Pemberian Keutamaan & Delegasi Gaya NCLEX: pek ulang kaji kilat

Which practice makes a shift handover safest?

1. AA structured format, such as SBAR, with time for questions
2. BA quick chat in the corridor with no notes taken
3. CLeaving a sticky note on the computer screen for the next nurse
4. DHanding over only the patients who had problems during the shift

A patient has a wrist restraint. The nurse finds the fingers on that hand pale, cool and tingling. What should the nurse do first?

1. ADocument the finding and continue with the medication round
2. BRaise the arm on a pillow and check again in two hours
3. CLoosen the restraint and assess the circulation
4. DTighten the restraint so the patient moves less

Why can side rails be dangerous for a confused, restless patient?

1. ASide rails always cause pressure injuries
2. BThe patient may climb over them or get trapped in gaps
3. CSide rails stop staff from reaching the patient in an emergency
4. DSide rails make the bed move by itself

A nurse has raised a safety concern about an order with the prescriber, who dismissed it without addressing it. What should the nurse do next?

1. ADiscuss the concern with the patient and let them decide
2. BCarry out the order as written, because the prescriber has heard the concern
3. CRefuse to care for the patient for the rest of the shift until the prescriber apologizes
4. DState the concern clearly a second time and, if still unresolved, use the chain of command

A patient on peritoneal dialysis notices that the drained fluid is cloudy and has abdominal pain. What should the nurse do?

1. AAdd more glucose to the next bag to clear the fluid
2. BSend the fluid for cell count and culture and report it
3. CRecord it as normal and continue the usual exchanges
4. DStop dialysis for a week and recheck the fluid later

A patient on clozapine for 2 years has been stable. Which statement shows a need for further teaching?

1. A"I'll tell other doctors that I take clozapine"
2. B"I can stop my blood tests since I feel well"
3. C"I'll report a sore throat or fever at once"
4. D"I'll keep all my scheduled blood test visits"

After removing a peripheral IV cannula, what should the nurse check?

1. AThat the cannula is put back in its sterile packet for the next patient
2. BThat the site is left uncovered and bleeding freely
3. CThat the patient's blood glucose is normal before removal
4. DThat the cannula is intact, and apply pressure until bleeding stops

A patient with a confirmed pulmonary embolism is started on anticoagulation. Which statement best explains its purpose?

1. AIt is mainly given to lower the blood pressure
2. BIt stops the clot growing and prevents new clots while the body breaks it down
3. CIt dissolves the clot completely within minutes of the first dose being given
4. DIt thins the blood so that the lungs absorb more oxygen

Mengapakah nitrat digunakan dengan sangat berhati-hati dalam infarksi ventrikel kanan?

1. ANitrat menyebabkan hiperkalemia yang berbahaya dalam jenis infarksi ini
2. BVentrikel kanan bergantung pada prabeban, jadi tekanan darah boleh jatuh mendadak
3. CNitrat tidak diserap apabila ventrikel kanan terjejas
4. DNitrat menyebabkan infarksi merebak ke ventrikel kiri

Which method best confirms that an endotracheal tube is in the trachea?

1. AThe patient's skin colour improving
2. BMisting inside the tube
3. CA sustained waveform on capnography
4. DThe chest rising on one side only

Why is once-daily prednisolone usually taken in the morning with food?

1. ABecause it cannot be absorbed at night
2. BBecause food doubles the strength of the dose
3. CBecause it causes drowsiness and is safer to take during the day
4. DTo match the natural cortisol rhythm and protect the stomach

A large pituitary tumour presses on the optic chiasm. Which visual field defect is most typical?

1. ALoss of central vision in both eyes
2. BLoss of the outer half of the field in both eyes
3. CLoss of the inner half of the field in both eyes
4. DComplete blindness in one eye only

Why are many patients screened for MRSA before planned surgery?

1. ASo that surgery can be cancelled for all positive patients
2. BTo check whether the patient has had a flu vaccine
3. CSo that carriers can be decolonised to reduce infection
4. DTo decide which anaesthetic drug to use

Two days after surgery, a patient on regular ibuprofen has a low urine output and a rising creatinine, and intake has been poor. What should the nurse do?

1. AChange to a higher-strength NSAID tablet
2. BGive the next dose with extra food
3. CIncrease the dose to treat the pain better and encourage fluids
4. DWithhold the next dose and report to the prescriber