NCLEX tipo prioritetų nustatymas ir delegavimas: pasiruošimo paketas

Which action helps prevent a catheter-associated urinary tract infection?

1. AKeeping the drainage bag below the level of the bladder
2. BDisconnecting the bag every shift to empty it
3. CLeaving the catheter in place longer than needed
4. DRaising the drainage bag above the bladder when walking

An older patient with heart failure is receiving a second unit of blood. She becomes breathless, with crackles in both lungs and a rising blood pressure. What is most likely happening?

1. AA mild allergic reaction with hives
2. BAn expected effect of the first unit
3. CTransfusion-associated circulatory overload
4. DHypoglycemia caused by the stored blood product

A patient with a severe latex allergy is booked for surgery. Which measure is commonly used?

1. AUse latex-free supplies and schedule the patient as the first case of the day
2. BWrap latex items in plastic before use
3. CUse latex gloves only for short procedures
4. DGive the patient antihistamines before surgery and then use the normal supplies

A visitor becomes very agitated and starts shouting at the nurse in a patient’s room. What should the nurse do first?

1. AKeep a safe distance and a clear exit, speak calmly and call security if needed
2. BTouch the visitor’s arm to help them calm down
3. CTurn away from the visitor and continue with the patient’s care as normal
4. DRaise the voice to show who is in charge

A patient with pneumonia had a CRP of 180 mg/L on admission and 40 mg/L after 4 days of antibiotics. What does this most likely show?

1. AThe patient has developed a new infection
2. BThe antibiotic is causing liver damage
3. CThe inflammation is settling with treatment
4. DThe infection has spread to another organ

A healthy woman at 10 weeks of pregnancy has a slightly low TSH with a normal free T₄ and no symptoms. What is the most likely explanation?

1. AhCG stimulates the thyroid in early pregnancy
2. BShe has pituitary failure from the pregnancy
3. CShe has developed Graves disease in pregnancy
4. DThe result shows severe primary hypothyroidism

Which advice is correct for a patient taking levothyroxine?

1. ATake it on an empty stomach, usually before breakfast
2. BStop taking it once the symptoms improve
3. CTake it only on days when feeling tired
4. DTake it with a large meal to avoid nausea and stomach upset

A nurse notices that a wrong dose of a drug was prepared but was caught before it was given. What should be done?

1. ADiscipline the nurse who prepared it on the spot in front of colleagues
2. BReport it as a near miss through the incident reporting system
3. CTell only the patient's family
4. DSay nothing, because no harm reached the patient

A patient is starting doxazosin, an alpha-blocker, for hypertension. Which advice is most important?

1. ATake it with a large glass of grapefruit juice to improve absorption
2. BStop it suddenly if the heart rate rises after the first few doses
3. CTake the first dose at bedtime, as dizziness and fainting can occur
4. DAvoid all potassium-containing foods

A nurse is reviewing four telemetry patients. Which rhythm needs attention first?

1. ASinus bradycardia of 54/min in a patient who is asleep and comfortable
2. BRate-controlled atrial fibrillation at 82/min
3. CRepeated runs of ventricular tachycardia in a patient who feels dizzy
4. DFirst-degree heart block with a stable blood pressure and no symptoms

Which lifestyle advice best helps a patient with epilepsy reduce their seizures?

1. ASkip a dose on days without any warning signs
2. BAvoid all physical exercise and stay indoors
3. CDrink coffee in the evening to stay alert
4. DKeep regular sleep and take every dose on time

A patient with type 1 diabetes is vomiting at home. Their glucose is 12 mmol/L (216 mg/dL), and blood ketones are 3,5 mmol/L. What advice is correct?

1. ADrink less fluid to stop the vomiting
2. BSeek urgent hospital assessment for possible DKA
3. CStop insulin until the vomiting has settled
4. DWait until the glucose is above 20 mmol/L (360 mg/dL)

Kuri žaizdos gijimo fazė apima granuliacinio audinio ir naujų kraujagyslių formavimąsi?

1. ABrendimo fazė
2. BProliferacijos fazė
3. CHemostazės (krešėjimo) fazė
4. DUždegiminė fazė

During a nasogastric feed, a patient starts coughing and SpO₂ falls from 96% to 89%. What should the nurse do first?

1. AIncrease the feed rate to finish it sooner
2. BLay the patient flat to help them rest
3. CStop the feed and assess the airway and breathing
4. DGive a drink of water to clear the throat