Priorità e delega in stile NCLEX: pacchetto last-minute

Quale affermazione dimostra una corretta comprensione della responsabilità nella delega?

1. A"Se il compito va male, è responsabile solo l'assistente."
2. B"Una volta delegato un compito, non è più una mia preoccupazione."
3. C"Resto responsabile della decisione di delegare e del follow-up sul risultato."
4. D"L'assistente infermieristico è responsabile del fatto che fosse giusto delegare il compito."

During JumpSTART triage, a child who cannot walk is breathing 50 times a minute. Which category is the child given?

1. AYellow (delayed)
2. BGreen (minor)
3. CBlack (expectant)
4. DRed (immediate)

A patient has fallen, and the nurse completes an incident report. Which statement about this report is correct?

1. AIt replaces the need to document the fall in the patient’s record
2. BA copy of it is placed in the patient’s chart so all staff know about the fall
3. CIt is only needed when the patient is injured
4. DIt is written factually and does not replace documenting the fall in the patient’s record

An audit shows poor hand hygiene compliance on a ward. Which plan is most likely to improve it?

1. ADisciplining staff who are seen not cleaning their hands, with no other change
2. BA combined approach with education, hand rub at every bedside, regular audits and feedback
3. CA single poster about hand hygiene placed in the staff room
4. DRemoving all sinks so staff must use hand rub

A patient on levothyroxine has palpitations, weight loss and a TSH of 0,05 mIU/L. What is the most likely explanation?

1. AThe levothyroxine dose is too high
2. BThe thyroid is now completely normal
3. CThe patient has stopped the drug
4. DThe levothyroxine dose is too low

Weeks after neck surgery, a patient has muscle cramps and tingling. Calcium is low, phosphate is high and parathyroid hormone (PTH) is low. Which condition fits best?

1. AChronic kidney disease
2. BHypoparathyroidism
3. CPrimary hyperparathyroidism
4. DVitamin D toxicity

La scala analgesica dell'OMS raccomanda:

1. ADi usare solo metodi non farmacologici per il dolore oncologico
2. BDi somministrare l'analgesia solo quando il dolore diventa grave
3. CDi iniziare tutti i pazienti con oppioidi forti
4. DDi passare dai non oppioidi agli oppioidi deboli e poi a quelli forti con l'aumentare del dolore

A patient with back pain develops numbness around the anus and genitals and new difficulty passing urine. Which condition should be suspected?

1. AConstipation
2. BSimple muscle strain
3. CKidney stones
4. DCauda equina syndrome

Un paziente ha una fibrillazione atriale da più di 48 ore ed è in lista per una cardioversione elettiva. Perché serve prima l'anticoagulazione?

1. AI coaguli atriali possono staccarsi quando torna il ritmo sinusale
2. BGli anticoagulanti rendono la scarica meno dolorosa
3. CGli anticoagulanti riducono l'energia elettrica necessaria per la scarica
4. DGli anticoagulanti riportano la FA al ritmo sinusale

A patient with stable severe COPD has a blood gas showing pH 7,37, a raised PaCO₂ and a raised bicarbonate. How should this be interpreted?

1. AChronic respiratory acidosis with metabolic compensation
2. BA normal blood gas with no abnormality
3. CRespiratory alkalosis from hyperventilation
4. DAcute respiratory acidosis needing emergency intubation

Quale punteggio della Glasgow Coma Scale indica di solito che un paziente potrebbe non essere in grado di proteggere le proprie vie aeree?

1. A8 o inferiore
2. B15
3. C13 o inferiore
4. D11 o superiore

Una crisi dura da 12 minuti. Sono state somministrate due dosi di benzodiazepina e la crisi continua. Vie aeree e ossigeno sono gestiti. Qual è il passo successivo nei protocolli comuni?

1. AUna terza e una quarta dose di benzodiazepina ogni due minuti
2. BDare compresse antiepilettiche per bocca quando il paziente riesce a deglutire
3. CAttendere altri 30 minuti per vedere se la crisi si interrompe
4. DUn farmaco EV di seconda linea come levetiracetam o fenitoina

Why should antacids usually be taken at a different time from other medicines?

1. AThey make all other drugs much more toxic
2. BThey can reduce the absorption of many other drugs
3. CThey stop the kidneys from clearing other drugs
4. DThey destroy other drugs before they are swallowed

After surgery, a patient keeps asking for analgesia before it is due, watches the clock and rates pain 8/10. What is the most appropriate interpretation?

1. AThe patient is addicted and should have analgesia withheld
2. BPain may be undertreated; reassess and ask for a review of the plan
3. CThe patient is exaggerating, so the pain scores should be ignored for now
4. DThe patient needs only distraction and no change in drugs