Pemberian Keutamaan & Delegasi Gaya NCLEX: pek ulang kaji kilat

Tugas manakah yang paling sesuai untuk didelegasikan oleh RN kepada LPN/LVN?

1. AMemberi pengajaran discaj kepada pesakit yang baru memulakan insulin
2. BMelakukan penilaian kemasukan pesakit baharu
3. CMemasukkan kateter kencing tetap pada pesakit yang stabil
4. DMemulakan unit pertama sel darah merah

Two hours after a femoral cardiac catheterization, the nurse sees blood spreading from the puncture site. What is the first action?

1. AAsk the patient to bend the leg at the hip to stop the bleeding
2. BRaise the head of the bed so the patient can sit up
3. CRemove the dressing and leave the site open to the air
4. DApply firm, direct pressure just above the puncture site

Before a blood transfusion is started, which check is required?

1. AThe nurse checks only that the bag number matches the order
2. BOne nurse checks the blood product against the order at the nurses’ station
3. CThe patient signs the blood bag label to confirm their name before it is hung
4. DThe patient’s identity is checked against the blood product and its paperwork at the bedside

A patient on a general ward for two days is found to have smear-positive pulmonary TB. What should the nurse do besides moving the patient to an airborne isolation room?

1. ATell all the exposed patients to start TB drugs at once, before any testing
2. BNothing more, because the patient has now been isolated
3. CInform infection prevention so exposed patients and staff can be identified and followed up
4. DClose the ward to all new admissions for a full year

Seorang pesakit yang mengambil fenitoin mempunyai paras 28 mcg/mL (julat lazim kira-kira 10–20 mcg/mL). Dapatan manakah yang dijangka oleh jururawat?

1. ANistagmus, gaya berjalan tidak stabil dan pertuturan pelat
2. BRasa lapar dan pertambahan berat badan
3. CTingkah laku hiperaktif dan insomnia sahaja
4. DGelombang T yang tinggi dan runcing

A patient with thalassemia major has received regular red cell transfusions for years. The ferritin is now very high. What does this most likely show, and what treatment is used?

1. AAcute infection, treated with broad-spectrum antibiotics
2. BLiver failure, treated with a liver transplant at once
3. CIron deficiency, treated with IV iron supplements
4. DIron overload, treated with iron chelation therapy

A patient on the ward has shingles with open blisters. Which people are most at risk from contact?

1. APregnant women and immunocompromised people who have not had chickenpox
2. BOnly people over 80 who have already had shingles themselves
3. CNo one, because shingles cannot spread
4. DPeople who have already had chickenpox in childhood and are now healthy

A nurse teaches a patient with diabetes about foot care. Which statement shows a need for further teaching?

1. A"I will see the podiatrist about hard skin."
2. B"I will wear well-fitting shoes."
3. C"I will walk barefoot at home to toughen my feet."
4. D"I will check my feet every day for cuts or blisters."

How big should a suction catheter be compared with the tracheostomy or endotracheal tube?

1. AAny size, as the diameter does not matter
2. BNo more than half the internal diameter of the tube
3. CExactly the same diameter as the tube, for a tight fit
4. DLarger than the tube, so that it clears it completely

Shortly after a thoracentesis, a patient becomes breathless with sharp chest pain and reduced breath sounds on the same side. What complication is most likely?

1. AInfection at the puncture site
2. BPulmonary embolism from the leg
3. CPneumothorax
4. DRe-accumulation of the effusion

Mengapakah metformin biasanya ditahan semasa kecederaan buah pinggang akut atau sekitar kontras beriodin pada pesakit berisiko?

1. AIa boleh terkumpul dan meningkatkan risiko asidosis laktik
2. BIa menyebabkan hiperkalemia apabila buah pinggang cedera
3. CIa menyebabkan hipoglisemia teruk apabila diberikan bersama kontras
4. DIa menyekat kontras supaya imbasan tidak dapat dibaca

A nurse teaches the family of a patient on insulin how to manage a severe hypo. Which statement shows a need for further teaching?

1. A"When she can swallow, I will give her a snack."
2. B"I will put her on her side and call an ambulance straight away."
3. C"I will give the glucagon as I was shown."
4. D"If she is unconscious, I will pour juice into her mouth."

Why are antiemetics usually given before chemotherapy starts?

1. APreventing nausea works better than treating it later
2. BThey cannot be given once nausea has started
3. CThey stop the chemotherapy from causing hair loss and mouth sores
4. DAntiemetics make the chemotherapy work better

An 80 kg adult has 30% TBSA partial- and full-thickness burns. Using the Parkland formula, how much crystalloid is planned for the first 8 hours from the time of the burn?

1. A9600 mL
2. B3200 mL
3. C2400 mL
4. D4800 mL