Pemberian Keutamaan & Delegasi Gaya NCLEX: pek ulang kaji kilat

An older patient who has been constipated for days now has small amounts of liquid stool leaking. What should the nurse suspect?

1. AThe constipation has fully resolved
2. BA new bowel infection that has caused the diarrhea
3. CA side effect of drinking too much water
4. DFecal impaction with liquid stool passing around it

Seorang pesakit yang diselamatkan daripada kebakaran rumah mempunyai lecur pada muka, bulu hidung hangus dan suara serak. Apakah keutamaannya?

1. AMembersihkan dan membalut lecur muka
2. BMelindungi saluran udara, bersedia untuk sokongan saluran udara awal
3. CMemberi pelega sakit
4. DMemulakan resusitasi cecair IV yang dikira daripada saiz lecur

Seorang pesakit dengan tuberkulosis pulmonari aktif perlu pergi ke jabatan radiologi. Bagaimanakah pesakit patut diangkut?

1. AMemakai pelitup muka pembedahan, dengan radiologi dimaklumkan lebih awal
2. BTanpa pelitup muka, kerana koridor itu berpengudaraan baik dan pendek
3. CMemakai respirator N95 yang belum diuji kesesuaiannya
4. DMemakai sarung tangan dan gaun, tanpa memerlukan pelitup muka

Semasa penukaran pembalut talian pusat yang steril, seorang rakan sekerja menjangkau melintasi medan steril yang terbuka untuk menyerahkan segulung pita kepada jururawat. Apakah yang patut dilakukan oleh jururawat?

1. AMenutup medan dengan tuala steril dan meneruskan di atasnya
2. BMengeluarkan hanya item yang paling hampir dengan tempat lengan itu melintas
3. CMeneruskan, kerana rakan sekerja tidak menyentuh sebarang item steril
4. DMenganggap medan tercemar dan menyediakan yang baharu

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

1. AStop dialysis for a week and recheck the fluid later
2. BRecord it as normal and continue the usual exchanges
3. CAdd more glucose to the next bag to clear the fluid
4. DSend the fluid for cell count and culture and report it

A patient has taken metformin for 8 years and now has numbness in the feet, a hemoglobin of 10.2 g/dL (102 g/L) and an MCV of 108 fL. Which deficiency is most likely?

1. AVitamin D (calciferol) deficiency
2. BIron deficiency from gut loss
3. CVitamin K deficiency
4. DVitamin B₁₂ deficiency

A patient says they are "allergic" to codeine because it made them constipated. How should this be recorded?

1. AAs an allergy to all painkillers
2. BAs a severe anaphylactic allergy to all opioids
3. CAs a side effect or intolerance, not a true allergy
4. DIt should not be recorded at all

Dalam triaj, pesakit manakah yang patut dilihat dahulu?

1. APesakit dengan sakit tekak selama dua hari
2. BPesakit dengan pernafasan berbunyi dan bibir bengkak selepas makan kacang tanah
3. CPesakit dengan buku lali terseliuh dan bengkak ringan
4. DPesakit yang meminta preskripsi ulangan

What is the purpose of cardiac resynchronisation therapy (a biventricular pacemaker)?

1. ATo make both ventricles contract together and more efficiently
2. BTo slow the atrial rate in patients with atrial fibrillation
3. CTo deliver a shock whenever the heart rate exceeds 100/min
4. DTo replace a damaged heart valve

After a fall onto the chest, part of a patient's chest wall moves inward when they breathe in and outward when they breathe out. What does this indicate?

1. AA flail chest from ribs broken in more than one place
2. BNormal chest movement caused by pain on breathing
3. CA single simple rib fracture with no lung injury
4. DA large pleural effusion pressing on the chest wall

Bagaimanakah cecair dialisis peritoneal patut dipanaskan sebelum digunakan?

1. ADalam ketuhar gelombang mikro
2. BDalam mangkuk air paip panas
3. CDalam pemanas haba kering khusus
4. DIa patut digunakan sejuk terus dari peti sejuk

Sawan telah berlangsung 12 minit. Dua dos benzodiazepin telah diberikan, dan sawan berterusan. Saluran udara dan oksigen diuruskan. Apakah langkah seterusnya dalam protokol biasa?

1. ADos ketiga dan keempat benzodiazepin setiap dua minit
2. BMemberikan tablet antisawan oral sebaik sahaja pesakit boleh menelan
3. CMenunggu 30 minit lagi untuk melihat sama ada sawan berhenti
4. DUbat IV barisan kedua seperti levetirasetam atau fenitoin

Which statement about corticosteroids in inflammatory bowel disease is correct?

1. AThey are given only as a one-off injection
2. BThey are used to induce remission, not for maintenance
3. CThey are the best long-term maintenance treatment
4. DThey cure the disease after one course

Which preoperative blood result should the nurse report to the team before elective surgery?

1. AHaemoglobin 138 g/L (13.8 g/dL) in a man
2. BPotassium 2.9 mmol/L
3. CFasting glucose 5.4 mmol/L (97 mg/dL)
4. DSodium 139 mmol/L