Pemberian Keutamaan & Delegasi Gaya NCLEX: pek ulang kaji kilat

A patient with severe neutropenia needs a room. Which roommate is the safest choice?

1. AA patient with influenza
2. BA patient after a knee replacement with no signs of infection
3. CA patient with an infected, draining leg wound
4. DA patient with C. difficile diarrhea

Seorang pesakit kegagalan jantung sesak nafas dengan krepitasi di kedua-dua paru-paru. Tertib tindakan manakah yang betul?

1. ATimbang pesakit dahulu, kemudian nilai semula pernafasan dalam empat jam
2. BBaringkan pesakit rata untuk berehat, kemudian mulakan cecair penyelenggaraan IV
3. CDuduk tegak, beri oksigen seperti yang ditetapkan, kemudian hubungi pembekal penjagaan
4. DBeri ubat oral berjadual dahulu, kemudian dudukkan pesakit tegak

Gelang pengenalan pesakit tiada. Ubat perlu diberikan. Apakah yang patut dilakukan oleh jururawat?

1. AMenggunakan nombor bilik dan katil untuk mengesahkan identiti
2. BMemberikannya, kerana jururawat mengenali pesakit itu sejak semalam
3. CMengesahkan identiti dengan dua pengenal pasti dan memasang gelang baharu dahulu
4. DMelangkau ubat itu sehingga hari berikutnya

Seorang pesakit dengan implan radioaktif tertutup melaporkan bahawa implan itu telah jatuh ke atas katil. Apakah yang patut dilakukan oleh jururawat?

1. AMembiarkannya di atas katil sehingga pasukan sinaran tiba esok
2. BMenggunakan forsep bergagang panjang untuk meletakkannya dalam bekas plumbum
3. CMengutipnya dengan tangan bersarung dan memasukkannya ke dalam sisa klinikal
4. DMeminta pesakit memegangnya sehingga bantuan tiba

In countries that screen all pregnant women (such as the US), a vaginal-rectal swab is taken at about 36–37 weeks. Which organism is it screening for?

1. AHepatitis B virus
2. BCandida albicans
3. CGroup B Streptococcus
4. DStaphylococcus aureus

A healthy woman at 10 weeks of pregnancy has a slightly low TSH with a normal free T₄ and no symptoms. What is the most likely explanation?

1. AhCG stimulates the thyroid in early pregnancy
2. BThe result shows severe primary hypothyroidism
3. CShe has pituitary failure from the pregnancy
4. DShe has developed Graves disease in pregnancy

Pesakit diabetes jenis 2 sakit akut, sangat dehidrasi dan mempunyai glukosa darah 40 mmol/L tanpa keton yang ketara. Apakah diagnosis yang paling berkemungkinan?

1. AHipoglisemia
2. BDiabetes insipidus
3. CKetoasidosis diabetes dengan dehidrasi
4. DKeadaan hiperglisemia hiperosmolar

A patient with type 1 diabetes is nil by mouth before surgery. Why must their insulin not simply be stopped?

1. AInsulin is needed for the anaesthetic to work
2. BWithout any insulin they can develop diabetic ketoacidosis
3. CInsulin prevents wound infection on its own
4. DStopping insulin causes immediate hypoglycaemia during the operation

A patient on furosemide has a serum potassium of 3.0 mmol/L (3.0 mEq/L). Which symptoms may this cause?

1. AMuscle weakness, cramps and an irregular pulse
2. BSevere headache and a stiff neck
3. CTingling around the lips and painful spasm of the hands
4. DFacial flushing, fever and a skin rash

An older inpatient develops sudden fever, muscle aches and a dry cough during the winter influenza season. Which plan is most appropriate?

1. AIsolate with droplet precautions, test and expect early antivirals
2. BWait a week to see whether the symptoms settle before testing
3. CIsolate only if they develop a rash
4. DLeave them in the open bay and give a course of antibiotics only

Which measure best prevents catheter-associated urinary tract infection?

1. ADisconnect the bag regularly to empty it
2. BKeep the drainage bag above bladder level
3. CRemove the catheter as soon as it is no longer needed
4. DChange the catheter for a new one every day

A nurse teaches a patient with CKD and a high potassium about diet. Which statement shows a need for further teaching?

1. A"I will boil my potatoes and throw away the water."
2. B"I will check food labels for added salt when I go shopping."
3. C"I will use a salt substitute instead of ordinary salt."
4. D"I will keep bananas and dried fruit to a minimum."

Why is the Lund and Browder chart preferred to the rule of nines for children?

1. AIt counts superficial burns as well
2. BIt is faster to use than any other method of estimation
3. CIt is used only for burns of the hands
4. DIt adjusts for body proportions that change with age

Seorang pesakit menjalani terapi luka tekanan negatif. Pam berbunyi amaran dan pembalut telah hilang kedapnya. Apakah tindakan yang paling sesuai?

1. AMenaikkan sedutan kepada tetapan maksimum untuk menarik kedap kembali
2. BMemulihkan kedap; jika gagal tepat pada masanya, bertukar kepada pembalut lembap
3. CMembiarkan span dalam luka tanpa sedutan selama beberapa hari sehingga semakan
4. DMenyumbat luka dengan kasa kering di atas span dan menampalnya dengan ketat