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. CWrite it in the assistant’s yearly review only
4. DAsk the family to lower the bed when they next visit

A patient is admitted with inhalational anthrax. Which precautions are needed?

1. AAirborne precautions in a negative-pressure room for the whole of the hospital stay
2. BDroplet precautions with a surgical mask for everyone who enters
3. CStandard precautions, because it does not usually spread from person to person
4. DFull contact and droplet precautions for all staff and visitors on the unit

Jururawat manakah yang tidak patut ditugaskan kepada pesakit dengan implan radioaktif tertutup?

1. AJururawat yang telah bekerja di unit itu selama dua tahun
2. BJururawat yang sedang mengandung
3. CJururawat yang dilatih dalam keselamatan sinaran
4. DJururawat yang memakai lencana dosimeter

A patient after heart surgery has temporary epicardial pacing wires. Why do staff take special care with electrical safety?

1. AThe wires make the patient immune to electric shock
2. BElectrical safety only matters for patients who have permanent implanted pacemakers
3. CPacing wires can only carry current coming from the pacemaker box itself
4. DSmall currents can travel along the wires straight to the heart and cause arrhythmias

Perubahan ECG manakah yang dikaitkan dengan hipokalsemia?

1. ASela QT yang memendek
2. BSela QT yang memanjang
3. CGelombang delta yang menonjol
4. DGelombang T yang tinggi dan runcing

Four drug levels are reported. Which patient should the nurse assess first?

1. ADigoxin 1.0 ng/mL with a pulse of 72/min
2. BPhenytoin 15 mcg/mL with no symptoms
3. CValproate 75 mcg/mL with no symptoms
4. DLithium 1.8 mEq/L with a new coarse tremor

Pesakit yang menerima warfarin mempunyai INR jauh di atas julat sasaran dan lebam. Ubat manakah yang mungkin dipreskripsikan untuk membalikkan kesannya?

1. AProtamin sulfat
2. BAspirin
3. CVitamin K
4. DNalokson

Which action is most important in protecting a patient with severe neutropenia from infection?

1. ATaking rectal temperatures regularly
2. BKeeping fresh flowers and plants in the room to help the patient's mood
3. CStrict hand hygiene by everyone who has contact with the patient
4. DGiving routine intramuscular injections

A 34-year-old has hypertension that is hard to control and a low serum potassium without taking diuretics. Which cause should be considered?

1. AHypothyroidism
2. BIron-deficiency anaemia
3. CPrimary hyperaldosteronism
4. DEssential hypertension of ageing

Four hours after abdominal surgery, a patient's heart rate has risen from 84 to 122/min and they are restless and pale. BP is still 118/76 mmHg, and the surgical drain is filling with blood. What should the nurse conclude?

1. AThe drain is working well, so no action is needed
2. BEarly haemorrhagic shock is likely, so escalate urgently
3. CThe patient is stable because the blood pressure is normal
4. DThe tachycardia is from pain and needs only analgesia

Pernyataan manakah tentang pemberian fenitoin IV yang betul?

1. AIa patut ditolak dengan pantas dalam beberapa saat
2. BIa boleh dicampur ke dalam mana-mana infusi glukosa
3. CIa diberikan dalam natrium klorida 0.9% dengan pemantauan jantung
4. DIa tidak memerlukan pemantauan irama jantung atau tekanan darah

A nurse teaches foot care to a patient with diabetic neuropathy. Which statement shows a need for further teaching?

1. A"I will buy corn plasters from the pharmacy for my corn."
2. B"I will check that the bath water is not too hot using my elbow."
3. C"I will check my feet every day, using a mirror for the soles."
4. D"I will wear socks and shoes that fit well and do not rub."

Mengapakah lecuran superfisial (kemerahan sahaja, seperti terbakar matahari) tidak dikira apabila mengira luas lecuran untuk resusitasi cecair?

1. AIa menyebabkan lebih banyak kehilangan cecair daripada kedalaman lain
2. BIa sentiasa sembuh sepenuhnya dalam sehari
3. CIa sentiasa terlalu kecil untuk diukur dengan tepat pada carta
4. DSawar kulit utuh, jadi sedikit cecair hilang

After surgery, a patient keeps asking for analgesia before it is due, watches the clock and rates pain 8/10. What is the most appropriate interpretation?

1. AThe patient needs only distraction and no change in drugs
2. BPain may be undertreated; reassess and ask for a review of the plan
3. CThe patient is exaggerating, so the pain scores should be ignored for now
4. DThe patient is addicted and should have analgesia withheld