Priorità e delega in stile NCLEX: pacchetto last-minute

A swimmer is found unresponsive after diving into shallow water. Which method should the nurse use to open the airway?

1. AHead-tilt, chin-lift with full neck extension
2. BTurning the head to the side to drain water
3. CRaising the chin while bending the neck forward
4. DJaw thrust, keeping the head and neck in line

A patient suddenly has severe pain in one leg. The leg is pale and cold with no pedal pulse. What does this suggest?

1. AA muscle cramp that will pass with stretching
2. BChronic venous insufficiency that needs elevation
3. CAcute arterial occlusion, which is an emergency
4. DA deep vein thrombosis that can be treated next week

A nurse wants to set up a sterile field in the morning for a procedure that will take place after lunch. What is correct?

1. ASet it up in the morning and cover it with a clean towel until the procedure starts
2. BSet it up in the morning and leave it uncovered in an empty room
3. CSet it up just before the procedure, because a waiting field may become contaminated
4. DSet it up in the morning and ask a colleague to check it once

A nurse finds an unknown liquid leaking from a container in the utility room, with a strong smell. What should the nurse do first?

1. APour water over it to dilute it
2. BMop it up with paper towels
3. CLeave the area, keep others out and alert the trained response team
4. DMove closer and smell it carefully to identify what the substance is

During a red cell transfusion, when are serious acute reactions most likely, so the nurse stays with the patient?

1. AAfter about 2 hours
2. BThe next morning
3. CAfter the last drop is given
4. DIn the first 15 minutes

A patient's creatinine was 0,9 mg/dL (80 µmol/L) on admission and is 1,3 mg/dL (115 µmol/L) 36 hours later. Using the common KDIGO criteria, what does this show?

1. AA laboratory error, because creatinine cannot change within 2 days
2. BChronic kidney disease, because creatinine has risen above baseline
3. CAcute kidney injury, because it rose by at least 0,3 mg/dL within 48 hours
4. DNo kidney injury, because the creatinine is still within the normal range

A patient on the ward has shingles with open blisters. Which people are most at risk from contact?

1. APeople who have already had chickenpox in childhood and are now healthy
2. BNo one, because shingles cannot spread
3. COnly people over 80 who have already had shingles themselves
4. DPregnant women and immunocompromised people who have not had chickenpox

A patient suddenly develops a severe "worst ever" headache that reached full intensity within seconds, followed by vomiting and neck stiffness. What should be suspected?

1. ASinusitis
2. BMigraine with aura in a known migraine sufferer
3. CSubarachnoid haemorrhage
4. DTension headache

Why is intravenous furosemide given slowly rather than as a rapid push of a large dose?

1. ARapid doses cause severe constipation
2. BSlow injection makes the urine output larger
3. CRapid high doses can damage hearing
4. DRapid doses cause the potassium level to rise

A patient with squamous cell lung cancer becomes confused, thirsty and constipated, with abdominal pain. Which electrolyte disturbance is most likely?

1. AHyponatraemia
2. BHypercalcaemia
3. CHypomagnesaemia
4. DHypokalaemia

A patient is due a rapid-acting insulin dose before lunch, but the meal trays are delayed. What should the nurse do?

1. AOmit the dose entirely for the rest of the day
2. BGive the insulin now and the meal when it comes
3. CWait to give the insulin until the meal arrives
4. DGive the insulin with a glass of water instead

Quale di questi pazienti con ictus ischemico acuto ha meno probabilità di essere idoneo alla trombolisi EV?

1. AUn paziente che ha avuto un intervento addominale maggiore cinque giorni fa
2. BUn paziente la cui TC non mostra alcun segno di sanguinamento intracranico
3. CUn paziente con pressione arteriosa 170/95 mmHg
4. DUn paziente i cui sintomi sono iniziati 90 minuti fa

Per quanto tempo si adottano spesso precauzioni speciali con i liquidi corporei dopo molti farmaci chemioterapici?

1. ANon sono mai necessarie
2. BSolo durante l'infusione
3. CComunemente circa 48 ore
4. DPer un intero anno

On the morning of elective hip surgery, a patient says she took her usual warfarin last night despite being told to stop. What should the nurse do?

1. AInform the surgical and anaesthetic teams, who will check the INR
2. BGive a double dose of vitamin K by mouth without waiting for a prescription
3. CProceed with the usual checklist and say nothing
4. DTell her the surgery must be cancelled for a month