Pemberian Keutamaan & Delegasi Gaya NCLEX: pek ulang kaji kilat

Tugas manakah yang patut didelegasikan oleh jururawat kepada pembantu jururawat bagi pesakit dengan langkah berjaga-jaga jatuh?

1. AMengajar keluarga cara mencegah jatuh di rumah
2. BMemutuskan sama ada penggera katil masih diperlukan
3. CMembantu pesakit ke tandas setiap 2 jam seperti yang dirancang
4. DMenilai dan merekod skor risiko jatuh pesakit setiap pagi

Di jabatan kecemasan, pesakit manakah yang patut terus ke bilik rawatan?

1. ASeorang berumur 25 tahun dengan pergelangan tangan terseliuh dan tanda vital normal
2. BSeorang berumur 30 tahun dengan sakit tekak selama dua hari dan suhu 38.0 °C
3. CSeorang berumur 60 tahun dengan tekanan dada, berpeluh dan loya selama 20 minit
4. DSeorang berumur 45 tahun yang meminta preskripsi ulangan

When is it appropriate to use the override function on an automated dispensing cabinet to take a drug before pharmacist review?

1. AAt the start of each shift to save time later
2. BOnly in an urgent situation where delay would harm the patient, per policy
3. CWhenever the pharmacist is slow to review new orders and the patient is waiting
4. DWhenever the nurse is sure of the dose

A nurse has a needlestick from a patient known to have hepatitis C. Which statement about management is correct?

1. ANo follow-up is needed because hepatitis C does not spread by needles
2. BHepatitis C immune globulin is given within 24 hours, followed by a booster dose
3. CThere is no preventive drug, so baseline and follow-up testing are done to detect infection early
4. DThe hepatitis C vaccine series is started at once, with a booster dose six months later

A patient's potassium is 7.0 mEq/L. Which ECG change would the nurse expect?

1. ADelta waves before the QRS
2. BFlattened T waves
3. CProminent U waves
4. DTall, peaked T waves

A patient on high-dose dexamethasone has a white cell count of 15 × 10³/µL, mostly mature neutrophils with no bands. They have no fever and no signs of infection. What is the most likely explanation?

1. ACertain sepsis that needs antibiotics started without delay
2. BA laboratory error, because steroids always lower the white count
3. CA steroid effect that moves neutrophils into the circulating blood
4. DA new leukemia that is confirmed by this result alone

Pesakit diabetes yang tidak sedarkan diri mempunyai glukosa darah 2.1 mmol/L dan tiada akses IV. Apakah yang boleh diberi?

1. AInsulin subkutaneus
2. BTablet glukosa melalui mulut
3. CGlukagon intramuskular
4. DJus buah oral

A nurse is teaching a patient who is starting warfarin. Which statement shows a need for further teaching?

1. A"I can take aspirin if I get a headache."
2. B"I will report black stools or unusual bruising."
3. C"I will tell my dentist that I take warfarin."
4. D"I will keep my INR blood test appointments."

A patient is on a short course of oral prednisolone for an asthma exacerbation. Which effect should the nurse monitor for?

1. ARaised blood glucose
2. BLow blood sodium
3. CLow blood pressure
4. DSlow heart rate

An older inpatient develops sudden fever, muscle aches and a dry cough during the winter influenza season. Which plan is most appropriate?

1. ALeave them in the open bay and give a course of antibiotics only
2. BIsolate with droplet precautions, test and expect early antivirals
3. CIsolate only if they develop a rash
4. DWait a week to see whether the symptoms settle before testing

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

1. ARestricting fluids in the evening only
2. BCalcium tablets and a low-fluid diet
3. CVitamin C supplements and a high-meat diet
4. DAllopurinol and making the urine less acidic

Seorang pesakit yang mengambil litium mengalami poliuria dan dahaga, dan air kencing tidak memekat selepas desmopresin. Apakah punca yang paling mungkin?

1. ADiabetes jenis 1 yang baru berkembang
2. BDI nefrogenik disebabkan oleh litium
3. CSIADH disebabkan oleh litium
4. DDI kranial selepas kecederaan kepala

When is cold therapy most useful for pain?

1. AOver numb areas where sensation is lost
2. BSoon after an acute soft tissue injury, to reduce swelling
3. CDirectly on skin with poor circulation
4. DFor long-term muscle stiffness, applied continuously for several hours

A patient with bone metastases is starting regular zoledronic acid. Which advice is important?

1. AAvoid all physical activity for six months
2. BTake extra calcium only on the day of infusion
3. CStop drinking all fluids on the day of each infusion
4. DHave a dental check and report jaw pain or loose teeth