Prioritas & Delegasi ala NCLEX: paket kilat

A patient with diabetes is unresponsive and has a blood glucose of 40 mg/dL (2,2 mmol/L). What should the nurse do first?

1. AGive IV dextrose or glucagon as prescribed
2. BWait 15 minutes and recheck the glucose
3. CPour orange juice into the patient’s mouth
4. DGive the scheduled dose of insulin

Which patient is the best choice for the room closest to the nurses’ station?

1. AA patient with stable diabetes who walks independently
2. BA young adult waiting for discharge tomorrow
3. CA patient admitted for a planned scan, feeling well
4. DA confused older adult at high risk of falls

Saat membuka paket steril di atas meja, lipatan mana yang dibuka pertama?

1. ASemua lipatan sekaligus
2. BLipatan yang paling dekat dengan perawat
3. CLipatan samping mana pun yang paling mudah dijangkau
4. DLipatan yang paling jauh dari perawat

Which position is especially dangerous for a patient in physical restraints?

1. ASitting upright in bed
2. BLying on the back with the head raised
3. CLying face down (prone)
4. DLying on the side

A pregnant woman's blood type is O Rh-negative, and her antibody screen (indirect Coombs test) is negative. What is usually offered at about 28 weeks?

1. AA transfusion of group O Rh-positive red cells
2. BAnti-D immunoglobulin (Rho(D) immune globulin)
3. CAn IV dose of vitamin K given for the fetus
4. DDaily oral iron and folic acid supplements only

A patient on clozapine for 2 years has been stable. Which statement shows a need for further teaching?

1. A"I can stop my blood tests since I feel well"
2. B"I'll keep all my scheduled blood test visits"
3. C"I'll report a sore throat or fever at once"
4. D"I'll tell other doctors that I take clozapine"

Why is continuous bladder irrigation used after a transurethral resection of the prostate (TURP)?

1. ATo stop blood clots from blocking the catheter
2. BTo measure the patient's kidney function
3. CTo give antibiotics directly into the kidneys
4. DTo stretch the bladder back to its normal size

A patient has a painful, punched-out ulcer on the toes, with a cold, pale foot and weak foot pulses. Which type of ulcer is most likely?

1. AA pressure ulcer from bed rest
2. BA venous ulcer
3. CA burn
4. DAn arterial ulcer

How does ezetimibe lower cholesterol?

1. AIt dissolves plaques already in the arteries
2. BIt increases cholesterol loss in the urine
3. CIt reduces absorption of cholesterol from the gut
4. DIt blocks cholesterol production by enzymes in the liver

Four hours after abdominal surgery, a patient's heart rate has risen from 84 to 122/min and they are restless and pale. BP is still 118/76 mmHg, and the surgical drain is filling with blood. What should the nurse conclude?

1. AThe patient is stable because the blood pressure is normal
2. BThe tachycardia is from pain and needs only analgesia
3. CEarly haemorrhagic shock is likely, so escalate urgently
4. DThe drain is working well, so no action is needed

A patient taking warfarin is diagnosed with an intracerebral haemorrhage. What is the priority treatment?

1. AStarting aspirin to prevent further clots
2. BIV thrombolysis within 4,5 hours
3. CDoubling the warfarin dose to stabilise the INR
4. DUrgent reversal of the anticoagulant effect

A patient with a long-term catheter has fever and rigors, and a catheter UTI is suspected. Which action is recommended before starting antibiotics?

1. AReplace the catheter and take a sample from the new one
2. BRemove the catheter and leave it out permanently
3. CFlush the catheter with saline and continue
4. DTake a sample from the drainage bag and send it to the lab

Which lung problem is a known toxicity of bleomycin?

1. AAsthma from pollen
2. BPulmonary fibrosis
3. CPneumothorax from coughing
4. DLung cancer within weeks

Seorang pasien obstruksi usus mengalami nyeri hebat konstan (tidak lagi kolik), demam, denyut jantung 120/menit, dan abdomen kaku dan nyeri tekan. Apa yang ditunjukkan hal ini?

1. AStrangulasi atau perforasi yang membutuhkan tinjauan bedah segera
2. BObstruksi mereda karena usus mulai bergerak
3. CKemajuan normal yang hanya membutuhkan analgesia sederhana teratur
4. DKonstipasi yang harus diobati dengan pencahar stimulan