Pemberian Keutamaan & Delegasi Gaya NCLEX: pek ulang kaji kilat

Pesakit manakah yang paling sesuai ditugaskan kepada LPN/LVN?

1. APesakit kegagalan jantung kronik yang stabil yang memerlukan ubat oral
2. BPesakit yang dimasukkan 30 minit lalu dengan sakit dada baharu
3. CPesakit yang tiba dari bilik pemulihan yang memerlukan penilaian awal
4. DPesakit yang akan menerima unit pertama sel darah merah

An infant is choking and cannot cry or breathe. Which technique is correct?

1. AHolding the infant upside down by the feet
2. BBack blows and chest thrusts
3. CA blind finger sweep of the mouth
4. DAbdominal thrusts, as in adults

Seorang jururawat menerima arahan lisan melalui telefon. Apakah amalan yang paling selamat?

1. AMenuliskannya dan membacakannya semula kepada pempreskripsi
2. BMeminta rakan sekerja mendengar bersama dan mengingatinya juga
3. CMengingatinya dan menuliskannya pada akhir syif
4. DMelaksanakannya tanpa merekodkannya

In US nursing practice, which task should the RN not assign to an LPN/LVN?

1. AThe initial admission assessment of a new patient with suspected sepsis
2. BReinforcing hand hygiene teaching that the RN has already given
3. CGiving scheduled oral antibiotics to a stable patient
4. DA dressing change on a healing surgical wound that has no signs of infection

Seorang pesakit mempunyai natrium 152 mEq/L. Dapatan manakah yang dijangka oleh jururawat?

1. APertambahan berat badan dengan buku lali bengkak
2. BKedutan otot dengan tanda Trousseau yang positif
3. CBradikardia dengan gelombang T runcing
4. DDahaga, membran mukus kering dan kegelisahan

A patient has fever, confusion, a platelet count of 15 × 10³/µL, anemia with fragmented red cells (schistocytes) and a raised creatinine. Clotting times are normal. Which condition should be suspected?

1. ADisseminated intravascular coagulation
2. BThrombotic thrombocytopenic purpura (TTP)
3. CVitamin K deficiency with bleeding
4. DImmune thrombocytopenia (ITP)

Which mask is required for staff during an aerosol-generating procedure on a patient with a respiratory infection spread by aerosols?

1. AA fit-tested respirator mask (such as FFP3 or N95)
2. BNo mask, as long as gloves are worn
3. CA standard fluid-repellent surgical mask with a visor
4. DA cloth face covering

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. AKebimbangan tentang pelepasan
2. BTindak balas keradangan normal pada hari-hari pertama selepas pembedahan
3. CKejutan septik yang memerlukan semakan rawatan rapi segera
4. DDehidrasi ringan sahaja

A patient has a heart rate of 36/min with hypotension and dizziness. Which drug is usually the first choice?

1. AIntravenous adenosine
2. BIntravenous atropine
3. CIntravenous amiodarone
4. DOral bisoprolol

Seorang jururawat merancang penjagaan untuk empat pesakit. Pesakit manakah yang patut dinilai dahulu?

1. APesakit hipertensi terkawal yang bertanya tentang garam
2. BPesakit COPD yang SpO₂-nya jatuh daripada 90% kepada 83% dengan rasa mengantuk yang baharu
3. CPesakit ulser vena yang perlu menukar pembalut
4. DPesakit kegagalan jantung stabil yang menunggu penimbangan harian

A patient with gout has recurrent uric acid kidney stones. Which treatment helps prevent them?

1. ACalcium tablets and a low-fluid diet
2. BVitamin C supplements and a high-meat diet
3. CAllopurinol and making the urine less acidic
4. DRestricting fluids in the evening only

A patient with hypopituitarism needs both hydrocortisone and levothyroxine. Which is usually started first?

1. ALevothyroxine
2. BNeither, until symptoms appear
3. CHydrocortisone
4. DBoth on the same day, in any order

Why is a urinary catheter usually inserted in a patient with a major burn?

1. AThe catheter prevents wound infection
2. BIt is needed to give medicines into the bladder
3. CBurns always cause the bladder to rupture
4. DHourly urine output guides fluid resuscitation

A patient with cirrhosis takes spironolactone and furosemide. Which blood result should the nurse report before the next dose?

1. APotassium 4.2 mmol/L
2. BSodium 138 mmol/L
3. CSodium 141 mmol/L
4. DPotassium 6.0 mmol/L