Prioritas & Delegasi ala NCLEX: paket kilat

A nurse needs to give report on a patient to a colleague. Which information is the most important to include?

1. ADetails of the nurse’s own break times that shift
2. BThe patient’s favorite television programs and hobbies
3. CPersonal opinions about the patient’s family members and their visiting habits
4. DThe patient’s current condition, recent changes and pending tasks

Two call lights go on at the same time. One patient has pain of 7/10 after surgery. The other is a confused patient at high risk of falls who is climbing out of bed alone. Who does the nurse go to first?

1. AThe patient in pain after surgery
2. BThe patient whose call light went on first
3. CThe confused patient climbing out of bed
4. DWhichever patient’s room is closer to the station

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

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

A nurse has just started a unit of red blood cells when a colleague asks for urgent help with another patient. What is the best action?

1. AStay with the transfusing patient for the first 15 minutes and ask another nurse to help
2. BPause the transfusion until the nurse is free again
3. CLeave to help the other patient, and check the transfusion again in about an hour
4. DSpeed up the transfusion so it finishes sooner

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. AA completely normal iron status
2. BIron deficiency without anemia yet
3. CIron overload from too much iron
4. DVitamin B₁₂ deficiency anemia

A stable patient's hemoglobin has been 13–14 g/dL for days. Today's result is 8,2 g/dL, but the patient feels well, the vital signs are normal and there is no bleeding. What should the nurse suspect first?

1. AAcute bone marrow failure overnight
2. BSudden massive internal bleeding
3. CA sample taken from the wrong patient
4. DA normal day-to-day variation in Hb

Which group of symptoms suggests hypothyroidism?

1. AExcessive thirst and passing large volumes of urine
2. BTiredness, weight gain and feeling cold
3. CWeight loss, heat intolerance and tremor
4. DFever, neck stiffness and photophobia

A patient with a central venous catheter develops fever and rigors shortly after the line is flushed, with no other obvious source. What should be suspected?

1. AAn allergic reaction to the saline flush
2. BA catheter-related bloodstream infection
3. CA pulmonary embolism
4. DNormal response to line use

Which side effect is particularly common with verapamil?

1. AHair loss
2. BDiarrhoea
3. CDry cough
4. DConstipation

After a car crash, a patient is severely breathless with absent breath sounds on the right, a deviated trachea, distended neck veins and BP 76/40 mmHg. What is the immediate management?

1. AInsertion of a urinary catheter to monitor output
2. BA chest X-ray to confirm the diagnosis before any treatment
3. CUrgent needle or finger decompression of the right chest
4. DLying the patient flat with the legs raised

A patient's potassium stays low despite replacement. Which other level should be checked?

1. AAmylase
2. BFerritin
3. CBilirubin
4. DMagnesium

A patient with lung cancer is confused, dehydrated and constipated, with a corrected calcium of 3,4 mmol/L (about 13,6 mg/dL). What is usually the first treatment?

1. AA fluid restriction
2. BIV calcium gluconate and vitamin D
3. CIV fluids to rehydrate the patient
4. DOral calcium tablets

Mengapa pasien diajari menopang luka abdomen dengan bantal saat batuk?

1. AMengurangi nyeri dan regangan, sehingga mereka dapat batuk dengan baik
2. BMenggantikan kebutuhan analgesia teratur
3. CMempercepat penyembuhan tepi kulit
4. DMembuat batuk lebih lemah agar luka tidak berisiko

Two days after surgery, a patient on regular ibuprofen has a low urine output and a rising creatinine, and intake has been poor. What should the nurse do?

1. AWithhold the next dose and report to the prescriber
2. BGive the next dose with extra food
3. CIncrease the dose to treat the pain better and encourage fluids
4. DChange to a higher-strength NSAID tablet