Pemberian Keutamaan & Delegasi Gaya NCLEX: pek ulang kaji kilat

Before accessing a central venous catheter, what should the nurse do to prevent infection?

1. ARinse the hub with tap water and dry it
2. BTouch the hub to check it is clean
3. CScrub the hub with an antiseptic such as chlorhexidine and let it dry
4. DBlow on the hub to remove any dust before connecting the syringe or line

Four stable patients need routine morning care. To reduce the spread of infection, which patient should the nurse visit first?

1. AA patient with C. difficile diarrhea
2. BA patient with neutropenia after chemotherapy
3. CA patient with an MRSA wound infection
4. DA patient with influenza on droplet precautions

When walking with axillary crutches, where should the patient’s weight be taken?

1. AOn the hands, with the crutch tops a few finger widths below the armpits
2. BOn the elbows, kept bent at a right angle with the crutch tops tucked under the arms
3. COn the armpits, resting on the crutch tops
4. DOn the shoulders, with the crutches pressed upward

A patient was harmed by a medication error and asks the nurse what happened. Which approach is best?

1. ABlame the pharmacy for the error so that the nurse and the ward are not at fault
2. BTell the patient to make a formal complaint to find out
3. CTell the patient nothing happened to avoid worry
4. DBe honest that an error occurred and involve the provider and team in disclosure per policy

Faktor manakah yang paling mungkin meningkatkan paras litium pesakit?

1. ADehidrasi atau penurunan mendadak dalam pengambilan natrium
2. BMakan lebih banyak garam daripada biasa selama beberapa hari
3. CMinum lebih banyak cecair daripada biasa semasa cuaca panas
4. DMengambil setiap dos bersama hidangan dan bukan sebelumnya

A child with sickle cell disease and a recent viral illness is pale and tired. The hemoglobin has fallen sharply, and the reticulocyte count is very low. What is the most likely problem?

1. AA vaso-occlusive pain crisis in the bones
2. BAn aplastic crisis, often caused by parvovirus B19
3. CIron deficiency from a poor diet over months
4. DA normal finding in sickle cell disease

Why must levodopa for Parkinson's disease be given at the exact times prescribed in hospital?

1. AThe drug only works if taken at midnight
2. BEarly doses cause severe low blood glucose and sweating attacks
3. CDelays can quickly worsen rigidity, immobility and swallowing
4. DLate doses cause dangerous high potassium

A patient with central chest pain has ST elevation on the 12-lead ECG. What is the main aim of urgent treatment?

1. ARestoring blood flow through the blocked coronary artery quickly
2. BStrict bed rest for several days before deciding on treatment
3. CWaiting for the troponin result before taking any action
4. DStarting a cholesterol-lowering drug before any other treatment is given

A patient has just started an ACE inhibitor. Which blood tests are usually checked within the first one to two weeks?

1. AINR and platelet count
2. BTroponin and creatine kinase
3. CPotassium and creatinine
4. DLiver enzymes and amylase

An adult inhales a peanut while laughing and now has a persistent cough and wheeze on one side. Where is the peanut most likely to have lodged?

1. AThe right main bronchus
2. BThe nasal cavity
3. CThe oesophagus
4. DThe left main bronchus

Why is all urine strained in a patient with suspected kidney stones?

1. ATo measure the urine volume more accurately
2. BTo stop the stone from blocking the toilet
3. CTo catch the stone so it can be analysed
4. DTo remove blood clots before testing

Selepas pembedahan, pengeluaran air kencing pesakit ialah 15 mL/j selama 3 jam, dengan nadi 110/min, TD 96/58 mmHg dan membran mukus kering. Apakah punca yang paling mungkin bagi pengeluaran air kencing yang rendah?

1. ADiabetes insipidus selepas anestesia
2. BAKI prarenal akibat hipovolemia
3. CSIADH disebabkan oleh pembedahan
4. DLebihan cecair daripada cecair IV

A patient with a new colostomy asks what to eat at home. Which advice is most appropriate?

1. AAvoid all fruit and vegetables for the rest of their life
2. BEat only liquids until the stoma is removed
3. CDrink as little fluid as possible to reduce output
4. DEat a normal, balanced diet and introduce foods gradually

On the morning of elective hip surgery, a patient says she took her usual warfarin last night despite being told to stop. What should the nurse do?

1. AProceed with the usual checklist and say nothing
2. BTell her the surgery must be cancelled for a month
3. CInform the surgical and anaesthetic teams, who will check the INR
4. DGive a double dose of vitamin K by mouth without waiting for a prescription