Prioritas & Delegasi ala NCLEX: paket kilat

A young adult has just started an SSRI antidepressant for major depression. What should the nurse monitor most closely in the first weeks?

1. ARising blood glucose levels
2. BThoughts of suicide or self-harm
3. CHair growth and skin color
4. DWeight loss from too much appetite

A patient takes lithium. Which statement shows a need for further teaching?

1. A“I will go for my blood tests as planned.”
2. B“I will take ibuprofen every day for my headaches.”
3. C“I will drink enough fluid every day.”
4. D“I will keep my daily salt intake about the same as usual.”

Mengapa pena insulin tidak boleh digunakan untuk lebih dari satu pasien, meskipun dengan jarum baru?

1. ADarah dapat mengalir balik ke kartrid dan menyebarkan infeksi
2. BPenggunaan bersama pena mengubah dosis yang diberikan
3. CSetiap pena hanya berisi satu dosis insulin
4. DInsulin dalam pena akan kedaluwarsa lebih cepat bila digunakan bersama

A patient with suspected sepsis has orders for blood cultures and an IV antibiotic. What is the correct order of actions?

1. AWait for the culture results before starting the antibiotic
2. BGive the antibiotic and take the cultures an hour later
3. CGive the antibiotic first so that treatment starts, and take the cultures the next day
4. DDraw the blood cultures first, then give the antibiotic without delay

A patient has started parenteral nutrition (PN) through a central line. Which test is monitored most frequently in the first days?

1. AHemoglobin A1c
2. BBlood glucose
3. CSerum lipase
4. DThyroid hormones

A young man has a swollen knee after minor trauma. His aPTT is prolonged, but his PT/INR and platelet count are normal. Which condition fits best?

1. AImmune thrombocytopenia (ITP)
2. BHemophilia A (factor VIII deficiency)
3. CDisseminated intravascular coagulation
4. DVitamin K deficiency from poor diet

A patient is receiving enteral feeding through a nasogastric tube. How should they be positioned during feeding?

1. AIn any position, as long as the feed runs slowly
2. BWith the head of the bed raised to at least 30 degrees
3. CLying completely flat
4. DLying on the left side with the head down to help the feed drain

A patient suddenly develops a painful red eye with blurred vision, haloes around lights and vomiting. What should be suspected?

1. AA stye
2. BAcute angle-closure glaucoma
3. CDry eye syndrome
4. DSimple conjunctivitis from a viral infection

Seorang pasien memulai warfarin untuk TVD. Mengapa heparin atau LMWH juga diberikan selama beberapa hari pertama?

1. AHeparin meningkatkan penyerapan warfarin
2. BHeparin melindungi dari perdarahan akibat warfarin
3. CKedua obat harus selalu dilanjutkan bersama seumur hidup
4. DWarfarin membutuhkan beberapa hari untuk mencapai efek penuh

Selama serangan asma berat, PaCO₂ pasien naik dari rendah menjadi normal sementara ia tampak kelelahan. Apa artinya?

1. APasien kelelahan dan gagal napas dapat menyusul
2. BSerangan mereda dan pengobatan dapat dikurangi
3. CPasien hiperventilasi akibat kecemasan
4. DSampel kemungkinan vena dan dapat diabaikan

How does bladder training help urge incontinence?

1. AThe time between voids is slowly increased
2. BThe patient drinks as little as possible
3. CThe patient goes to the toilet every 15 minutes
4. DA catheter is used every night

After a stroke, a patient suddenly cries or laughs at odd moments. They say they do not feel sad. Which response is most appropriate?

1. AIgnore it, because it shows that the patient is seeking attention from the staff
2. BExplain that this is emotional lability after stroke and help the family understand
3. CTell the patient that crying will slow their recovery
4. DAsk the doctor for a sedative to stop the outbursts

Which initial treatment is usual for symptomatic hypercalcaemia of malignancy?

1. AOral calcium tablets and vitamin D
2. BIV fluids followed by an IV bisphosphonate
3. CFluid restriction and a thiazide diuretic
4. DA high-calcium diet with extra milk

Four patients are on a gastroenterology ward. Which should the nurse see first?

1. AA patient with an ileostomy waiting to change the pouch
2. BA patient with cirrhosis who is newly confused and drowsy
3. CA patient with GORD who wants an antacid
4. DA patient with stable ulcerative colitis asking about diet