Domande di pratica in stile NCLEX-PN (LPN/LVN): pacchetto last-minute

While wearing sterile gloves, where should the nurse keep their hands?

1. ABehind the back when not in use
2. BFolded under the armpits to keep warm
3. CAbove waist level and in sight
4. DResting on the edge of the sterile field

Nello strumento di comunicazione SBAR, che cosa indica la «A»?

1. AAmmissione
2. BAssessment (valutazione)
3. CAzione
4. DAllergie

A nurse’s hands are dry and cracked from frequent hand hygiene. What is the best approach?

1. AWear gloves all day instead of cleaning the hands between patients
2. BUse the hand lotion approved by the facility to keep the skin intact
3. CUse any lotion from home, whatever its contents
4. DStop hand hygiene until the skin heals

A nurse teaches new parents about safe infant sleep. Which statement shows a need for further teaching?

1. A“We will not smoke near the baby.”
2. B“We will put a soft bumper pad and a blanket in the crib so the baby is cozy.”
3. C“We will keep the crib in our room, next to our bed, for the first months.”
4. D“We will lay the baby on the back for every sleep, including naps.”

A nurse gives IV morphine for severe pain. When should the nurse reassess the pain and sedation?

1. AAt the next routine round in four hours
2. BAt the end of the shift
3. COnly when the patient asks for more
4. DWithin about 15–30 minutes

During surgery under general anesthesia, a patient develops rising end-tidal carbon dioxide, muscle rigidity and a rapidly increasing temperature. Which drug should the nurse anticipate?

1. AFlumazenil
2. BDantrolene
3. CAtropine
4. DNaloxone

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. A5 × 10⁹/L
2. B150 × 10⁹/L
3. C0,5 × 10⁹/L
4. D15 × 10⁹/L

A patient with myasthenia gravis develops increasing difficulty swallowing and weak, shallow breathing. What is the main danger?

1. ASevere hypertension from anxiety
2. BA sudden rise in blood glucose from the stress
3. CRespiratory failure from a myasthenic crisis
4. DA urinary tract infection

How should a blood sample for serum ammonia be handled?

1. AKept warm and sent with the next routine batch
2. BPlaced on ice and sent to the laboratory at once
3. CLeft at room temperature for several hours first
4. DShaken firmly to mix it before it is sent away

Which patient should the nurse assess first?

1. AHypertension with a potassium of 3,6 mEq/L on a thiazide
2. BChest pain with troponin rising from the first to the second sample
3. CHeart failure with a BNP lower than the result on admission
4. DStable angina with a total cholesterol of 245 mg/dL (6,3 mmol/L)

Why is a spacer recommended with a metered-dose inhaler?

1. AMore drug reaches the lungs and less stays in the mouth
2. BIt removes the need to shake the inhaler
3. CIt turns the inhaler into a nebuliser
4. DIt doubles the dose of drug released by each puff of the inhaler

Which regimen is standard for eradicating Helicobacter pylori?

1. AAn H2 blocker taken only when pain occurs
2. BAcid suppression plus at least two antibiotics, often with bismuth, for 14 days
3. CAn antacid alone, taken after meals and at bedtime for six months
4. DA single dose of an antibiotic given intravenously

Where is the V1 electrode placed for a 12-lead ECG?

1. AThe fifth intercostal space in the mid-axillary line
2. BThe fourth intercostal space just right of the sternum
3. CJust below the left collarbone
4. DOver the left nipple

A patient with infective endocarditis is on IV gentamicin with another antibiotic. Which monitoring is most important?

1. ALiver size by daily palpation and weekly abdominal ultrasound
2. BDrug levels, renal function and hearing or balance changes
3. CBlood glucose only
4. DPeak flow readings and spirometry before and after each dose

What is the main purpose of continuous bladder irrigation after a transurethral resection of the prostate (TURP)?

1. ATo measure the size of the bladder
2. BTo give the patient extra fluids
3. CTo treat a urinary infection after the operation
4. DTo stop blood clots from blocking the catheter

After a stroke, a patient suddenly cries or laughs at odd moments. They say they do not feel sad. Which response is most appropriate?

1. AExplain that this is emotional lability after stroke and help the family understand
2. BTell the patient that crying will slow their recovery
3. CIgnore it, because it shows that the patient is seeking attention from the staff
4. DAsk the doctor for a sedative to stop the outbursts

Which practice is correct when giving parenteral nutrition through a central line?

1. ALet the bag hang at room temperature for several days
2. BGive other IV drugs through the same lumen to save time
3. CDisconnect and reconnect the line without cleaning the hub
4. DUse a dedicated lumen and strict aseptic technique

On day 2 of nasogastric feeding, a severely malnourished patient becomes weak and breathless with ankle swelling. Phosphate is 0,4 mmol/L. What is most likely?

1. AToo little calorie intake
2. BRefeeding syndrome
3. CAn allergy to the feed formula
4. DNormal adjustment to the new feed

A woman says she uses cannabis daily to manage nausea in pregnancy. What is the best nursing response?

1. AExplain the risks without judgement and offer safer treatments
2. BAdvise her to switch to tobacco instead
3. CRefuse to continue her care until she stops
4. DTell her that cannabis is a natural remedy and safe in pregnancy

A pregnant woman involved in a car crash asks how to wear a seat belt. Which instruction is correct?

1. AWear only the shoulder part of the belt
2. BDo not wear a seat belt in pregnancy
3. CLap belt under the bump, shoulder belt between the breasts
4. DPut the lap belt across the top of the bump, above the uterus

A parent asks how to care for a child with mild croup at home. Which advice is correct?

1. AGive an over-the-counter cough syrup every hour until the barking cough stops
2. BLay the child flat in a cool room so the airway can relax
3. CHold the child over a bowl of hot, steaming water to loosen the cough
4. DKeep the child calm and upright, and get urgent help if there is noisy breathing at rest

Un lattante di 3 settimane ha una temperatura rettale di 38,3 °C. Mangia un po' meno del solito ma sta bene. Che cosa deve consigliare l'infermiere?

1. AVestire il bambino leggero e aspettare di vedere che cosa succede
2. BDare un antipiretico e rivalutare dopo 3 giorni
3. CNessun intervento urgente, perché la febbre a questa età di solito è causata dalla dentizione o da un abbigliamento eccessivo
4. DUna valutazione medica urgente, perché la febbre in un lattante piccolo può essere segno di infezione grave

A patient who started lithium 2 weeks ago has a fine tremor of the hands and is passing more urine than usual. Her level is within the therapeutic range. How should the nurse interpret this?

1. AThese are definite signs of severe lithium toxicity, so emergency dialysis is needed straight away
2. BThese symptoms mean that the lithium is not working, so the dose should be stopped and a new drug chosen
3. CThese are signs of an allergic reaction, so she should never take lithium again
4. DThese are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored

Three weeks after her husband died, a woman says she sometimes briefly hears him call her name at home. She is otherwise eating, sleeping and coping. How should the nurse interpret this?

1. AIt is a sign of schizophrenia that needs antipsychotic medicine
2. BIt means she has delirium and needs urgent tests
3. CBrief experiences like this can be part of normal grief
4. DIt proves she has severe major depression with psychosis

Esercizio di pratica (valori inventati, non indicazioni cliniche). Il calcolo di una velocità di gocciolamento dà 218,801 gtt/min. La regola di questo esercizio è che le velocità di gocciolamento si arrotondano alla goccia intera più vicina. Quale valore x registri?

Esercizio di pratica (valori inventati, non indicazioni cliniche). Una prescrizione indica 5 mcg/kg/min per un paziente che pesa 73 kg. Esprimi la velocità di dose D in mg/h. Arrotonda a due decimali.

A un bambino di 12 kg vengono prescritti 5 mg/kg di un farmaco. La soluzione madre contiene 10 mg/mL. Aspira la dose: quale volume V somministri?

La prescrizione è 880 microgrammi. La fiala contiene 4 mg/mL. Aspira la dose nella siringa da 1 mL: quale volume V somministri?

Infondi 250 mL in 3 ore con un deflussore da 60 gtt/mL. Trova la velocità di gocciolamento R in gocce al minuto. Arrotonda al numero intero più vicino.

Una sacca contiene 200 mg di un farmaco in 500 mL e scorre a 30 mL/h. Quanti milligrammi all'ora D riceve il paziente?

Esercizio di pratica (valori inventati, non indicazioni cliniche). La scheda riporta le entrate e le uscite di un paziente per un turno di 12 ore. Il paziente pesa 61 kg. Trova la diuresi media U in mL/kg/h. Arrotonda a due cifre decimali.

Esercizio di pratica (valori inventati, non indicazioni cliniche). Un’infusione da 500 mL inizia alle 16:30 a 125 mL/h. Dopo 3 ore la velocità viene portata a 80 mL/h e non viene più modificata. Dopo quante ore t dall’inizio la sacca sarà vuota? Arrotonda a una cifra decimale.

Esercizio di pratica (valori inventati, non indicazioni cliniche). Usa la tabella NEWS2 (SpO₂ scala 1) per queste osservazioni: frequenza respiratoria 23/min, SpO₂ 97% in aria ambiente, pressione arteriosa 110/66 mmHg, polso 88/min, vigile, temperatura 37,5 °C. Qual è il punteggio totale NEWS2?

Esercizio di pratica (valori inventati, non indicazioni cliniche). Usa la tabella NEWS2 (SpO₂ scala 1) per queste osservazioni: frequenza respiratoria 14/min, SpO₂ 96% in aria ambiente, pressione arteriosa 222/134 mmHg, polso 70/min, vigile, temperatura 39,0 °C. In quale gruppo di rischio clinico rientra il paziente? Clicca su di esso.

1. 1basso
2. 2medio-basso
3. 3medio
4. 4alto