Pemberian Keutamaan & Delegasi Gaya NCLEX: pek ulang kaji kilat

Several patients on a gastroenterology unit need care. Which patient should the nurse see first?

1. ALong-standing back pain, asking for the usual analgesic
2. BCrohn disease, waiting to be taken down for a scheduled CT scan
3. CTwo hours after a colonoscopy: rigid abdomen and severe new pain
4. DUlcerative colitis, asking about diet changes for home

A nurse teaches a patient to inject enoxaparin at home. Which statement shows a need for further teaching?

1. A“I will rub the area after the injection to help it absorb.”
2. B“I will tell my doctor if I notice unusual bruising or bleeding.”
3. C“I will inject into the fat of my abdomen, away from the navel.”
4. D“I will change the injection site each time.”

Which kitchen practice helps prevent scald burns in young children?

1. ALeave hot drinks at the edge of the table
2. BTurn pot handles toward the back of the stove
3. CHold the child while drinking a hot drink
4. DLet the child stand on a chair beside the stove

Over a few hours, the emergency department sees many previously healthy people with the same unusual severe symptoms. What should the nurse do?

1. ATreat each patient and wait to see if more arrive next week
2. BSend the patients home quickly to avoid crowding the emergency department
3. CReport it to infection prevention and public health authorities promptly
4. DTell only the patients’ families about the pattern

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. BTingkah laku hiperaktif dan insomnia sahaja
3. CRasa lapar dan pertambahan berat badan
4. DGelombang T yang tinggi dan runcing

A patient with C. difficile diarrhea has a white cell count of 24 × 10³/µL and a creatinine that has risen to 2.1 mg/dL (186 µmol/L). What does this indicate?

1. ASevere C. difficile infection
2. BUnrelated chronic kidney disease
3. CSuccessful response to treatment
4. DMild infection needing no treatment

An arterial blood gas shows a low pH, a high PaCO₂ and a normal bicarbonate. What does this show?

1. AMetabolic alkalosis
2. BRespiratory alkalosis
3. CRespiratory acidosis
4. DMetabolic acidosis

Pesakit selepas pembedahan abdomen tidak membuang air kecil selama lapan jam, mengalami rasa tidak selesa di abdomen bawah dan pundi kencing boleh diraba. Apakah masalah yang paling mungkin?

1. ADehidrasi sahaja
2. BPengekalan air kencing akut
3. CJangkitan saluran kencing tanpa pengekalan
4. DKecederaan buah pinggang akut tanpa penghasilan air kencing

A woman had lymph nodes removed from her left armpit for breast cancer. Which advice helps reduce the risk of lymphoedema?

1. AAvoid BP cuffs and injections on the left arm where possible
2. BUse only the left arm for heavy lifting to build up its muscles
3. CApply tight jewellery to the left wrist
4. DKeep the left arm hanging down and as still as possible all day

A conscious adult in the dining room is suddenly unable to speak, cough or breathe after a mouthful of food. What should the nurse do first?

1. ASweep blindly in the mouth with a finger
2. BUp to five back blows, then up to five abdominal thrusts if needed
3. CLie them down on the floor and start chest compressions immediately
4. DEncourage them to drink a glass of water to wash the food down

Why is good blood pressure control important in chronic kidney disease?

1. AIt lowers the blood glucose
2. BIt slows the decline in kidney function
3. CIt raises the haemoglobin level in the blood
4. DIt cures chronic kidney disease

Pada pukul 03:00 glukosa pesakit ialah 3.6 mmol/L, tetapi sebelum sarapan ia tinggi. Mereka mengambil insulin bertindak panjang pada waktu petang. Apakah yang patut dilakukan oleh jururawat?

1. AMerawat paras rendah dan melaporkan coraknya supaya dos petang disemak semula
2. BMengabaikan bacaan malam dan bertindak berdasarkan nilai pagi sahaja
3. CMenghentikan semua insulin secara kekal dan memantau glukosa setiap empat jam
4. DMemberikan insulin tambahan pada pukul 03:00 kerana nilai pagi akan tinggi

Why is IV hydration given with cisplatin?

1. ATo raise the blood pressure during treatment
2. BTo make the drug less effective
3. CTo prevent hair loss
4. DTo protect the kidneys from damage

Why is folinic acid (leucovorin) given after high-dose methotrexate?

1. ATo treat the patient's anaemia only
2. BTo rescue normal cells from methotrexate toxicity
3. CTo prevent hair loss during treatment
4. DTo increase the anticancer effect on the tumour