Prioritas & Delegasi ala NCLEX: paket kilat

A patient at 35 weeks of pregnancy with high blood pressure calls the clinic. Which symptom needs urgent assessment?

1. ANeeding to pass urine more often
2. BMild ankle swelling at the end of the day
3. CBackache after a long walk
4. DA severe headache with blurred vision

A patient taking an SSRI is also given tramadol. A few hours later the patient is agitated, sweating and has a fever, jerking muscles and brisk reflexes. What is the most likely cause?

1. ASerotonin syndrome
2. BAn anxiety attack
3. COpioid withdrawal
4. DNeuroleptic malignant syndrome

A patient with a respiratory infection has a raised procalcitonin level. What does this most suggest?

1. AAn allergic reaction to a recent medication
2. BA bacterial rather than a viral infection
3. CDehydration from poor intake
4. DA purely viral illness

A patient who speaks little English is being discharged with new medications. The patient’s 12-year-old child offers to interpret. What should the nurse do?

1. AUse a professional medical interpreter
2. BUse simple English and many hand gestures
3. CLet the child interpret, because the family prefers it
4. DGive written instructions in English only

A patient on carbamazepine becomes confused and has a headache. Which laboratory result would most likely explain this?

1. AA high serum potassium
2. BA high serum calcium
3. CA low serum magnesium
4. DA low serum sodium

A patient on a stable dose of levothyroxine now has a TSH of 9,8 mIU/L. She recently started taking her calcium and iron supplements with her morning levothyroxine. What is the most likely explanation?

1. AThe TSH is low, showing that the dose is now too high
2. BThe supplements are reducing levothyroxine absorption
3. CThe supplements are causing an overactive thyroid gland
4. DThe result is normal for a person on levothyroxine therapy

Which is the correct technique for using a metered-dose inhaler without a spacer?

1. APress the canister and wait one minute before breathing in
2. BBreathe out, then breathe in slowly and deeply while pressing the canister, then hold
3. CBreathe in quickly through the nose while pressing the canister
4. DPress the canister twice quickly, then breathe in fast and breathe straight out again

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. AAortic dissection
2. BStable angina
3. CPericarditis
4. DPulmonary oedema

Bagaimana enoksaparin subkutan dari spuit siap pakai diberikan?

1. AKe tempat abdomen yang sama setiap hari, lalu dipijat
2. BKe dalam otot deltoid, setelah gelembung udara dikeluarkan terlebih dahulu
3. CSebagai bolus intravena cepat melalui kanula
4. DKe dalam abdomen, dengan gelembung udara dibiarkan, tanpa digosok

A day after a myocardial infarction, a patient has frequent ventricular ectopic beats on the monitor. Which blood results should be checked first?

1. APotassium and magnesium
2. BAlbumin and bilirubin
3. CAmylase and lipase
4. DFerritin and vitamin B₁₂

A patient with untreated hyperthyroidism is losing weight. Which diet is most appropriate until the condition is controlled?

1. AA strict low-protein diet
2. BA diet very high in caffeine for energy
3. CA high-calorie diet with enough protein
4. DA low-calorie diet to protect the heart

Seorang pasien KAD membaik: glukosa 9 mmol/L, keton 0,4 mmol/L, pH 7,36. Ia makan dan minum. Bagaimana insulin IV dihentikan?

1. AMemberikan insulin subkutan bersama makan, lalu menghentikan IV setelah tumpang tindih
2. BMemberikan insulin subkutan hanya bila glukosa naik di atas 20 mmol/L
3. CMenghentikan insulin IV sekarang dan memulai insulin subkutan besok
4. DMenghentikan semua insulin, karena ketoasidosis telah teratasi sepenuhnya

Which advice helps prevent dumping syndrome after gastrectomy?

1. ASmall, frequent meals low in simple sugars, with fluids between meals
2. BA high-sugar diet with fruit juice to keep energy levels up
3. CThree large meals a day with plenty of sweet drinks with each meal
4. DSit upright and walk briskly straight after every meal

A patient admitted for an elective general anaesthetic mentions that they ate a slice of toast 3 hours ago. What should the nurse do?

1. AInform the anaesthetist, as surgery may be delayed
2. BGive a large drink to wash the food through
3. CAsk the patient to try to vomit to empty the stomach
4. DSay nothing, since toast is a light food