Pemberian Keutamaan & Delegasi Gaya NCLEX: pek ulang kaji kilat

Which telephone call should a clinic nurse return first?

1. AA parent of a 5-year-old with a runny nose for two days
2. BA parent of a 6-week-old with a temperature of 38.3 °C
3. CAn adult asking for a repeat prescription for a statin
4. DAn adult who wants to move a routine blood test appointment

During surgery under general anesthesia, a patient develops rising end-tidal carbon dioxide, muscle rigidity and a rapidly increasing temperature. Which drug should the nurse anticipate?

1. AAtropine
2. BDantrolene
3. CNaloxone
4. DFlumazenil

Apabila membuka bungkusan steril di atas meja, kepak manakah dibuka dahulu?

1. AKepak yang paling jauh daripada jururawat
2. BKepak yang paling dekat dengan jururawat
3. CMana-mana kepak sisi yang paling mudah dicapai
4. DSemua kepak serentak

A patient has a rash, and both smallpox and chickenpox are considered. Which finding suggests smallpox?

1. AA rash that is very itchy and starts on the trunk
2. BSmall crops of new lesions appearing over several days in a row
3. CLesions at different stages, most dense on the trunk
4. DLesions all at the same stage, most dense on the face and limbs

Two sets of blood cultures are ordered for a patient with suspected sepsis. How are they best collected?

1. AFrom two separate venipuncture sites, using strict aseptic technique
2. BBoth from the same site, one minute apart, to save time for the patient
3. CAfter the first antibiotic dose, so the infusion is not delayed
4. DFrom the existing IV line while the infusion continues to run

A patient's bedside glucose meter shows "HI" (above its measuring range). The patient is drowsy. What should the nurse do?

1. AGive oral glucose in case the reading is wrong and the patient is low
2. BSend a venous sample to the lab and inform the provider at once
3. CRecord "HI" and repeat the meter test at the next scheduled time
4. DAssume the meter is broken and give the usual insulin dose

When is a rapid-acting insulin such as insulin aspart usually given?

1. AJust before or with a meal
2. BTwo hours after finishing a meal
3. COnly at bedtime
4. DOnce a week

After a viral illness, a patient has sharp chest pain that is worse lying flat and eased by sitting forward. What is the most likely cause?

1. AAortic dissection
2. BPericarditis
3. CStable angina
4. DPulmonary oedema

Vaksinasi manakah yang biasanya disyorkan untuk orang dengan COPD?

1. ADos penggalak tetanus tahunan sahaja
2. BVaksinasi influenza tahunan dan pneumokokus
3. CTiada vaksin langsung, kerana ia diketahui mencetuskan eksaserbasi
4. DVaksin BCG setiap lima tahun

During drainage of a large pleural effusion, a patient starts coughing and feels tight in the chest. What should the nurse do?

1. ASpeed up the drainage to finish quickly
2. BLie the patient flat until the drainage is complete
3. CStop or clamp the drainage and inform the doctor
4. DAsk the patient to cough harder to help the flow

Mengapakah pesakit CKD sering mengambil pengikat fosfat bersama makanan?

1. AIa mengikat fosfat makanan yang tidak dapat dikumuhkan oleh buah pinggang
2. BIa meningkatkan penyerapan fosfat daripada makanan dalam usus
3. CIa menggantikan hormon eritropoietin yang hilang
4. DIa merendahkan kalium darah dengan mengikatnya dalam usus

Seorang pesakit CKD mempunyai hemoglobin 92 g/L dan memulakan agen perangsang eritropoiesis (ESA). Apakah yang patut dipantau oleh jururawat?

1. AEnzim hati, kerana ESA toksik kepada hati
2. BGlukosa darah, kerana ESA sering menyebabkan hipoglisemia
3. CPendengaran, kerana ESA boleh merosakkan telinga dalam
4. DTekanan darah dan hemoglobin, kerana peningkatan berlebihan menaikkan risiko bekuan

Which measure helps reduce the risk of delirium in an older surgical patient?

1. AMaking sure they have their glasses and hearing aids
2. BGiving a sleeping tablet every night
3. CKeeping the room dark during the day
4. DMoving them to a new bed space each night to reduce boredom

Seorang pesakit yang dipasang stent koronari dua bulan lalu, mengambil aspirin dan klopidogrel, hadir dengan melena dan kini stabil. Apakah pendekatan yang paling sesuai terhadap ubat antiplatelet?

1. AMeneruskan kedua-dua ubat tanpa perubahan dan tidak menyebut pendarahan kepada pasukan
2. BMenghentikan kedua-dua ubat secara kekal, kerana sebarang pendarahan bermakna ia tidak lagi selamat
3. CMelaporkan pendarahan; pasukan memutuskan dengan input kardiologi, menimbang pendarahan berbanding trombosis stent
4. DMenggandakan kedua-dua dos, kerana pendarahan bermakna stent berisiko lebih besar untuk berbekuan