each tantrum instead
2. BThat the tantrums are caused by a physical illness
3. CThat the plan has failed and should be stopped immediately
4. DAn extinction burst, which is expected before the behaviour decreases

Latihan (nilai rekaan, bukan pedoman klinis). Sebuah dosis dicatat pada 15:20 (jam 24 jam). Entri mana yang merupakan waktu yang sama pada jam 12 jam? Klik entri itu.

1. 13:20 AM
2. 23:20 PM
3. 32:20 PM
4. 45:20 PM

Latihan (nilai rekaan, bukan pedoman klinis). Selama satu shift seorang pasien mengonsumsi 1 tsp dari sirup batuk, 3 tbsp dari suplemen cair, 1 cangkir dari teh, 2 fl oz dari jus. Dengan ekuivalen yang diberikan, cari total asupan oral V dalam mL.

Seorang pasien dengan berat 40 kg memiliki luas permukaan tubuh 1,21 m². Resepnya 50 mg/m². Tentukan dosis D dalam mg.

Seorang pasien memiliki berat 145,2 lb. Resepnya 5 mg/kg sebagai dosis tunggal, dan stoknya berisi 100 mg dalam 1 mL. Dengan 1 kg = 2,2 lb, berapa volume V yang Anda berikan?

500 mL diresepkan selama 12 jam. Setelah 10 jam Anda mendapati masih ada 90 mL di kantong, dan infus tetap harus selesai tepat waktu. Ke laju berapa R dalam mL/h pompa harus diatur ulang?

100 mg obat diencerkan dalam 100 mL dan diberikan dengan gravitasi melalui set 60 gtt/mL. Resepnya 75 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. Berat badan pasien 69 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 80 mL/h. Pada pukul 15:30, 200 mL sudah diinfuskan. Berapa jam t lagi sampai kantong kosong? Bulatkan ke satu angka desimal.

Latihan (nilai rekaan, bukan pedoman klinis). Sebuah bagan latihan mencatat GCS 5, dengan E2 dan V2. Berapa skor motorik M yang dicatat, dan respons mana yang digambarkannya? Berikan angkanya.

Latihan (nilai rekaan, bukan pedoman klinis). Gunakan bagan NEWS2 (SpO₂ skala 1) untuk observasi berikut: frekuensi napas 16/menit, SpO₂ 86% dengan udara ruangan, tekanan darah 78/46 mmHg, nadi 64/menit, sadar penuh, suhu 37,6 °C. Pasien termasuk kelompok risiko klinis yang mana? Klik kelompok itu.

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