Prioritas & Delegasi ala NCLEX: paket kilat

A patient with mild dysphagia after a stroke is eating. Which technique helps make swallowing safer?

1. ALying flat with the head tilted back
2. BTalking while eating to stay alert
3. CDrinking thin fluids quickly through a straw between bites
4. DSitting upright with the chin tucked down while swallowing

A patient with untreated hyperthyroidism has surgery and develops a temperature of 40 °C, a heart rate of 160/min and severe agitation. What is most likely happening?

1. AMyxedema coma
2. BA normal reaction to pain
3. CThyroid storm
4. DOpioid withdrawal

Which type of white blood cell is most often raised in viral infections?

1. ABasophils
2. BLymphocytes
3. CNeutrophils
4. DEosinophils

A nurse teaches a patient with active pulmonary tuberculosis who is going home on treatment. Which statement shows a need for further teaching?

1. A“I can stop taking the pills once I feel better.”
2. B“I will need to take my medicines for several months.”
3. C“I will come back for sputum tests as planned.”
4. D“I will cover my mouth with a tissue when I cough.”

A tired patient with heavy menstrual periods has a normal hemoglobin and MCV but a ferritin of 8 ng/mL. What does this show?

1. AIron deficiency without anemia yet
2. BA completely normal iron status
3. CVitamin B₁₂ deficiency anemia
4. DIron overload from too much iron

Seorang pasien dengan penyakit paru lama memiliki bikarbonat serum 32 mEq/L, PaCO₂ arteri yang selalu tinggi, dan pH 7,36. Kondisi mana yang paling sesuai?

1. ADiare berat akut dengan kehilangan bikarbonat yang besar
2. BOverdosis aspirin akut dengan napas cepat
3. CKetoasidosis diabetik akut dengan dehidrasi berat dan muntah
4. DPPOK dengan retensi CO₂ kronis dan kompensasi metabolik

During a red cell transfusion, when are serious acute reactions most likely to start?

1. AIn the first 15 minutes
2. BAfter the third unit only
3. CAbout 24 hours later
4. DOnly after the unit has finished

In a patient with a head injury, which is usually the earliest sign of rising intracranial pressure?

1. AA change in level of consciousness
2. BA fixed, dilated pupil on both sides
3. CA slow pulse with high blood pressure
4. DIrregular breathing pauses

How does intermittent pneumatic compression help prevent DVT?

1. AIt keeps the legs completely still to protect the veins
2. BIt squeezes the legs in cycles to push venous blood towards the heart
3. CIt breaks up and dissolves clots that have already formed in the veins
4. DIt warms the legs gently so the blood becomes thinner and flows faster

During tracheal suctioning, a patient's heart rate drops from 88/min to 48/min. What should the nurse do?

1. AGive a dose of atropine without a prescription
2. BStop suctioning, give oxygen and monitor the patient
3. CContinue suctioning until the airway is completely clear
4. DIncrease the suction pressure to finish faster

A patient is starting lamotrigine. Which teaching point is most important?

1. AExpect an orange tint to tears and urine
2. BDouble the dose if a seizure happens
3. CReport any skin rash promptly, especially in the first weeks
4. DTake it with a glass of grapefruit juice to improve its absorption

A patient with nephrotic syndrome suddenly has loin pain, blood in the urine and a rise in creatinine. What is a likely cause?

1. ANormal fluctuation in the disease
2. BRenal vein thrombosis
3. CA simple bladder infection
4. DToo much dietary protein

Which lifestyle change most improves the course of Crohn's disease?

1. ADrinking more coffee
2. BAvoiding all exercise
3. CEating more red meat
4. DStopping smoking

After two days of large volumes of IV 5% glucose, a postoperative patient becomes confused with a headache. Sodium is 124 mmol/L. What is the likely cause?

1. ANormal confusion after any anaesthetic
2. BHyponatraemia from hypotonic fluids
3. CHypernatraemia from too much salt
4. DHypoglycaemia from the glucose