Pemberian Keutamaan & Delegasi Gaya NCLEX: pek ulang kaji kilat

When making patient assignments, what should the charge nurse consider first?

1. AGiving each nurse patients in rooms next to each other
2. BGiving the newest staff the most complex patients
3. CMatching each patient’s needs to staff competence
4. DLetting staff choose the patients they prefer

Di unit kardiak, pesakit manakah yang patut dilihat dahulu oleh jururawat?

1. APesakit yang mengambil digoksin dengan nadi 48/min, loya dan kalium 3.0 mEq/L
2. BPesakit kegagalan jantung yang bertambah 0.3 kg sejak semalam
3. CPesakit yang diminta berpuasa sebelum imbasan esok
4. DPesakit fibrilasi atrium yang kadar denyutan jantungnya 88/min dan tidak teratur, seperti sebelumnya

After teaching a patient about a new medication, how does the nurse best check understanding?

1. AAsk the patient to explain in their own words how and when to take it
2. BAsk “Do you understand?” and accept a yes
3. CAsk the family whether they understood the teaching
4. DGive a printed leaflet about the drug and assume the patient will read it at home

The laboratory reports that a blood sample labeled with one patient’s name has a blood group different from that patient’s previous result. What is the most likely problem and response?

1. AThe previous result was wrong, so it is deleted
2. BA laboratory machine fault, so no action is needed
3. CA normal change in the patient’s blood group over the years since the last test
4. DA wrong-patient sample, so the test is repeated and the event reported

Seorang pesakit yang mengambil digoksin mempunyai paras 2.8 ng/mL dan kadar denyutan jantung 52/min. Apakah tindakan terbaik jururawat?

1. ABeri dos berganda untuk membetulkan irama
2. BBeri dos dan semak semula paras dalam sebulan
3. CTahan dos dan maklumkan pemreskripsi
4. DBeri dos, kerana kadar denyutan jantung melebihi 50/min

An RN cares for a patient on a 24-hour urine collection. Which task can be delegated to unlicensed assistive personnel (UAP), such as a nursing or healthcare assistant?

1. ADeciding whether to restart the collection after a missed sample
2. BSaving all urine in the collection container as instructed
3. CInterpreting the creatinine clearance result when it comes back
4. DTeaching the patient why the 24-hour collection is needed

A patient with anaphylaxis is hypotensive but has no breathing difficulty. How should they be positioned?

1. AStanding up and walking around
2. BSitting upright with the legs dangling
3. CLying face down
4. DLying flat, with the legs raised

Pesakit pascaoperasi mempunyai kadar jantung 115/min, suhu 38.6 °C, kadar pernafasan 26/min dan tekanan darah 85/50 mmHg walaupun telah diberi bolus cecair. Apakah yang paling mungkin ditunjukkan oleh ini?

1. AKejutan septik yang memerlukan semakan rawatan rapi segera
2. BDehidrasi ringan sahaja
3. CTindak balas keradangan normal pada hari-hari pertama selepas pembedahan
4. DKebimbangan tentang pelepasan

Where is the V1 electrode placed for a 12-lead ECG?

1. AThe fourth intercostal space just right of the sternum
2. BOver the left nipple
3. CJust below the left collarbone
4. DThe fifth intercostal space in the mid-axillary line

During a cardiac arrest, the monitor shows an organised rhythm, but there is no pulse. What should the team do?

1. AStop CPR, because an organised rhythm on the monitor means recovery
2. BGive adenosine to slow the rhythm down
3. CDeliver an unsynchronised shock at once and then check the pulse
4. DContinue CPR and give adrenaline (epinephrine), as the rhythm is non-shockable

A patient with type 1 diabetes plans a long cycle ride. Which advice is most appropriate?

1. ATake an extra dose of rapid-acting insulin before setting off
2. BSkip breakfast so the exercise burns body fat
3. CCheck glucose before and after, and carry fast-acting carbohydrate
4. DAvoid checking glucose until the ride is over

After removal of a cortisol-producing adrenal adenoma, why may the patient need hydrocortisone for months?

1. AThe tumour will grow back quickly without it
2. BThe other adrenal gland has been suppressed
3. CHydrocortisone helps the wound to heal
4. DThe operation always removes both adrenal glands

Mengapakah pesakit sirosis berisiko lebih tinggi untuk pendarahan?

1. AHati yang berparut membebaskan bahan antikoagulan seperti heparin ke dalam darah
2. BSirosis meningkatkan kiraan platelet, yang menjadikan platelet lebih lemah
3. CFaktor pembekuan yang lebih sedikit, platelet rendah dan varises akibat hipertensi portal
4. DTekanan darah arteri yang tinggi dalam sirosis menyebabkan saluran pecah

A patient arrives in recovery with a temperature of 35.2 °C and is shivering. What is the most appropriate action?

1. ASend the patient to the ward to warm up there under extra blankets
2. BRemove all blankets to let the body adjust
3. CStart active warming and monitor the temperature
4. DGive cold IV fluids to settle the shivering