Prioritas & Delegasi ala NCLEX: paket kilat

A nurse has called the rapid response team for a deteriorating patient. What should the nurse do while waiting for the team?

1. AGo to the station to finish documentation for other patients
2. BLeave the patient for a few minutes to find the relatives and explain what is happening
3. CGive a dose of every as-needed medication on the chart
4. DStay with the patient, give oxygen as prescribed and have recent vital signs ready

At 08:00 a nurse has four tasks. Which order is best?

1. ACheck the patient with a falling SpO₂, give insulin with breakfast, give routine medications, update care plans
2. BGive insulin with breakfast, update care plans, check the patient with a falling SpO₂, give routine medications
3. CGive routine medications, check the patient with a falling SpO₂, update care plans, give insulin with breakfast
4. DUpdate care plans, give insulin with breakfast, give routine medications, check the patient with a falling SpO₂

A patient with a fever and a cough arrives in a crowded clinic waiting room. What should the nurse do?

1. AGive the patient a mask and seat them apart from others
2. BAsk the patient to wait outside in the car park
3. CDo nothing until the patient is seen by the provider
4. DGive everyone else in the waiting room a mask instead

A patient was harmed by a medication error and asks the nurse what happened. Which approach is best?

1. ABe honest that an error occurred and involve the provider and team in disclosure per policy
2. BTell the patient to make a formal complaint to find out
3. CBlame the pharmacy for the error so that the nurse and the ward are not at fault
4. DTell the patient nothing happened to avoid worry

A patient without symptoms has a fasting plasma glucose of 132 mg/dL (7,3 mmol/L) on Monday and 138 mg/dL (7,7 mmol/L) on Thursday. What does this show?

1. AThe results meet the criteria for diabetes
2. BThe results are within the normal fasting range
3. CThe results show prediabetes only
4. DThe results show reactive hypoglycemia

After lying on the floor for many hours, a patient has a CK of 40,000 U/L, a potassium of 6,1 mEq/L and dark urine. Which prescribed treatment is the priority?

1. AFluid restriction to protect the heart from overload
2. BHigh-dose NSAIDs for the muscle pain
3. CAn oral potassium supplement with each meal
4. DLarge-volume IV fluids with cardiac monitoring

A patient with DKA has an arterial blood gas showing a low pH and a low bicarbonate. Which disturbance is this?

1. AMetabolic alkalosis
2. BRespiratory acidosis
3. CMetabolic acidosis
4. DRespiratory alkalosis

A patient due a blood transfusion is not wearing an identity band. What should the nurse do?

1. ANot start until a correct identity band is in place and identity is confirmed
2. BCheck the name on the bed and proceed
3. CAsk another patient to confirm who the patient is
4. DAsk the patient to state their name and date of birth, then start straight away

Which investigation is usually used to confirm a deep vein thrombosis in the leg?

1. AA lung function test
2. BA plain chest X-ray and an ECG
3. CAn exercise ECG
4. DCompression duplex ultrasound

Seorang pasien asma memiliki riwayat mengi setelah minum aspirin. Ibuprofen diresepkan untuk nyeri pascaoperasi. Apa yang harus dilakukan perawat?

1. AMemberikannya, karena ibuprofen tidak terkait dengan aspirin
2. BMenahannya dan meminta alternatif
3. CMemberikannya hanya bila skor nyeri di atas 8/10
4. DMemberikannya bersamaan dengan inhaler pelega

A patient with advanced CKD asks how to manage indigestion. Which option should they avoid?

1. AEating smaller, more frequent meals
2. BMagnesium-containing antacids
3. CAvoiding large meals late in the evening
4. DRaising the head of the bed at night

Selama hemodialisis, TD pasien turun menjadi 80/50 mmHg dan ia merasa pusing dan mual. Apa tindakan keperawatan pertama yang paling tepat?

1. AMeningkatkan laju pengeluaran cairan agar sesi selesai lebih cepat
2. BMemberikan dosis antihipertensi biasa pasien segera
3. CMembaringkan pasien datar, mengurangi pengeluaran cairan, dan meminta bantuan
4. DMendudukkan pasien tegak dan mendorong berjalan sebentar

A patient is starting regular oral morphine. Which bowel advice is most appropriate?

1. AStop eating fibre completely
2. BTake a bulk-forming laxative only with very little water
3. CWait until there has been no stool for a week
4. DStart a regular laxative at the same time

A nurse teaches a patient with chronic pancreatitis. Which statement shows a need for further teaching?

1. A"I'll report increased thirst or passing urine more often."
2. B"I'll take my enzyme capsules at bedtime."
3. C"I should not drink any alcohol."
4. D"Oily, floating stools may mean my dose needs changing."