Pemberian Keutamaan & Delegasi Gaya NCLEX: pek ulang kaji kilat

Empat jam selepas pembedahan tiroid, dapatan pesakit manakah yang patut ditindaki dahulu oleh jururawat?

1. ASedikit saliran serus kelihatan pada pembalut leher
2. BPermintaan untuk duduk untuk minum
3. CKesakitan pada hirisan 4/10
4. DSuara yang semakin serak, dengan pernafasan bising yang baharu

Seorang pesakit warga emas dengan pneumonia baru keliru. Tindakan manakah yang didahulukan?

1. ATanya keluarga sama ada ini normal bagi pesakit
2. BPeriksa ketepuan oksigen dan tanda vital lain
3. CPasang kekangan pergelangan tangan untuk menghalang pesakit menarik IV
4. DBeri sedatif yang ditetapkan apabila diperlukan

A person in scrubs without a hospital ID badge asks to take a newborn to the nursery. What should the nurse do?

1. ARefuse, keep the baby with the mother and alert security
2. BHand over the baby if the person seems confident
3. CLet the parents decide whether to hand the baby over
4. DAsk the person their name and then give them the baby

Which position is especially dangerous for a patient in physical restraints?

1. ALying on the side
2. BLying on the back with the head raised
3. CSitting upright in bed
4. DLying face down (prone)

Seorang pesakit yang mengambil warfarin mula memakan sayur kale dan bayam dalam kuantiti besar setiap hari. INR telah menurun. Nasihat manakah yang paling sesuai?

1. AJangan sekali-kali makan sayur-sayuran hijau lagi
2. BHentikan warfarin sehingga diet kembali normal
3. CKekalkan pengambilan makanan kaya vitamin K secara stabil dari hari ke hari
4. DGandakan dos warfarin tanpa memberitahu pemreskripsi

A patient taking isoniazid for latent TB reports nausea, loss of appetite and dark urine. The ALT is five times the upper limit of normal. What is the best action?

1. AReassure the patient that dark urine is a harmless drug effect
2. BHold the isoniazid and report the findings to the prescriber at once
3. CContinue the isoniazid and give it with food to settle the stomach
4. DDouble the dose to finish the treatment course more quickly

A patient is receiving IV fluids for several days. Which monitoring is essential?

1. AMonthly HbA1c
2. BPeak flow readings
3. CFluid balance, regular weights and urea, creatinine and electrolytes
4. DWeekly temperature and a single blood glucose reading

An older patient found on the floor after lying there for many hours has dark brown urine and a very high creatine kinase. What is the main risk?

1. AHypoglycaemia
2. BAcute kidney injury from rhabdomyolysis
3. CA urinary tract infection from lying in urine
4. DA stroke

Which finding shows that long-standing hypertension has caused target organ damage?

1. AA heart rate of 72/min
2. BClear lung fields on the chest X-ray
3. CLeft ventricular hypertrophy on the ECG
4. DA normal fasting glucose

Selepas kateterisasi jantung melalui arteri radial, penilaian manakah yang paling penting?

1. AGraviti spesifik air kencing setiap empat jam
2. BBunyi usus dan lilitan abdomen setiap jam selepas ujian
3. CPeredaran darah, deria dan pergerakan tangan, serta tapak tusukan
4. DSaiz anak mata dan tindak balas terhadap cahaya setiap 15 minit

In the first trimester of pregnancy, why is propylthiouracil often preferred to carbimazole for hyperthyroidism?

1. ACarbimazole cannot cross into the mother's blood
2. BCarbimazole has a higher risk of birth defects early on
3. CPropylthiouracil has no side effects at all
4. DPropylthiouracil works faster than any other drug

Isu masa pemberian ubat manakah yang penting bagi pesakit hemodialisis?

1. AUbat yang boleh didialisis mungkin perlu diberikan selepas sesi
2. BSemua ubat mesti diberikan sejurus sebelum sesi
3. CDialisis tidak menyingkirkan sebarang ubat
4. DTiada ubat boleh diambil pada hari dialisis

Which statement correctly describes physical dependence on opioids?

1. AThe patient is allergic to opioids
2. BThe drug no longer has any side effects
3. CWithdrawal occurs if the drug is stopped suddenly
4. DThe patient always craves the drug and misuses it despite harm

Two hours after a meal, a patient who had a gastrectomy becomes shaky, sweaty and confused. What is the most likely cause and first action?

1. AEarly dumping from fluid shifts; give a large drink of water
2. BVitamin B₁₂ deficiency; give an injection now
3. CAn anastomotic leak; insert a nasogastric tube at once
4. DLate dumping with low blood glucose; check capillary glucose