Prioritas & Delegasi ala NCLEX: paket kilat

Pada triase START, seorang dewasa yang tidak dapat berjalan bernapas 22 kali per menit, memiliki nadi radialis, dan mengikuti perintah sederhana, tetapi mengalami fraktur tungkai yang jelas. Kategori mana yang diberikan kepada korban?

1. AHitam (ekspektan)
2. BHijau (ringan)
3. CKuning (tertunda)
4. DMerah (segera)

An RN sees an LPN/LVN crushing an extended-release metoprolol tablet to mix with applesauce. What should the RN do?

1. ALet the LPN/LVN continue, since crushing makes the tablet easier to swallow
2. BStop the LPN/LVN and contact the prescriber or pharmacist about another form
3. CReport the LPN/LVN at the end of the month without saying anything now
4. DTell the LPN/LVN to give half of the crushed tablet now and the other half at lunchtime

A parent says, “I tell my son his medicine is candy so he takes it.” What should the nurse teach?

1. ADo not call medicine candy, because the child may take it when no one is watching
2. BIt is fine as long as the medicine is kept in the fridge
3. CIt only matters for medicines that taste bitter or are hard to swallow
4. DThis is a good idea and makes giving medicine easier

Seorang pasien diresepkan hidralazin, tetapi farmasi mengirim hidroksizin. Apa yang harus dilakukan perawat?

1. AMemberikannya, karena kedua nama obat hampir sama
2. BMemberikan setengah dosis hidroksizin sebagai kompromi
3. CMemberikannya sekarang dan memberi tahu pemberi resep sesudahnya
4. DTidak memberikannya, dan menghubungi farmasi untuk mendapatkan obat yang benar

Terapi mana yang menurunkan kalium serum dengan memindahkannya ke dalam sel?

1. ASuplemen kalium klorida oral
2. BInfus natrium klorida 0,45% IV
3. CInsulin reguler IV yang diberikan bersama glukosa
4. DKalsium glukonat IV yang diberikan selama 10 menit

Mengapa hasil HbA1c dapat menyesatkan pada pasien yang menerima transfusi darah besar dua minggu lalu?

1. AHbA1c mengukur gula pada sel darah putih, bukan sel darah merah
2. BTransfusi selalu menaikkan HbA1c hingga terlalu tinggi secara palsu
3. CHbA1c akurat dalam setiap situasi
4. DBanyak sel darah merah berasal dari donor, tidak terpapar glukosa pasien

Why must levodopa for Parkinson's disease be given at the exact times prescribed in hospital?

1. ADelays can quickly worsen rigidity, immobility and swallowing
2. BEarly doses cause severe low blood glucose and sweating attacks
3. CLate doses cause dangerous high potassium
4. DThe drug only works if taken at midnight

A nurse teaches a patient with heart failure about self-care. Which statement shows a need for further teaching?

1. A"I will report it if I need more pillows to sleep."
2. B"I will take my water tablet in the morning."
3. C"I will weigh myself each morning after passing urine."
4. D"I only need to weigh myself once a month."

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

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

A patient with severe sepsis becomes increasingly breathless over 24 hours. SpO₂ stays low despite high-flow oxygen, and the chest X-ray shows bilateral infiltrates. The heart function is normal. Which condition is most likely?

1. AAcute respiratory distress syndrome
2. BAn acute asthma attack
3. CAcute left ventricular failure after an MI
4. DSpontaneous pneumothorax

Before checking a capillary glucose, why should the patient wash their hands with soap and water?

1. ASugar on the skin can give a falsely high reading
2. BWashing lowers the glucose in the blood
3. CSoap makes the blood flow faster from the finger
4. DWashing prevents all infection from the lancet

A patient with SIADH needs IV fluid. Which fluid is most likely to worsen the hyponatraemia?

1. A3% saline
2. B5% glucose (dextrose, D5W)
3. C20% human albumin
4. D8,4% sodium bicarbonate

Which statement about pain relief in acute pancreatitis is correct?

1. AOpioids can be used, and good analgesia is a priority
2. BPain relief should be withheld until the diagnosis is certain
3. COnly paracetamol may be given
4. DOpioids must never be used in pancreatitis

Two days after surgery, a patient on regular ibuprofen has a low urine output and a rising creatinine, and intake has been poor. What should the nurse do?

1. AIncrease the dose to treat the pain better and encourage fluids
2. BGive the next dose with extra food
3. CChange to a higher-strength NSAID tablet
4. DWithhold the next dose and report to the prescriber