Priorità e delega in stile NCLEX: pacchetto last-minute

When making patient assignments, what should the charge nurse consider first?

1. AGiving each nurse patients in rooms next to each other
2. BMatching each patient’s needs to staff competence
3. CLetting staff choose the patients they prefer
4. DGiving the newest staff the most complex patients

Un infermiere supervisiona un nuovo assistente infermieristico. Quando deve controllare più da vicino il lavoro dell'assistente?

1. AMai, perché l'assistente possiede un certificato per il ruolo
2. BSolo quando l'assistente chiede aiuto per un compito che trova difficile
3. CQuando l'assistente è nuovo al compito o il paziente è meno stabile
4. DSolo a fine turno, quando la documentazione viene rivista

A nurse cleans an IV pump with a disinfectant wipe. What must happen for the disinfectant to work?

1. AThe surface is wiped once lightly without pressure
2. BThe surface is dried with a clean towel right after wiping
3. CThe wipe is used on many pumps to save product
4. DThe surface stays wet for the contact time on the product label

A nurse teaches parents about using an infant car seat. Which statement shows a need for further teaching?

1. A“We will install the seat in the back seat, facing the rear.”
2. B“We will make sure the harness straps are snug against the baby’s chest.”
3. C“We will use the car seat for every trip, even short ones.”
4. D“We will put the rear-facing seat in the front so we can see the baby.”

A healthy woman at 28 weeks of pregnancy has a mildly lower hemoglobin than before pregnancy, with a normal MCV and ferritin. What is the most likely explanation?

1. APlasma volume rises more than red cell mass, diluting the blood
2. BThe fetus is destroying the mother's red cells in the circulation
3. CPregnancy hormones stop the bone marrow from making red cells
4. DIron is being lost through the kidneys during the pregnancy

A patient with cirrhosis and ascites has fever and abdominal tenderness. The ascitic fluid neutrophil count is 400 cells/mm³. What does this indicate?

1. AMalignant ascites from cancer
2. BBleeding into the abdominal cavity
3. CSpontaneous bacterial peritonitis
4. DNormal ascitic fluid in cirrhosis

A pressure ulcer shows full-thickness tissue loss with exposed bone. Which category (stage) is this?

1. ACategory 4
2. BCategory 1
3. CCategory 3
4. DCategory 2

Several hours after thyroid surgery, a patient has increasing neck swelling, stridor and difficulty breathing. What is most likely?

1. AA thyroid storm
2. BHypocalcaemia from parathyroid damage
3. CNormal postoperative swelling
4. DA haematoma compressing the airway

Which ECG finding is typical of atrial flutter?

1. AP waves with no relationship to the QRS complexes
2. BRegular sawtooth flutter waves between QRS complexes
3. CA chaotic baseline with no clear P waves and irregular QRS
4. DWide, bizarre QRS complexes at 180/min

A patient receiving noradrenaline (norepinephrine) through a peripheral cannula has pale, cold skin around the site. What should the nurse do?

1. AContinue the infusion, as this is expected
2. BMassage the area firmly to spread the drug out into the surrounding tissue
3. CStop it at that site, inform the team and follow the extravasation policy
4. DIncrease the rate so the drug enters the vein faster and leaks less

A patient receives phenytoin through a nasogastric tube along with continuous enteral feed. Which issue should the nurse know about?

1. AThe feed can reduce phenytoin absorption, so the feed is often paused around the dose
2. BPhenytoin must be crushed and mixed into the feed bag
3. CThe feed increases phenytoin levels and causes toxicity within hours
4. DPhenytoin makes the feed curdle, so the two must never be used in one patient

Two days after surgery, an 80-year-old woman is quiet, sleepy, slow to answer and eating little. Her daughter says she is "not herself". What should the nurse suspect?

1. ANormal tiredness after an operation
2. BThe start of Alzheimer's disease
3. CHypoactive delirium
4. DSimple low mood about being in hospital

In quale periodo dopo l'intervento è più probabile la deiscenza della ferita?

1. APiù di un anno dopo l'intervento
2. BSolo durante l'intervento
3. CNella prima ora
4. DCirca 5–10 giorni dopo l'intervento

Un paziente con tumore della prostata noto riferisce un nuovo mal di schiena in peggioramento e debolezza alle gambe. Qual è l'azione più importante?

1. APossibile compressione midollare: allertare, steroidi come prescritto, RM urgente
2. BOrganizzare una fisioterapia di routine per il mal di schiena entro il mese
3. CConsigliare riposo a casa con paracetamolo e rivalutazione alla prossima visita
4. DRassicurare il paziente che il mal di schiena è comune e non grave