Prioritas & Delegasi ala NCLEX: paket kilat

A patient’s urinary catheter has drained no urine for two hours, and the lower abdomen is swollen. What should the nurse do first?

1. AGive a prescribed diuretic straight away
2. BRemove the catheter and wait for the patient to void
3. CCheck the tubing for kinks or obstruction
4. DEncourage the patient to drink more water

A patient taking an MAO inhibitor antidepressant is taught about diet. Which statement shows a need for further teaching?

1. A“I will check with the pharmacist before cold remedies.”
2. B“A sudden severe headache is a warning sign.”
3. C“I will avoid tap beer and red wine.”
4. D“I can still eat aged cheese and cured salami.”

Apa tujuan penulisan "Tall Man", seperti pada hydrOXYzine dan hydrALAZINE?

1. AMenunjukkan kekuatan obat
2. BMenunjukkan nama merek
3. CMenunjukkan yang mana dari kedua obat yang termasuk obat kewaspadaan tinggi
4. DMembuat nama obat yang mirip lebih mudah dibedakan

A patient asks for a pain tablet. The record shows none has been given, but the patient says, “The other nurse gave me one earlier.” What should the nurse do?

1. AGive the tablet, because the record shows none was given
2. BTell the patient they must be confused
3. CCheck with the other nurse and the records before giving another dose
4. DGive half a tablet now, to be safe, and the other half later if needed

Hemoglobin seorang pasien adalah 7,8 g/dL (78 g/L). Temuan mana yang diharapkan perawat?

1. AGatal, kulit kuning, dan urine gelap
2. BSakit kepala, mimisan, dan wajah merah
3. CKelelahan, pucat, denyut jantung cepat, dan sesak napas saat beraktivitas
4. DDenyut jantung lambat, kulit memerah, dan tekanan darah tinggi

A patient with cirrhosis and ascites has fever and abdominal tenderness. The ascitic fluid neutrophil count is 400 cells/mm³. What does this indicate?

1. ASpontaneous bacterial peritonitis
2. BMalignant ascites from cancer
3. CNormal ascitic fluid in cirrhosis
4. DBleeding into the abdominal cavity

Tanda apa yang menunjukkan reaksi transfusi pada menit-menit pertama?

1. ADemam, menggigil, nyeri punggung, dan tekanan darah rendah
2. BLapar ringan
3. CKenaikan hemoglobin yang lambat dan stabil selama hari berikutnya
4. DWarna kulit membaik dan lebih bertenaga

A patient starting a DOAC is taught about missed doses. Which statement shows a need for further teaching?

1. A"If I forget a dose, I'll take two the next day to catch up."
2. B"I will tell other doctors and my dentist I take an anticoagulant."
3. C"I will take it at the same time each day."
4. D"I will report any blood in my urine."

A patient with COPD is prescribed long-term oxygen therapy. How many hours a day is it usually needed to improve survival?

1. AOnly during meals
2. BOnly when walking outside
3. CAt least 15 hours a day
4. DAbout one hour each morning

Seorang pasien yang menjalani pemasangan stent koroner setelah NSTEMI bertanya mengapa ia mengonsumsi dua obat antiplatelet. Jawaban mana yang paling akurat?

1. ADua jalur dihambat, melindungi stent, tetapi risiko perdarahan meningkat
2. BKedua obat menurunkan kolesterol sehingga sumbatan baru tidak dapat terbentuk
3. CObat kedua melarutkan bekuan yang menyebabkan serangan jantung semula
4. DObat kedua melindungi lapisan lambung dari aspirin

A patient's fistula starts to bleed at home after the needles were removed. What should they do first?

1. AWait for the next dialysis session
2. BRaise the arm and let it bleed freely
3. CPress firmly on the site with clean gauze
4. DApply a tight tourniquet above the fistula

Seorang pasien KAD membaik: glukosa 9 mmol/L, keton 0,4 mmol/L, pH 7,36. Ia makan dan minum. Bagaimana insulin IV dihentikan?

1. AMemberikan insulin subkutan bersama makan, lalu menghentikan IV setelah tumpang tindih
2. BMemberikan insulin subkutan hanya bila glukosa naik di atas 20 mmol/L
3. CMenghentikan semua insulin, karena ketoasidosis telah teratasi sepenuhnya
4. DMenghentikan insulin IV sekarang dan memulai insulin subkutan besok

Mengapa urea dapat naik jauh lebih tinggi daripada kreatinin pada pasien perdarahan saluran cerna atas?

1. AKreatinin hilang dari tubuh melalui muntahan
2. BUrea diproduksi oleh lapisan lambung yang berdarah
3. CDarah yang dicerna adalah beban protein yang menaikkan urea
4. DPerdarahan selalu merusak tubulus ginjal secara langsung

On day 3 after admission, a patient with alcohol dependence becomes confused, with hallucinations, sweating, tremor, fever and tachycardia. What is the most likely cause?

1. AAn allergic reaction to hospital food
2. BHepatitis A caught on the ward
3. CDelirium tremens from alcohol withdrawal
4. DNormal anxiety about being in hospital