Prioritas & Delegasi ala NCLEX: paket kilat

Which two patients can most safely share a room?

1. AA patient with chickenpox and a patient on chemotherapy
2. BTwo patients who both have C. difficile infection
3. CA patient with influenza and a patient with COPD
4. DA patient with MRSA in a wound and a patient after surgery

A patient on airborne precautions for suspected tuberculosis must go to the radiology department. What should the patient wear during transport?

1. ANothing, if the trip is short
2. BGloves and a gown only
3. CA fit-tested N95 respirator
4. DA surgical mask

Dua pasien yang terinfeksi organisme yang sama dirawat, dan tidak ada ruang tunggal yang tersedia. Apa pilihan yang dapat diterima?

1. AMenempatkan mereka dalam satu ruangan (kohorting), sesuai saran pengendalian infeksi
2. BMenempatkan masing-masing bersama pasien yang daya tahan tubuhnya lemah
3. CMenghentikan kewaspadaan kontak
4. DMenempatkan mereka di koridor

An 80-year-old patient took a sleeping tablet an hour ago and now wants to go to the bathroom. What should the nurse do?

1. ARaise all four side rails so the patient stays in bed
2. BTell the patient to go alone and use the call light if needed
3. CWalk with the patient to the bathroom and stay close by
4. DTell the patient to wait until the morning

When do the blood counts usually reach their lowest point (nadir) after many standard chemotherapy regimens?

1. AWithin 1–2 hours of treatment
2. BAbout 7–14 days after treatment
3. COn the same day as treatment
4. DAbout 6 months after treatment

Setelah operasi, seorang pasien yang menerima cairan IV hipotonik dalam volume besar mengalami sakit kepala, mual, dan kebingungan. Hasil mana yang paling menjelaskan hal ini?

1. AGlukosa 110 mg/dL (6,1 mmol/L)
2. BKalsium 9,4 mg/dL (2,35 mmol/L)
3. CNatrium 126 mEq/L
4. DKalium 4,2 mEq/L

Seorang pasien dengan kolonisasi MRSA dirawat inap. Kewaspadaan mana yang tepat?

1. ATidak perlu kewaspadaan untuk kolonisasi
2. BKewaspadaan airborne dengan masker respirator FFP3 untuk semua staf
3. CKewaspadaan kontak dengan sarung tangan, celemek, dan kebersihan tangan yang baik
4. DIsolasi di ruang bertekanan negatif selama enam bulan

Pasien cedera kepala menunjukkan tekanan darah naik, denyut jantung turun, dan napas tidak teratur. Ini menunjukkan:

1. APeningkatan tekanan intrakranial (trias Cushing)
2. BSerangan panik
3. CSepsis
4. DSyok hipovolemik akibat perdarahan dalam yang tersembunyi

A patient with an implantable cardioverter-defibrillator asks what to do if it fires. Which teaching is correct?

1. ARemove the device battery at home if it fires more than once
2. BDrive straight to hospital alone after any shock so the device can be checked by the team
3. CIgnore any shock at all, because the device is designed to fire every day and needs no follow-up
4. DOne shock and well: contact the device clinic; repeated shocks or unwell: call emergency services

A woman starting rifampicin (rifampin) for tuberculosis uses a combined oral contraceptive pill. What advice is correct?

1. AContinue the pill as usual, because there is no interaction with TB drugs
2. BStop all contraception during TB treatment, as pregnancy cannot occur
3. CUse another reliable method, as rifampicin reduces the pill's effect
4. DTake two pills a day to make up for the drug

How does bladder training help urge incontinence?

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

A nurse teaches a young adult with newly diagnosed epilepsy. Which statement shows a need for further teaching?

1. A"I will take a shower rather than a bath."
2. B"As long as I take my tablets, I can swim alone."
3. C"I will tell my friends what to do if I have a seizure."
4. D"I will keep a record of any seizures I have."

Which medicine commonly delays wound healing?

1. AParacetamol
2. BVitamin C supplements
3. CLong-term corticosteroids
4. DSaline eye drops

Which history should most alert the nurse to a possible latex allergy before surgery?

1. AItching with bananas, avocado and kiwi, and many operations
2. BA rash after taking amoxicillin as a child, with a family history of asthma
3. CFeeling sick after eating shellfish once
4. DHay fever every spring since childhood