Prioritas & Delegasi ala NCLEX: paket kilat

Which telephone call should a clinic nurse return first?

1. AAn adult asking for a repeat prescription for a statin
2. BAn adult who wants to move a routine blood test appointment
3. CA parent of a 6-week-old with a temperature of 38,3 °C
4. DA parent of a 5-year-old with a runny nose for two days

At the end of a shift, the nurse’s relief has not arrived and the patients are acutely ill. What should the nurse do?

1. AAsk a nursing assistant to watch the patients until someone comes
2. BStay and tell the charge nurse, and hand over before leaving
3. CLeave a written note at the station and go home
4. DLeave on time, because the shift has officially ended

Sebelum mengakses hub kateter vena sentral, apa yang harus dilakukan perawat?

1. AMeniup hub perlahan untuk membuang debu
2. BMengusapnya dengan cepat memakai kasa steril kering
3. CMenggosok hub dengan antiseptik dan membiarkannya kering
4. DTidak perlu apa-apa, karena hub terlindungi di bawah penutup steril

Seorang pasien sadar yang berisiko tersedak diberi obat oral. Praktik mana yang paling aman?

1. AMenghancurkan semua tablet tanpa memeriksa apakah diperbolehkan
2. BMemberikan semua tablet sekaligus untuk menghemat waktu
3. CMembaringkan pasien telentang agar lebih mudah menelan
4. DMendudukkan pasien tegak dan memberikan satu tablet dalam satu waktu

For most hospitalized adults with diabetes who are critically ill, which glucose target range is commonly recommended?

1. AAbout 60–80 mg/dL (3,3–4,4 mmol/L)
2. BAbout 250–300 mg/dL (13,9–16,7 mmol/L)
3. CAbout 300–350 mg/dL (16,7–19,4 mmol/L)
4. DAbout 140–180 mg/dL (7,8–10 mmol/L)

A patient on hemodialysis receives epoetin, but the hemoglobin has not risen in 2 months. Which results should be checked first?

1. ATroponin and creatine kinase
2. BAmylase and lipase levels
3. CFerritin and transferrin saturation
4. DTSH and the free T₃ level

In UK guidance, neutropenic sepsis is commonly defined by a temperature above 38 °C or signs of sepsis with a neutrophil count at or below:

1. A15 × 10⁹/L
2. B0,5 × 10⁹/L
3. C150 × 10⁹/L
4. D5 × 10⁹/L

A patient has a high fever with rigors, jaundice and right upper quadrant pain. Which condition is most likely?

1. AAscending cholangitis
2. BSimple biliary colic
3. CAcute appendicitis
4. DGastro-oesophageal reflux disease

A patient is starting doxazosin, an alpha-blocker, for hypertension. Which advice is most important?

1. AAvoid all potassium-containing foods
2. BTake it with a large glass of grapefruit juice to improve absorption
3. CTake the first dose at bedtime, as dizziness and fainting can occur
4. DStop it suddenly if the heart rate rises after the first few doses

Seorang pasien PPOK dengan masker Venturi 28% (SpO₂ 90%) ingin makan. Rencana yang paling tepat apa?

1. AMempertahankan masker Venturi dan hanya memberi cairan dengan sedotan
2. BBeralih ke kanula hidung aliran rendah, menjaga SpO₂ pada 88–92%
3. CMelepas semua oksigen selama makan dan memasangnya kembali sesudahnya
4. DBeralih ke masker non-rebreather 15 L/menit selama makan

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. BSoap makes the blood flow faster from the finger
3. CWashing lowers the glucose in the blood
4. DWashing prevents all infection from the lancet

A patient with acromegaly snores loudly, stops breathing at times in sleep and is sleepy during the day. What is most likely?

1. ANormal snoring
2. BAn anxiety disorder
3. CObstructive sleep apnoea
4. DNarcolepsy

How should a patient use an incentive spirometer after surgery?

1. ABreathe quickly in and out ten times in a row
2. BBlow out as hard and as fast as possible
3. CUse it once a day, just before going to sleep at night
4. DBreathe in slowly and deeply, then hold briefly

Hours after an oesophageal dilatation, a patient has chest pain, fever and crackling swelling under the skin of the neck. What should the nurse suspect?

1. ANormal discomfort after the procedure
2. BSimple reflux after the dilatation
3. CAn allergic reaction to the sedative
4. DOesophageal perforation