Prioritas & Delegasi ala NCLEX: paket kilat

Seorang perawat meminta asisten keperawatan menggunakan lift mekanis. Asisten mengatakan belum pernah dilatih menggunakannya. Hak pendelegasian mana yang dilanggar bila perawat berkeras?

1. ATugas yang benar
2. BPengawasan dan evaluasi yang benar
3. CArahan dan komunikasi yang benar
4. DOrang yang benar

A patient is deteriorating quickly. The nurse has called the provider twice, but the provider has not come. What is the best action?

1. AActivate the rapid response team
2. BDocument the concern and continue routine care
3. CWait another hour and call the provider again
4. DAsk the patient’s family to call the provider

In the US (EPA/OSHA) hazmat system, which level of PPE gives the highest level of protection?

1. ALevel D
2. BLevel B
3. CLevel C
4. DLevel A

A patient given naloxone for an opioid overdose wakes up. An hour later, the patient is drowsy again with slow breathing. What is the likely reason?

1. ANaloxone itself causes slow breathing and drowsiness once it has been given
2. BThe patient is now allergic to naloxone
3. CThe patient is simply tired after the event
4. DNaloxone wears off sooner than many opioids, so the opioid effect returns

Seorang pasien menerima enoksaparin subkutan (heparin berat molekul rendah). Pernyataan mana tentang pemantauan yang benar?

1. AaPTT harus diperiksa setiap 6 jam untuk menyesuaikan dosis
2. BTidak ada aPTT rutin; trombosit dan fungsi ginjal diperiksa sebagai gantinya
3. CTidak pernah diperlukan pemeriksaan darah apa pun
4. DINR digunakan untuk menyesuaikan setiap dosis, seperti pada warfarin

A patient with severe hypertriglyceridemia has a measured sodium of 128 mEq/L, but a measured serum osmolality is normal, and the patient has no symptoms. What is the most likely explanation?

1. AHyponatremia caused by drinking far too much water
2. BTrue hyponatremia from SIADH that needs fluid restriction
3. CPseudohyponatremia, an artifact caused by very high lipids
4. DHyponatremia caused by severe hyperglycemia in diabetes

Which adverse effects should be monitored for in a patient receiving IV gentamicin?

1. AKidney damage and hearing loss
2. BConstipation and urinary retention
3. CHair loss and weight gain
4. DHyperglycaemia and tremor

A patient suddenly develops a severe "worst ever" headache that reached full intensity within seconds, followed by vomiting and neck stiffness. What should be suspected?

1. ASinusitis
2. BMigraine with aura in a known migraine sufferer
3. CTension headache
4. DSubarachnoid haemorrhage

Mengapa selang drainase dada umumnya tidak boleh diklem?

1. AKlem membuat cairan keluar dari dada terlalu cepat
2. BUdara yang terperangkap dapat menumpuk dan menyebabkan pneumotoraks tension
3. CKlem menyebabkan air di segel menguap
4. DKlem melemahkan dan meretakkan selang secara permanen

A patient had 40 minutes of chest pain at rest. The ECG shows ST depression without ST elevation, and the troponin is rising. What is the diagnosis?

1. AST-elevation myocardial infarction (STEMI)
2. BAcute pericarditis
3. CNon-ST-elevation myocardial infarction
4. DStable angina

Why must Parkinson's medicines be given on time in hospital?

1. ALate doses build up in the blood and cause an overdose
2. BLate doses can soon cause stiffness, falls and poor swallowing
3. CGiving them on time prevents the disease from getting worse
4. DLate doses cause the patient to develop high blood glucose

Seorang pasien dengan rompi halo untuk fraktur tulang belakang servikal mengalami henti jantung. Apa yang harus segera tersedia?

1. AGunting untuk memotong pin tengkorak
2. BBantal untuk meninggikan kepala dan bahu
3. CPapan keras untuk diselipkan di bawah rompi
4. DAlat untuk membuka bagian depan rompi untuk RJP

Why is the Lund and Browder chart preferred to the rule of nines for children?

1. AIt adjusts for body proportions that change with age
2. BIt is used only for burns of the hands
3. CIt is faster to use than any other method of estimation
4. DIt counts superficial burns as well

Pada hari ke-2 pankreatitis akut berat, seorang pasien menjadi sesak napas, dengan SpO₂ 88% dan infiltrat bilateral pada rontgen dada. Komplikasi mana yang paling mungkin?

1. ASindrom distres pernapasan akut (ARDS)
2. BSerangan asma berat akut
3. CAspirasi benda asing
4. DPneumotoraks tension spontan