Priorità e delega in stile NCLEX: pacchetto last-minute

A nurse teaches a patient about storing insulin at home. Which statement shows a need for further teaching?

1. A“I will not leave my insulin in a hot car.”
2. B“I will check the expiry date on the label before I use the vial.”
3. C“I will keep unopened insulin in the fridge.”
4. D“I will keep my spare insulin in the freezer so it lasts longer.”

A patient arrives one hour after the start of stroke symptoms. Which step must happen before a thrombolytic drug can be given?

1. AA full lipid profile to check cholesterol
2. BAn echocardiogram to look for clots
3. CA swallow test with a cup of water
4. DA brain scan to rule out bleeding

Which type of white blood cell is most often raised in viral infections?

1. ANeutrophils
2. BLymphocytes
3. CBasophils
4. DEosinophils

Un infermiere che assiste un paziente in precauzioni da contatto si accorge che il camice ha uno strappo sulla manica. Che cosa deve fare?

1. ACoprire lo strappo con una striscia di nastro e proseguire
2. BContinuare a lavorare, dato che lo strappo è piccolo e solo sulla manica
3. CAllontanarsi dal paziente, togliere i DPI in sicurezza sulla porta, pulirsi le mani e indossare un nuovo camice
4. DIndossare un secondo camice sopra quello strappato

A patient with chronic kidney disease receives an erythropoiesis-stimulating agent such as epoetin alfa. Which assessments are most important?

1. ASerum amylase and lipase
2. BSerum glucose and ketones
3. CLiver enzymes and bilirubin
4. DHemoglobin and blood pressure

A patient with acute kidney injury has a potassium of 6,8 mEq/L despite medical treatment, a pH of 7,12 and pulmonary edema not responding to diuretics. Which treatment is most likely needed?

1. AUrgent dialysis
2. BA potassium supplement
3. CAn IV magnesium dose
4. DMore oral fluid

Quali segni suggeriscono una reazione trasfusionale nei primi minuti?

1. ALieve fame
2. BUn aumento lento e costante dell'emoglobina nel corso del giorno successivo
3. CFebbre, brividi, mal di schiena e pressione bassa
4. DColorito migliore e più energia

Which patient should the nurse assess first?

1. AA patient with COPD whose SpO₂ is 89% and within their target range
2. BA patient with asthma who can only speak in single words
3. CA postoperative patient who rates their pain as 6/10
4. DA patient with diabetes whose glucose is 11 mmol/L (198 mg/dL) before lunch

Which position is usually best for the legs of a patient with chronic venous insufficiency and ankle swelling?

1. ACrossed at the knees while sitting
2. BRaised above the level of the heart when resting
3. CKept still in a standing position for long periods
4. DHanging down over the side of the bed

Which instruction from the registered nurse to a healthcare assistant (unlicensed assistive personnel) caring for a patient with COPD is most appropriate?

1. A"Teach him how to use his new inhaler this afternoon after his rest."
2. B"Listen to his chest after lunch and let me know what you can hear."
3. C"Tell me straight away if his SpO₂ is under 88% or he is more breathless."
4. D"Turn his oxygen up to whatever he needs if he looks short of breath."

Quindici minuti dopo il trattamento con compresse di glucosio, la glicemia di un paziente è salita da 3,2 a 5,1 mmol/L. Il pasto successivo è tra due ore. Che cosa deve avvenire ora?

1. ADare un'altra dose di compresse di glucosio per portarla più in alto
2. BNon serve altro fino a quando verrà servito il pasto più tardi
3. CDare uno spuntino con carboidrati ad azione più prolungata, come un panino
4. DDare subito la solita dose di insulina ad azione rapida

The nurse has four neurology patients. Which one needs to be seen first?

1. AA patient with a headache after a lumbar puncture this morning
2. BA patient with multiple sclerosis who is tired after physiotherapy
3. CA patient with Guillain–Barré syndrome whose vital capacity is falling
4. DA patient with Parkinson's disease whose next dose is due in one hour

Which lung problem is a known toxicity of bleomycin?

1. APulmonary fibrosis
2. BLung cancer within weeks
3. CAsthma from pollen
4. DPneumothorax from coughing

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. AAn allergic reaction to the sedative
2. BNormal discomfort after the procedure
3. COesophageal perforation
4. DSimple reflux after the dilatation