Pemberian Keutamaan & Delegasi Gaya NCLEX: pek ulang kaji kilat

A patient is booked for a CT scan with iodinated contrast. Which of the patient’s medications may need to be held according to protocol?

1. AMetformin
2. BLevothyroxine
3. CAcetaminophen (paracetamol)
4. DOmeprazole

Before surgery, a nurse is asked to witness a patient’s consent. The patient was given a sedative 30 minutes ago. What should the nurse do?

1. ANot witness the consent and inform the surgeon
2. BWitness it quickly before the sedative takes full effect
3. CWitness it and write “sedated” beside the signature
4. DAsk a family member to sign on the patient’s behalf

Why are patients on long-term corticosteroids at higher risk from infections?

1. ASteroids suppress the immune response and can hide signs of infection
2. BSteroids kill the patient’s normal skin bacteria
3. CSteroids only affect the risk of fungal skin rashes
4. DSteroids make the patient’s blood more acidic, which helps bacteria grow

A nurse calls a provider using SBAR about a patient with falling blood pressure. Which statement is the “Recommendation”?

1. A“He is 72 and had a bowel resection yesterday.”
2. B“I think he needs to be assessed now. Can you come within the next 15 minutes?”
3. C“I am calling about Mr. Jansen in room 12, who is hypotensive.”
4. D“His blood pressure has fallen from 130/80 to 88/50 over the last two hours.”

A patient has taken hydrochlorothiazide for several years. Which laboratory change is a recognized effect of this drug?

1. AA rise in serum potassium
2. BA fall in serum calcium
3. CA fall in blood glucose
4. DA rise in serum uric acid

Seorang pesakit yang mengambil apiksaban bertanya mengapa mereka tidak memerlukan ujian INR berkala seperti jiran mereka yang mengambil warfarin. Apakah penjelasan yang terbaik?

1. AINR diperiksa secara rahsia bersama ujian darah rutin yang lain
2. BApiksaban dipantau dengan aPTT setiap hari sebaliknya
3. CKesannya boleh diramal, maka ujian pembekuan rutin tidak diperlukan
4. DApiksaban sebenarnya tidak mencairkan darah

A patient is receiving IV fluids for several days. Which monitoring is essential?

1. AFluid balance, regular weights and urea, creatinine and electrolytes
2. BWeekly temperature and a single blood glucose reading
3. CPeak flow readings
4. DMonthly HbA1c

A nurse teaches a patient with hypertension about their medicines. Which statement shows a need for further teaching?

1. A"I'll stop my tablets once my readings are normal."
2. B"I'll have my blood pressure checked regularly."
3. C"I'll get up slowly from sitting."
4. D"I'll keep taking my tablets even if I feel well."

Ruang kedap air saluran dada bergelembung secara berterusan, walaupun pesakit tidak batuk. Apakah yang ditunjukkan oleh ini?

1. APunca sedutan telah dimatikan
2. BParu-paru telah mengembang semula sepenuhnya dan saluran sedia untuk dikeluarkan
3. CSaluran tersumbat oleh bekuan dalam tiub
4. DKebocoran udara daripada paru-paru atau daripada sistem saliran

A ventilated patient suddenly desaturates to 82%. The cause is not obvious and the ventilator alarms are sounding. What should the nurse do first?

1. ASilence the alarm and wait for the result of the next routine blood gas
2. BIncrease the sedation and watch the monitor for the next half hour
3. CDisconnect and hand-ventilate with 100% oxygen while calling for help
4. DChange the ventilator settings to a higher rate

A man starts finasteride for an enlarged prostate. Which statement is correct?

1. AIt works within hours by relaxing the bladder muscle
2. BIt takes months to work; pregnant women must not handle broken tablets
3. CIt is used only for a few days at a time
4. DIt lowers the blood pressure, so dizziness is very common

A patient has erratic glucose readings. The nurse finds a soft, rubbery lump where they always inject. What is the most important teaching?

1. AMassage the lump firmly after every injection
2. BDouble the insulin dose because the lump blocks the insulin
3. CKeep injecting into the lump, because it hurts less there
4. DUse healthy sites and check glucose often, as less insulin may be needed

Which statement about pain in older adults is correct?

1. AOpioids must never be used in people over 70
2. BPain is a normal part of ageing and does not need any treatment at all
3. COlder adults feel less pain because nerves wear out
4. DThey may under-report pain, so active assessment is needed

A nurse teaches a patient with chronic pancreatitis. Which statement shows a need for further teaching?

1. A"I'll take my enzyme capsules at bedtime."
2. B"I'll report increased thirst or passing urine more often."
3. C"I should not drink any alcohol."
4. D"Oily, floating stools may mean my dose needs changing."