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. BPersonal opinions about the patient’s family members and their visiting habits
3. CThe patient’s current condition, recent changes and pending tasks
4. DThe patient’s favorite television programs and hobbies

Six hours after surgery, a patient has not passed urine, feels the urge to go and has a firm swelling above the pubic bone. What is the most likely problem?

1. ADehydration from fasting before surgery
2. BAcute kidney injury with no urine made
3. CA normal effect of the anesthetic
4. DUrinary retention

Why does a nurse wear chemotherapy-tested gloves and a gown when emptying the urinal of a patient who recently had chemotherapy?

1. AChemotherapy makes the urine strongly acidic and corrosive
2. BThe body fluids can contain active drug for a time after treatment
3. CThe urine always contains infectious bacteria after chemotherapy
4. DThe patient is on airborne precautions after treatment

Seorang perawat yang bekerja dengan pasien dalam kewaspadaan kontak menyadari bahwa gaun robek di lengan baju. Apa yang harus dilakukan perawat?

1. AMenutup robekan dengan potongan plester dan melanjutkan
2. BMemakai gaun kedua di atas gaun yang robek
3. CMenjauh dari pasien, melepas APD dengan aman di ambang pintu, membersihkan tangan, dan memakai gaun baru
4. DTerus bekerja, karena robekannya kecil dan hanya di lengan baju

Which IV fluid can be given through the same line as a red cell transfusion?

1. A0,9% sodium chloride
2. BLactated Ringer's (Hartmann's) solution
3. C5% dextrose in water
4. D0,45% sodium chloride

A patient with kidney stones and fatigue has a calcium of 11,6 mg/dL (2,9 mmol/L), a high parathyroid hormone (PTH) and a low phosphate. Which condition is most likely?

1. AVitamin D deficiency
2. BCancer-related hypercalcemia
3. CPrimary hyperparathyroidism
4. DHypoparathyroidism

Which features suggest Cushing's syndrome?

1. ACoarse facial features and very large hands and feet
2. BDark skin, low blood pressure, salt craving and a low blood sodium level
3. CWeight loss, heat intolerance, tremor and protruding eyes
4. DWeight gain around the trunk, a rounded face and thin, easily bruised skin

A few hours after cardiac surgery, a patient has low blood pressure, a raised jugular venous pressure and quiet, muffled heart sounds. What should be suspected?

1. ACardiac tamponade
2. BPneumonia
3. CHypovolaemia from dehydration
4. DHyperkalaemia

Mengapa pasien PPOK berat dianjurkan makan dalam porsi kecil tetapi sering?

1. ALambung penuh membatasi diafragma dan makan melelahkan
2. BMakan besar menyebabkan saluran napas menyempit permanen
3. CMakan kecil mengurangi seberapa sering inhaler diperlukan
4. DMakan sering mencegah infeksi dada secara langsung

A patient with a confirmed pulmonary embolism has BP 78/50 mmHg despite fluids, and the right ventricle is dilated on echocardiography. Which treatment is most likely?

1. AOral apixaban only, started next week
2. BSystemic thrombolysis
3. CAn inhaled bronchodilator
4. DCompression stockings and bed rest

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

1. AUrgent reversal of the anticoagulant effect
2. BStarting aspirin to prevent further clots
3. CIV thrombolysis within 4,5 hours
4. DDoubling the warfarin dose to stabilise the INR

The nurse has four neurology patients. Which one needs to be seen first?

1. AA patient with Parkinson's disease whose next dose is due in one hour
2. BA patient with multiple sclerosis who is tired after physiotherapy
3. CA patient with Guillain–Barré syndrome whose vital capacity is falling
4. DA patient with a headache after a lumbar puncture this morning

Which infection control measure is correct for a patient with C. difficile diarrhoea?

1. AA shared bay, as long as alcohol gel is used after every contact
2. BNo special measures once antibiotics have started
3. CA single room with its own toilet, and soap-and-water handwashing
4. DA face mask for the patient and visitors only

Seorang pasien yang menjalani pemasangan stent koroner dua bulan lalu, menggunakan aspirin dan klopidogrel, datang dengan melena dan kini stabil. Pendekatan mana yang paling tepat terhadap obat antiplatelet?

1. AMelanjutkan kedua obat tanpa perubahan dan tidak menyebutkan perdarahan kepada tim
2. BMenghentikan kedua obat secara permanen, karena perdarahan apa pun berarti obat tidak lagi aman
3. CMelaporkan perdarahan; tim memutuskan dengan masukan kardiologi, menyeimbangkan perdarahan terhadap trombosis stent
4. DMenggandakan kedua dosis, karena perdarahan berarti stent berisiko lebih besar membeku