Priorità e delega in stile NCLEX: pacchetto last-minute

An Rh-negative mother has just given birth to an Rh-positive baby. What does the nurse expect to give the mother?

1. ARh immunoglobulin within 72 hours
2. BNo treatment is needed
3. CVitamin K to the mother
4. DA dose of the hepatitis B vaccine instead

Which patient needs airborne precautions rather than droplet precautions?

1. AA child with chickenpox (varicella)
2. BAn adult with influenza
3. CA teenager with mumps
4. DA child with pertussis (whooping cough)

Quale prodotto per la pulizia è raccomandato per la stanza di un paziente con Clostridioides difficile?

1. ASalviette alcoliche, usate su tutte le superfici due volte al giorno
2. BUn agente sporicida, come una soluzione a base di cloro
3. CSolo acqua e un panno in microfibra pulito
4. DUno spray deodorante profumato

A patient was harmed by a medication error and asks the nurse what happened. Which approach is best?

1. ATell the patient nothing happened to avoid worry
2. BBe honest that an error occurred and involve the provider and team in disclosure per policy
3. CBlame the pharmacy for the error so that the nurse and the ward are not at fault
4. DTell the patient to make a formal complaint to find out

L'emoglobina di un paziente è 7,8 g/dL (78 g/L). Quali reperti si aspetterebbe l'infermiere?

1. AStanchezza, pallore, frequenza cardiaca elevata e affanno da sforzo
2. BMal di testa, epistassi e viso arrossato
3. CPrurito, cute gialla e urine scure
4. DFrequenza cardiaca lenta, cute arrossata e pressione arteriosa alta

A patient's results: sodium 140 mEq/L, chloride 100 mEq/L, bicarbonate 12 mEq/L. What is the anion gap, and what does it suggest?

1. A28 mEq/L, a high anion gap
2. B52 mEq/L, a very high anion gap
3. C12 mEq/L, a normal anion gap
4. D40 mEq/L, a high anion gap

Un paziente nel postoperatorio ha frequenza cardiaca 125/min, pressione 88/50 mmHg e una medicazione intrisa di sangue. Che cosa sta succedendo?

1. AShock settico da infezione urinaria
2. BNormale risposta al dolore
3. CShock ipovolemico da emorragia
4. DSolo ansia

A healthcare assistant reports four observations. Which one needs the nurse's immediate action?

1. A"Ms Ali has walked to the bathroom on her own."
2. B"Mrs Jones would like a cup of tea and her glasses cleaned."
3. C"Mr Chen's blood pressure is 128/80 as usual."
4. D"Mr Patel's breathing rate is 8 a minute and he's hard to wake."

A patient uses a salbutamol (albuterol) inhaler and a steroid inhaler at the same times each day. Which order is usually taught?

1. ASteroid first, then salbutamol straight afterwards
2. BBoth inhalers puffed together in one breath
3. CThe order makes no difference to either drug
4. DSalbutamol first, then the steroid after a short wait

A nurse is reviewing four telemetry patients. Which rhythm needs attention first?

1. ASinus bradycardia of 54/min in a patient who is asleep and comfortable
2. BRate-controlled atrial fibrillation at 82/min
3. CFirst-degree heart block with a stable blood pressure and no symptoms
4. DRepeated runs of ventricular tachycardia in a patient who feels dizzy

Why might a patient bleed more from the needle sites straight after haemodialysis?

1. ADialysis removes all the platelets from the blood
2. BThe fistula has been damaged and must be tied off
3. CDialysis raises the blood pressure sharply for several hours
4. DHeparin is often used to stop the circuit from clotting

A patient who has taken prednisolone daily for years is vomiting and cannot keep tablets down. What should the nurse do?

1. AOmit the steroid until the vomiting stops
2. BGive the tablets again after every vomit
3. CEscalate urgently for steroid by injection
4. DGive the next dose with a glass of milk

Perché le ustioni superficiali (solo arrossamento, come una scottatura solare) non si contano nel calcolo dell'area ustionata per la rianimazione con liquidi?

1. ACausano più perdita di liquidi di qualsiasi altra profondità
2. BGuariscono sempre completamente entro un giorno
3. CLa barriera cutanea è intatta, perciò si perde poco liquido
4. DSono sempre troppo piccole per essere misurate con precisione su una tabella

A worker has a hydrofluoric acid burn on the hand and severe pain. After irrigation with water, which specific treatment is commonly applied?

1. ACalcium gluconate gel
2. BIce cubes wrapped in a cloth
3. CSodium bicarbonate paste
4. DSilver sulfadiazine cream