Pemberian Keutamaan & Delegasi Gaya NCLEX: pek ulang kaji kilat

A nurse sees a nursing assistant leave a confused patient’s bed in the highest position after care. What should the nurse do?

1. ALeave it because the patient is asleep
2. BLower the bed now and remind the assistant why it matters
3. CAsk the family to lower the bed when they next visit
4. DWrite it in the assistant’s yearly review only

A chemical cleaning fluid splashes into a patient’s eye. What should the nurse do first?

1. AFlush the eye with plenty of water or saline straight away
2. BGive antibiotic eye drops first
3. CRub the eye gently with a clean tissue to remove the chemical
4. DCover the eye with a dry patch and wait for the provider

Apakah tujuan huruf “Tall Man”, seperti dalam hydrOXYzine dan hydrALAZINE?

1. AUntuk menunjukkan yang mana satu daripada dua ubat itu ialah ubat berisiko tinggi
2. BUntuk memudahkan nama ubat yang kelihatan serupa dibezakan
3. CUntuk menunjukkan kekuatan ubat
4. DUntuk menandakan nama jenama

A patient on airborne precautions for tuberculosis wants to walk in the hallway. What is the best response?

1. AExplain that they must stay in the room, and offer ways to stay active inside it
2. BAllow it, if they avoid the nurses’ station
3. CAllow it, as long as the patient wears an N95 respirator in the corridor
4. DAllow it, as long as they walk quickly

A stool test for Clostridioides difficile is ordered. Which sample is appropriate?

1. AAn unformed (liquid or soft) stool
2. BA formed, hard stool sample
3. CA rectal swab from a patient with constipation
4. DAny stool after a laxative dose

After lying on the floor for many hours, a patient has a CK of 40,000 U/L, a potassium of 6.1 mEq/L and dark urine. Which prescribed treatment is the priority?

1. AFluid restriction to protect the heart from overload
2. BLarge-volume IV fluids with cardiac monitoring
3. CAn oral potassium supplement with each meal
4. DHigh-dose NSAIDs for the muscle pain

Which pattern is typical of relapsing–remitting multiple sclerosis?

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

A patient has a high fever with rigors, jaundice and right upper quadrant pain. Which condition is most likely?

1. ASimple biliary colic
2. BAcute appendicitis
3. CGastro-oesophageal reflux disease
4. DAscending cholangitis

Which emergency equipment should be kept at the bedside of a patient with a tracheostomy?

1. ASpare tubes (same size and one smaller), suction and oxygen
2. BA nasogastric tube and a feeding pump
3. CA urinary catheter set, a blood glucose meter and a thermometer
4. DOnly a spare oxygen mask, since the tube rarely causes problems

A patient on an unfractionated heparin infusion has a nosebleed that will not stop, and the aPTT is far above the target range. What is the most appropriate action?

1. AContinue the infusion at the same rate and pack the nose firmly
2. BIncrease the infusion, as the aPTT will settle
3. CStop the infusion, inform the prescriber and anticipate protamine
4. DGive vitamin K and continue the infusion at a slightly lower rate

A man starts tamsulosin for BPH. Which teaching point is most important?

1. AStand up slowly, because it can make you dizzy
2. BTake it with grapefruit juice to make it work better
3. CStop it if the urine stream improves
4. DExpect the drug to shrink the prostate within a day

Pada pukul 03:00 glukosa pesakit ialah 3.6 mmol/L, tetapi sebelum sarapan ia tinggi. Mereka mengambil insulin bertindak panjang pada waktu petang. Apakah yang patut dilakukan oleh jururawat?

1. AMengabaikan bacaan malam dan bertindak berdasarkan nilai pagi sahaja
2. BMemberikan insulin tambahan pada pukul 03:00 kerana nilai pagi akan tinggi
3. CMerawat paras rendah dan melaporkan coraknya supaya dos petang disemak semula
4. DMenghentikan semua insulin secara kekal dan memantau glukosa setiap empat jam

Which instruction is important during bowel preparation for colonoscopy?

1. AEat a high-fibre meal the evening before the test
2. BAvoid all fluids for 24 hours before the test
3. CDrink plenty of clear fluids while taking the preparation
4. DTake the preparation only if the bowels have not opened

During radiotherapy to the chest, a patient develops pain on swallowing and is eating less. What is the most likely cause and nursing focus?

1. AA stomach ulcer; give an antacid after meals only
2. BA heart attack; give aspirin and arrange an ECG
3. CNormal ageing; no action needed
4. DRadiation oesophagitis; analgesia, soft food and nutrition support