Pemberian Keutamaan & Delegasi Gaya NCLEX: pek ulang kaji kilat

Semasa triaj START di tempat kejadian korban beramai-ramai, seorang mangsa boleh berjalan ke kawasan yang ditetapkan apabila diminta. Kategori manakah yang diberikan kepada mangsa itu?

1. AHijau (kecil)
2. BMerah (segera)
3. CKuning (ditangguhkan)
4. DHitam (dijangka maut)

A patient at 36 weeks of pregnancy has sudden severe abdominal pain, a hard, board-like uterus and dark vaginal bleeding. What should the nurse suspect?

1. APlacental abruption, which is an emergency
2. BPlacenta previa, which is usually painless
3. CA urinary tract infection
4. DNormal labor contractions starting

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

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

A 2-year-old living in a house built many decades ago has anemia, irritability and poor appetite. Which cause should the nurse suspect?

1. AIron overload from eating too much red meat
2. BCarbon dioxide from a gas cooker
3. CLead poisoning from old paint dust or chips
4. DA food allergy to cow’s milk proteins

Bagaimanakah kalsium glukonat IV membantu pesakit dengan hiperkalemia teruk?

1. AIa menstabilkan membran sel jantung tanpa menurunkan kalium
2. BIa mengikat kalium dalam usus supaya dikeluarkan dalam najis
3. CIa memindahkan kalium daripada darah ke dalam sel
4. DIa meningkatkan perkumuhan kalium oleh buah pinggang

Mengapakah kreatinin yang normal boleh mengelirukan pada warga emas yang lemah dengan jisim otot yang rendah?

1. AKreatinin yang normal sentiasa membuktikan fungsi buah pinggang yang normal
2. BWarga emas sentiasa mempunyai kreatinin lebih tinggi daripada orang muda
3. CParas kreatinin tidak bergantung pada jisim otot sama sekali
4. DOtot yang kurang menghasilkan kreatinin yang kurang, menyembunyikan fungsi buah pinggang yang berkurang

A patient with leukaemia has a very low platelet count. Which nursing precaution is appropriate?

1. ATake temperatures rectally
2. BGive medicines by intramuscular injection
3. CUse a soft toothbrush and an electric razor
4. DEncourage contact sports to keep fit

Why are liquid medicines for nasogastric tubes drawn up in dedicated enteral (oral) syringes rather than IV syringes?

1. AEnteral syringes measure doses less accurately
2. BTo prevent accidental intravenous administration
3. CEnteral syringes keep the medicine sterile
4. DIV syringes cannot hold liquid medicines

Seorang pesakit yang mengambil warfarin mula makan salad bayam dan kale dalam jumlah besar setiap hari. Apakah kebimbangan utama?

1. AVitamin K tambahan mungkin meningkatkan INR
2. BTiada interaksi antara makanan dengan warfarin
3. CSayur-sayuran hijau merosakkan hati semasa mengambil warfarin
4. DVitamin K tambahan mungkin merendahkan INR

A nurse looked after a patient for a shift before smear-positive pulmonary TB was diagnosed, without wearing a respirator. What should happen?

1. AStart a full six-month course of TB drugs at once without any tests
2. BTake no action, as healthcare workers are immune to TB
3. CStay off work for six months in case symptoms develop
4. DReport it so occupational health can arrange follow-up screening

Corak elektrolit manakah yang tipikal bagi penyakit Addison?

1. AKalium rendah dan glukosa rendah
2. BNatrium tinggi dan kalium rendah
3. CNatrium rendah dan kalium tinggi
4. DKalsium tinggi dan fosfat rendah

A patient on levothyroxine has palpitations, weight loss and poor sleep. TSH is suppressed, and free T4 is high. What is the most likely explanation?

1. AThe thyroid has stopped working
2. BA normal response to the drug
3. CThe dose is too low
4. DThe dose is too high

Why is a pregnancy test often done before surgery in women who could be pregnant?

1. APregnancy always makes surgery impossible
2. BAnaesthesia, drugs and some tests may harm a fetus
3. CPregnant women cannot sign consent forms
4. DIt is needed to calculate the anaesthetic drug dose

Mengapakah nalokson biasanya diberikan dalam dos kecil yang berulang kepada pesakit pasca-operasi dengan tekanan pernafasan akibat opioid?

1. AKerana dos tinggi nalokson menyebabkan tekanan pernafasan
2. BKerana dos besar nalokson tidak mempunyai kesan tambahan langsung
3. CUntuk menjadikan opioid bertindak lebih cepat dan lebih kuat
4. DUntuk memulihkan pernafasan tanpa menyebabkan kesakitan teruk dan penarikan