Pemberian Keutamaan & Delegasi Gaya NCLEX: pek ulang kaji kilat

A patient has a new plaster cast that is still drying. How should the nurse handle it?

1. AWith the fingertips, pressing firmly to test it
2. BBy resting it directly on a hard surface
3. CWith the palms of the hands, not the fingertips
4. DBy covering it tightly with a plastic sheet

Seorang jururawat menyelia pembantu jururawat yang baharu. Bilakah jururawat patut memeriksa kerja pembantu dengan paling rapi?

1. AHanya apabila pembantu meminta bantuan dengan tugas yang dirasainya sukar
2. BTidak pernah, kerana pembantu memegang sijil untuk peranan itu
3. CHanya pada akhir syif, apabila dokumentasi disemak
4. DApabila pembantu baharu kepada tugas itu atau pesakit kurang stabil

Semasa medan steril sedang disediakan, jururawat berpaling daripadanya untuk menjawab soalan. Apakah yang betul?

1. AMedan dianggap tercemar dan mesti disediakan semula
2. BMedan boleh digunakan jika ia ditutup selepas itu
3. CHanya item yang paling hampir dengan jururawat perlu diganti
4. DMedan masih steril kerana tiada sesiapa menyentuhnya sementara itu

Who should mark the operative site before surgery?

1. AThe admitting clerk, using the information written on the consent form
2. BThe patient, alone, using a marker pen at home on the night before surgery
3. CAny member of the operating room team after anesthesia starts
4. DThe person who will perform the procedure, with the patient involved where possible

When do the blood counts usually reach their lowest point (nadir) after many standard chemotherapy regimens?

1. AWithin 1–2 hours of treatment
2. BAbout 6 months after treatment
3. CAbout 7–14 days after treatment
4. DOn the same day as treatment

Seorang pesakit yang mengambil warfarin dengan INR stabil 2.4 memulakan kursus antibiotik seperti siprofloksasin. Seminggu kemudian INR ialah 4.6. Apakah penjelasan yang paling mungkin?

1. AAntibiotik telah menghilangkan keperluan pesakit untuk antikoagulasi
2. BPesakit telah makan lebih banyak makanan kaya vitamin K
3. CInteraksi ubat yang meningkatkan kesan warfarin
4. DRalat makmal ialah satu-satunya penjelasan yang mungkin

Pesakit dengan hiponatremia patut dipantau terutamanya untuk:

1. APertumbuhan rambut bertambah
2. BRuam merah terang
3. CKekeliruan, sakit kepala dan sawan
4. DKehilangan pendengaran

Why are liquid medicines for nasogastric tubes drawn up in dedicated enteral (oral) syringes rather than IV syringes?

1. AEnteral syringes measure doses less accurately
2. BTo prevent accidental intravenous administration
3. CEnteral syringes keep the medicine sterile
4. DIV syringes cannot hold liquid medicines

Seorang pesakit memulakan warfarin untuk DVT. Mengapakah heparin atau LMWH juga diberikan untuk beberapa hari pertama?

1. AKedua-dua ubat mesti sentiasa diteruskan bersama sepanjang hayat
2. BWarfarin mengambil masa beberapa hari untuk mencapai kesan penuhnya
3. CHeparin melindungi daripada pendarahan akibat warfarin
4. DHeparin memperbaik penyerapan warfarin

Seorang pesakit asma mempunyai aliran puncak 40% daripada yang terbaik, kadar pernafasan 28/min dan tidak dapat menghabiskan ayat. SpO₂ ialah 94%. Bagaimanakah serangan ini patut dikelaskan?

1. AAsma teruk akut
2. BEksaserbasi asma sederhana
3. CAsma yang nyaris membawa maut
4. DAsma yang mengancam nyawa

A nurse is teaching a patient going home after a mild concussion. Which statement shows a need for further teaching?

1. A"I will come back if I start vomiting again and again."
2. B"Someone will stay with me for the first night."
3. C"I will return if my headache gets steadily worse."
4. D"A few drinks tonight will help me relax and sleep."

Which task can the registered nurse delegate to a trained healthcare assistant (nursing assistant)?

1. ADeciding the dose of correction insulin from the glucose result
2. BAssessing a confused patient whose glucose is 2.6 mmol/L (47 mg/dL)
3. CChecking pre-meal glucose and reporting results out of range
4. DTeaching a new patient how to inject insulin

What is anticipatory nausea in chemotherapy?

1. ANausea caused by low blood glucose
2. BNausea caused only by the smell of food
3. CNausea that starts about a week after each cycle and lasts for days
4. DNausea triggered by reminders of treatment before it is given

A 62-year-old with known reflux reports burning central chest pain with sweating and breathlessness that began while walking. What should the nurse do first?

1. AAdvise the patient to avoid spicy food at future meals
2. BGive an antacid and reassess the pain in an hour
3. CRecord a 12-lead ECG and escalate as possible cardiac pain
4. DBook a routine endoscopy for later in the week