Priorità e delega in stile NCLEX: pacchetto last-minute

Un infermiere (RN) dice a un assistente infermieristico: "Controlla il paziente della stanza 12." Quale diritto della delega manca?

1. APersona giusta per il compito
2. BIndicazioni e comunicazione giuste
3. CCircostanza giusta
4. DCompito giusto per il contesto

A patient is admitted with inhalational anthrax. Which precautions are needed?

1. AAirborne precautions in a negative-pressure room for the whole of the hospital stay
2. BFull contact and droplet precautions for all staff and visitors on the unit
3. CStandard precautions, because it does not usually spread from person to person
4. DDroplet precautions with a surgical mask for everyone who enters

A parent will give a liquid antibiotic to a child at home. Which teaching is best?

1. AEstimate the dose by pouring into a cup
2. BUse the oral syringe or dosing cup that comes with the medicine
3. CUse a tablespoon for doses over 5 mL
4. DUse any teaspoon or tablespoon from the kitchen drawer at home

A nurse teaches a patient about care of a surgical incision at home. Which statement shows a need for further teaching?

1. A“I will wash my hands with soap before I touch or change the dressing.”
2. B“If the wound gets red and drains pus, I will wait for my appointment next month.”
3. C“I will call the clinic if I get a fever or more pain around the wound.”
4. D“I will keep the dressing clean and dry as I was shown.”

A patient's levothyroxine dose was changed today. When is the TSH usually rechecked?

1. AAfter about 24 hours
2. BAfter about 3 days
3. CAfter about 6–8 weeks
4. DAfter about 1 year

A patient with a large, fast-growing lymphoma will start chemotherapy tomorrow. Which plan best prevents tumor lysis syndrome?

1. ACalcium supplements and a high-phosphate diet during treatment
2. BNo special measures, because the risk starts only after a week
3. CFluid restriction and a high-potassium diet before the treatment
4. DIV hydration, a uric acid-lowering drug and frequent electrolytes

Which pattern is typical of relapsing–remitting multiple sclerosis?

1. ASudden severe headache with neck stiffness
2. BA single stroke that leaves permanent weakness
3. CAttacks of symptoms, such as visual loss or numbness, that improve between relapses
4. DConstant weakness that starts in the feet and spreads upwards after a viral illness

A patient with severe sepsis starts bleeding from cannula sites and the gums, with a low platelet count and prolonged clotting times. What is most likely?

1. AHaemophilia A
2. BVitamin C deficiency
3. CDisseminated intravascular coagulation
4. DAn allergic reaction to the cannula

A patient's blood pressure is high in clinic but normal on home readings. Which step best confirms the diagnosis?

1. AA chest X-ray
2. BStarting two antihypertensive drugs at once at full dose
3. CAmbulatory or structured home blood pressure monitoring
4. DA single repeat reading in the same clinic visit

A patient with severe asthma develops a stable narrow-complex tachycardia, and IV adenosine is prescribed. What should the nurse do?

1. AGive it as a slow infusion over an hour to reduce side effects
2. BGive it orally instead of intravenously
3. CGive it as prescribed, as adenosine is safe in every patient
4. DQuestion the prescription, as adenosine can cause bronchospasm

A patient has just started levetiracetam. Which side effect should the nurse teach them to report?

1. ASwelling and overgrowth of the gums around the teeth
2. BChanges in mood, such as irritability, low mood or anger
3. CA persistent dry cough at night
4. DOrange discoloration of the urine

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

1. AA patient with hypothyroidism asking when to take levothyroxine
2. BA patient on insulin for DKA whose potassium is now 2,9 mmol/L
3. CA patient with Parkinson's disease whose next dose is due in two hours
4. DA patient with stable CKD waiting for a renal diet review

Dysphagia that started with solids and now includes liquids, with weight loss, most suggests which cause?

1. AA dry mouth from drinking too little water
2. BSimple anxiety about swallowing tablets
3. CNormal ageing of the swallowing muscles
4. DA narrowing such as an oesophageal tumour

On the ward after surgery, a patient has a red, blistered area of skin under where the diathermy plate was. What should the nurse do?

1. ATreat it as a possible burn, report it and complete an incident form
2. BApply a hot water bottle to improve the circulation
3. CIgnore it because skin changes after surgery are normal and expected to fade
4. DWash it with alcohol and leave it uncovered