Pemberian Keutamaan & Delegasi Gaya NCLEX: pek ulang kaji kilat

Dalam henti jantung di wad, tindakan manakah yang didahulukan selepas mengesahkan pesakit tidak responsif dan tidak bernafas dengan normal?

1. ACari carta pesakit untuk menyemak status resusitasi sebelum meminta bantuan
2. BMinta bantuan dan mulakan penekanan dada
3. CBeri dua nafas penyelamat, kemudian periksa nadi selama satu minit
4. DMengukur tekanan darah

A victim heavily contaminated with an industrial chemical arrives at the emergency department with stable vital signs. What should happen first?

1. ATaking the victim straight to the X-ray department
2. BPlacing the victim in the waiting room until a doctor is free
3. CFull assessment inside the main department straight away
4. DDecontamination before the victim enters the treatment area

A patient is on a ventilator. Which bed position helps to prevent ventilator-associated pneumonia?

1. ATrendelenburg position
2. BLying completely flat
3. CHead of the bed raised 30 to 45 degrees
4. DHead of the bed raised about 10 degrees

An IV bag from the pharmacy holds the correct drug, but the label shows another patient’s name. What should the nurse do?

1. ACross out the name and write in the correct patient’s name
2. BNot hang it, and get a correctly labeled bag from the pharmacy
3. CAsk the patient whether it is fine to use the bag
4. DHang it, because the drug and dose are correct

Seorang pesakit mempunyai hematokrit 54%, BUN tinggi dan graviti tentu air kencing 1.034. Apakah yang dicadangkan oleh corak ini?

1. AKegagalan buah pinggang dengan air kencing cair
2. BDehidrasi dengan hemopemekatan
3. CKehilangan darah akut dengan pencairan
4. DLebihan cecair

An older adult has bone pain, fatigue and frequent infections. Results show anemia, a calcium of 12.4 mg/dL (3.1 mmol/L), a raised total protein and a rising creatinine. Which condition should be suspected?

1. AIron-deficiency anemia
2. BAcute viral hepatitis
3. CMultiple myeloma
4. DPrimary hypothyroidism

Seorang pesakit kegagalan jantung bertambah berat 2 kg dalam dua hari. Apakah yang paling mungkin ditunjukkan oleh ini?

1. ADehidrasi
2. BRawatan berjaya
3. CPeningkatan jisim otot
4. DPengekalan cecair

An older man has sudden severe abdominal and back pain, is hypotensive and has a pulsating mass in the abdomen. What should be suspected?

1. AAcute gastritis from anti-inflammatory drugs
2. BA ruptured abdominal aortic aneurysm
3. CMusculoskeletal back pain
4. DRenal colic from a kidney stone

A patient on theophylline develops nausea, vomiting, a fast heart rate and restlessness. What should the nurse suspect?

1. ATheophylline toxicity
2. BHypoglycaemia caused by the drug
3. CAn expected sign that the drug is working
4. DA theophylline allergy causing a rash

A patient on three blood pressure drugs still has high readings at every visit. What should the nurse check first?

1. AWhether the patient is taking the medicines as prescribed
2. BWhether the patient needs surgery on the renal arteries
3. CWhether the readings should be ignored
4. DWhether a fourth drug can be added at today's appointment

Seorang pesakit yang mengambil karbimazol untuk hipertiroidisme melaporkan sakit tekak dan demam. Apakah yang patut dilakukan oleh jururawat?

1. AMenenangkan pesakit, kerana ubat tidak mempunyai kesan sampingan darah yang serius
2. BMenasihati berkumur air garam dan meneruskan ubat selama seminggu
3. CMenggandakan dos untuk mengawal tiroid dengan lebih cepat
4. DMengatur kiraan darah penuh segera untuk mencari agranulositosis

The day after a lumbar puncture, a patient has a headache that is severe when standing and almost gone when lying flat. Temperature and neck movement are normal. What is the most likely cause?

1. ABacterial meningitis from the procedure
2. BA migraine triggered by stress
3. CPost-dural puncture headache
4. DA subarachnoid haemorrhage

How is an uncomplicated sigmoid volvulus often first treated?

1. AHigh-dose laxatives taken by mouth
2. BEating a large high-fibre meal
3. CA barium meal given by mouth to untwist the bowel slowly
4. DDecompression with a flexible sigmoidoscope and flatus tube

A patient who takes NSAIDs suddenly develops severe epigastric pain, a rigid abdomen and shoulder-tip pain. Which finding would most support the likely diagnosis?

1. AA raised serum lipase three times the upper limit
2. BTall, peaked T waves on a 12-lead ECG
3. CFluid levels in the bladder on an ultrasound scan
4. DFree air under the diaphragm on an erect chest X-ray