Priorità e delega in stile NCLEX: pacchetto last-minute

A parent calls to say their toddler has just swallowed drain cleaner. What should the nurse advise?

1. ADo not make the child vomit; call poison control or emergency services now
2. BMake the child vomit straight away to bring up the chemical
3. CWait to see whether the child develops any symptoms first
4. DGive a large glass of fizzy drink or milk to dilute the cleaner before calling anyone

Which patient finding after a total knee replacement needs the nurse’s action first?

1. ASudden calf pain and swelling in the operated leg, with new breathlessness
2. BPain of 4/10 when the physiotherapist bends the knee during the morning session
3. CA small amount of dried blood on the dressing
4. DAsks for an ice pack to help with swelling around the knee

Un paziente ha un herpes zoster in una zona del torace, ha un sistema immunitario normale e le lesioni possono essere coperte del tutto. Quali precauzioni sono di solito necessarie?

1. AAmbiente protetto a pressione positiva
2. BPrecauzioni per via aerea in una stanza a pressione negativa
3. CSolo precauzioni da droplet
4. DPrecauzioni standard, con le lesioni coperte

A patient’s blood splashes onto a nurse’s forearm. The skin is intact. What is the correct response?

1. ADo nothing, because intact skin cannot be contaminated
2. BStart HIV post-exposure prophylaxis right away, before any other step is taken
3. CWash the area with soap and water, then follow the reporting policy
4. DScrub the area with undiluted bleach

Apart from the lithium level, which tests are monitored regularly in long-term lithium therapy?

1. ATroponin and creatine kinase (CK)
2. BKidney function and thyroid function
3. CLiver enzymes and serum amylase
4. DINR and the platelet count

Four results arrive at the same time. Which patient should the nurse see first?

1. AINR 2,6 in a patient on warfarin for atrial fibrillation
2. BHemoglobin 10,4 g/dL (104 g/L) in a patient with stable chronic kidney disease
3. CWhite cell count 12,0 × 10³/µL on the first day after surgery
4. DGlucose 48 mg/dL (2,7 mmol/L) in a patient who had insulin an hour ago

Which blood result often rises in an upper GI bleed because blood is digested in the gut?

1. ACalcium
2. BGlucose
3. CUrea (blood urea nitrogen)
4. DSodium

Which patient should the nurse assess first?

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

A patient in cardiac rehabilitation asks how hard to exercise. Which simple guide is commonly taught?

1. AExercise until chest pain starts, then stop
2. BExercise only until the heart rate rises even slightly
3. CExercise until they are too breathless to speak at all
4. DExercise so they are a little breathless but can still talk

A patient with a tracheostomy suddenly becomes distressed, and a suction catheter will not pass down the tube. What should the nurse do first?

1. AGive a nebulised bronchodilator
2. BRemove the inner cannula
3. CInflate the cuff with more air
4. DIncrease the oxygen and wait

Which headache feature most suggests raised intracranial pressure from a brain tumour?

1. ABetter in the morning and worse with stress
2. BA tight band across the forehead that eases with rest
3. CWorse on waking and on coughing, with vomiting
4. DOnly present after reading for a long time

A kidney transplant recipient has had vomiting and diarrhoea for two days. Why should the transplant team be contacted?

1. AThe kidney will start to produce far too much urine
2. BVomiting proves that rejection has already happened
3. CThe tablets will make the vomiting stop
4. DThe patient may not be absorbing their immunosuppressants

Quale integratore a base di erbe viene comunemente chiesto prima di un intervento perché può aumentare il sanguinamento?

1. AOlio di menta piperita
2. BCamomilla
3. CGinkgo biloba
4. DMirtillo rosso

Un paziente con ileostomia non ha avuto output per 6 ore, con dolore crampiforme, distensione, nausea e stomia gonfia. Che cosa deve sospettare l'infermiere?

1. AUn'ostruzione della stomia, spesso da cibo, che richiede una valutazione
2. BUna lieve eruzione cutanea attorno alla stomia
3. CDisidratazione da output dell'ileostomia molto elevato
4. DUn normale periodo di quiete per una nuova ileostomia