Priorità e delega in stile NCLEX: pacchetto last-minute

A nurse sees a nursing assistant leave a confused patient’s bed in the highest position after care. What should the nurse do?

1. AAsk the family to lower the bed when they next visit
2. BWrite it in the assistant’s yearly review only
3. CLeave it because the patient is asleep
4. DLower the bed now and remind the assistant why it matters

Quale paziente di un'unità di nefrologia deve vedere per primo l'infermiere?

1. AUn paziente in emodialisi che ha saltato la seduta di ieri e ora ha debolezza muscolare e polso irregolare
2. BUn paziente che chiede consigli su una dieta povera di fosfati
3. CUn paziente la cui fistola arterovenosa ha un fremito e un soffio forti
4. DUn paziente in dialisi peritoneale il cui liquido drenato è limpido

A patient wants to use their own electric hair dryer in the hospital. What is correct?

1. AIt can be used in the bathroom near the sink if the patient is careful
2. BIt can be used straight away if it looks new
3. CIt is checked for electrical safety according to hospital policy before use
4. DIt can be plugged into an extension lead under the bed

A patient takes medicines prescribed by several providers. Which advice best reduces the risk of medication errors at home?

1. AStop taking any medicine that seems to repeat another one, without asking anyone
2. BOnly tell each provider about the drugs they prescribed
3. CKeep each provider’s medicines in separate bags
4. DKeep one up-to-date list of all medicines and use one pharmacy where possible

Un paziente in terapia con furosemide ha un potassio di 2,9 mEq/L. Quale reperto si aspetterebbe l'infermiere?

1. ADiarrea e crampi addominali da intestino iperattivo
2. BFormicolio attorno alla bocca con segno di Chvostek positivo
3. CDebolezza muscolare e crampi alle gambe
4. DOnde T alte e appuntite all'ECG

Four drug levels are reported. Which patient should the nurse assess first?

1. AValproate 75 mcg/mL with no symptoms
2. BDigoxin 1,0 ng/mL with a pulse of 72/min
3. CPhenytoin 15 mcg/mL with no symptoms
4. DLithium 1,8 mEq/L with a new coarse tremor

A patient without diabetes is started on high-dose prednisolone. Why might capillary blood glucose be monitored?

1. ASteroids always cause hypoglycaemia
2. BSteroids destroy the pancreas
3. CSteroids can raise the blood glucose
4. DSteroids make glucose meters inaccurate

Which patient should the nurse assess first?

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

Quale consiglio aiuta a prevenire la TVP durante un lungo volo o dopo un intervento?

1. AIndossare lacci elastici stretti appena sotto il ginocchio
2. BFare regolarmente esercizi per le caviglie e bere a sufficienza
3. CStare seduti con le gambe accavallate per comodità
4. DBere meno per non dover alzarsi per andare in bagno

An older patient with three rib fractures is breathing shallowly and refuses to cough because of pain. What is the priority intervention?

1. AEffective analgesia so they can breathe deeply and cough
2. BStrap the chest tightly with bandages to stop the ribs moving
3. CKeep the patient flat and still in bed until the pain settles
4. DWithhold analgesia to avoid depressing breathing

Why are patients with an acute spinal cord injury at high risk of deep vein thrombosis?

1. AParalysed leg muscles no longer pump blood back to the heart
2. BThey usually take oestrogen as part of their treatment
3. CSpinal injuries always damage the large veins of the legs
4. DThe injury makes the blood too thin to clot properly in the veins

A 74-year-old falls forward and hits their chin. Their arms are much weaker than their legs, and they have burning pain in the hands. Which injury is most likely?

1. ABrown-Séquard syndrome
2. BCentral cord syndrome
3. CA complete lumbar cord injury
4. DCauda equina syndrome

Perché è importante quando un paziente in terapia con oppioidi diventa più sedato?

1. AL'aumento della sedazione di solito precede la depressione respiratoria
2. BLa sedazione significa che il dolore è ora controllato in modo completo e sicuro
3. CLa sedazione è un effetto innocuo e atteso di tutti gli oppioidi
4. DLa sedazione significa che ora serve una dose più alta

A nurse finds a dislodged sealed radiation source in the bed of a patient receiving brachytherapy. What should the nurse do?

1. AThrow it in the clinical waste bag
2. BLeave it in the bed until the end of the shift
3. CUse long-handled forceps to put it in the lead container; report it
4. DPick it up with gloved hands and put it in the nearest sharps bin quickly