Priorità e delega in stile NCLEX: pacchetto last-minute

Quale paziente è più appropriato assegnare a un LPN/LVN?

1. AUn paziente ricoverato 30 minuti fa con un nuovo dolore toracico
2. BUn paziente che sta per ricevere la prima unità di globuli rossi
3. CUn paziente in arrivo dalla sala risveglio che necessita di una valutazione iniziale
4. DUn paziente con scompenso cardiaco cronico stabile che necessita di farmaci orali

Which patient is the most appropriate to assign to an LPN/LVN?

1. AA patient on a new IV medication that needs frequent titration
2. BA patient with a tracheostomy placed this morning who is coughing up blood
3. CA patient who has just arrived from the emergency department with pneumonia and confusion
4. DA patient with a long-standing tracheostomy who needs routine suctioning and care

Che cosa deve fare un infermiere dopo uno schizzo accidentale di sangue di un paziente negli occhi?

1. ASciacquare subito gli occhi con abbondante acqua o soluzione fisiologica, poi segnalare
2. BStrofinare delicatamente gli occhi con un fazzoletto pulito e asciutto per rimuovere prima il sangue
3. CApplicare un collirio antibiotico e non dirlo a nessuno
4. DTerminare la procedura e segnalare l'accaduto il giorno dopo

A nurse teaches new parents how to cope with an infant’s crying. Which statement shows a need for further teaching?

1. A“I can call a friend or family member to help when I am tired.”
2. B“If he won’t stop crying, a quick shake will get his attention.”
3. C“If I get frustrated, I will put him safely in the crib and take a short break.”
4. D“I will check whether he is hungry, wet or too warm.”

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

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

Two weeks after a sore throat, a child develops dark (cola-colored) urine, puffy eyes and high blood pressure. Urinalysis shows red cell casts and protein. Which condition is most likely?

1. ALower urinary tract infection (cystitis)
2. BPrerenal acute kidney injury
3. CKidney stone in the ureter
4. DPost-streptococcal glomerulonephritis

Which pattern is typical of relapsing–remitting multiple sclerosis?

1. AAttacks of symptoms, such as visual loss or numbness, that improve between relapses
2. BConstant weakness that starts in the feet and spreads upwards after a viral illness
3. CSudden severe headache with neck stiffness
4. DA single stroke that leaves permanent weakness

A patient with a small leg wound has severe pain out of proportion to the skin changes, rapidly spreading redness and signs of sepsis. What should be suspected?

1. AAn allergic reaction to the dressing
2. BNecrotising fasciitis
3. CA superficial bruise
4. DSimple cellulitis that will settle with oral antibiotics

Suspected pulmonary TB is being investigated. How are sputum samples usually collected?

1. AA single sample after the first week of treatment
2. BOne sample of saliva collected at any time of the day
3. CA swab from the nose only
4. DSeveral samples, ideally including early-morning sputum

A nurse teaches a patient how to measure blood pressure at home. Which statement shows a need for further teaching?

1. A"I will rest quietly for five minutes before measuring."
2. B"I will measure it straight after my morning jog."
3. C"I will take two readings and write them both down."
4. D"I will sit with my back supported and my arm at heart level."

A patient with advanced CKD asks how to manage indigestion. Which option should they avoid?

1. AAvoiding large meals late in the evening
2. BMagnesium-containing antacids
3. CRaising the head of the bed at night
4. DEating smaller, more frequent meals

After a stroke, a patient suddenly cries or laughs at odd moments. They say they do not feel sad. Which response is most appropriate?

1. AExplain that this is emotional lability after stroke and help the family understand
2. BTell the patient that crying will slow their recovery
3. CAsk the doctor for a sedative to stop the outbursts
4. DIgnore it, because it shows that the patient is seeking attention from the staff

Quale classe di farmaci si usa comunemente per ridurre l'acidità dopo il trattamento endoscopico di un'ulcera peptica sanguinante?

1. ABeta-bloccanti
2. BAntistaminici H1 come la cetirizina
3. CDiuretici dell'ansa
4. DInibitori di pompa protonica

Two days after surgery, a patient on regular ibuprofen has a low urine output and a rising creatinine, and intake has been poor. What should the nurse do?

1. AWithhold the next dose and report to the prescriber
2. BChange to a higher-strength NSAID tablet
3. CIncrease the dose to treat the pain better and encourage fluids
4. DGive the next dose with extra food