Prioritas & Delegasi ala NCLEX: paket kilat

A patient with asthma has two inhalers: a corticosteroid and salbutamol (albuterol). Which statement shows a need for further teaching?

1. A“I will carry my salbutamol inhaler with me.”
2. B“I will use my steroid inhaler when I have a sudden attack.”
3. C“I will use my steroid inhaler every day, even when I feel well.”
4. D“I will rinse my mouth after using the steroid inhaler.”

During JumpSTART triage, a child is not breathing after the airway is opened but has a palpable pulse. What is the next step?

1. ATag the child black at once and move on to the next victim
2. BTag the child green and return to them after the others
3. CGive five rescue breaths; if breathing starts, tag the child red
4. DStart full CPR on the child and stay with them until more help arrives

How should a nurse handle soiled bed linen?

1. AShake it out first to check for lost items
2. BPut it on the floor until the bed is made
3. CCarry it bundled against the body to the soiled utility room down the hall
4. DHold it away from the uniform and place it straight into a linen bag

In a mass-casualty incident with limited resources, why may a critically injured patient with little chance of survival receive care after others?

1. ACritical patients are always treated last in every situation, even outside disasters
2. BResources go first to those most likely to survive with treatment
3. CPatients are treated in the order they arrive
4. DThe most severely injured are never given comfort care

A patient with pneumonia had a CRP of 180 mg/L on admission and 40 mg/L after 4 days of antibiotics. What does this most likely show?

1. AThe antibiotic is causing liver damage
2. BThe patient has developed a new infection
3. CThe inflammation is settling with treatment
4. DThe infection has spread to another organ

The nurse teaches a patient starting lithium. Which statement shows a need for further teaching?

1. A"I will tell my doctor if I have vomiting or diarrhea"
2. B"I will drink plenty of fluids, especially in hot weather"
3. C"I will cut out salt from my diet completely to stay healthy"
4. D"I will check with the pharmacist before taking ibuprofen"

Seorang pasien yang baru mulai mengonsumsi penghambat ACE mengalami batuk kering yang menetap. Apa penyebab yang mungkin?

1. AAsma yang disebabkan penyekat beta
2. BEmboli paru
3. CReaksi alergi terhadap penisilin yang baru diberikan
4. DEfek samping penghambat ACE yang sudah dikenal

Why are liquid medicines for nasogastric tubes drawn up in dedicated enteral (oral) syringes rather than IV syringes?

1. AEnteral syringes measure doses less accurately
2. BIV syringes cannot hold liquid medicines
3. CTo prevent accidental intravenous administration
4. DEnteral syringes keep the medicine sterile

A patient has a heart rate of 36/min with hypotension and dizziness. Which drug is usually the first choice?

1. AIntravenous atropine
2. BIntravenous adenosine
3. CIntravenous amiodarone
4. DOral bisoprolol

A day after a myocardial infarction, a patient has frequent ventricular ectopic beats on the monitor. Which blood results should be checked first?

1. AFerritin and vitamin B₁₂
2. BAmylase and lipase
3. CPotassium and magnesium
4. DAlbumin and bilirubin

A patient taking a GLP-1 receptor agonist has severe, constant upper abdominal pain spreading to the back, with vomiting. What should the nurse suspect?

1. AA simple urinary tract infection
2. BAcute pancreatitis
3. CLow blood glucose
4. DNormal nausea from the drug

A patient with lung cancer is confused, dehydrated and constipated, with a corrected calcium of 3,4 mmol/L (about 13,6 mg/dL). What is usually the first treatment?

1. AA fluid restriction
2. BIV fluids to rehydrate the patient
3. CIV calcium gluconate and vitamin D
4. DOral calcium tablets

Which long-term effect must be monitored in patients receiving anthracyclines such as doxorubicin?

1. ADamage to the heart muscle
2. BPermanent high blood glucose
3. CLoss of the sense of smell
4. DExcess growth of body hair

A patient has had a large terminal ileum resection for Crohn's disease. Which long-term problems should the nurse anticipate?

1. AVitamin B₁₂ deficiency and bile-acid diarrhoea
2. BInsulin deficiency and high blood glucose from loss of the islets
3. CExcess vitamin D and calcium kidney stones in the first year
4. DIron overload and constipation