Pemberian Keutamaan & Delegasi Gaya NCLEX: pek ulang kaji kilat

The day after a total thyroidectomy, a patient reports tingling around the mouth and in the fingers. What should the nurse do first?

1. AGive the patient’s routine oral iron supplement early
2. BEncourage deep breaths into a paper bag until it passes
3. CCheck for signs of low calcium and inform the provider
4. DReassure the patient that this is normal after neck surgery

Seorang jururawat menganggap dos yang ditetapkan tidak selamat. Pemreskripsi menyuruh memberikannya juga. Apakah yang patut dilakukan oleh jururawat?

1. ATahan dos dan eskalasi melalui rantaian pemerintahan
2. BBeri separuh dos sebagai kompromi dan dokumenkan sebabnya
3. CLangkau dos secara senyap dan tidak berkata apa-apa untuk mengelakkan konflik
4. DBeri dos itu, kerana pemreskripsi kini bertanggungjawab atasnya

A family member will visit a patient on contact precautions. What should the nurse do?

1. AShow them how to use the gown and gloves and how to clean their hands
2. BTell them precautions only apply to staff
3. CTell them visits are not allowed at all
4. DAsk them to wear an N95 respirator only, with no gown or gloves

During a disaster, the hospital needs to free beds quickly. Which patient is the best candidate for early discharge?

1. AA patient with ongoing chest pain awaiting cardiac tests
2. BA patient on an IV heparin infusion that is still being adjusted
3. CA patient admitted overnight for observation who is now stable with normal tests
4. DA patient on a ventilator in the intensive care unit who is slowly improving

A patient on hemodialysis has an arteriovenous (AV) fistula in the left arm. Where should the nurse draw routine blood samples?

1. AFrom the right arm
2. BFrom the left hand
3. CFrom the fistula
4. DFrom the left wrist

A patient receiving parenteral nutrition with lipid emulsion has a triglyceride level of 620 mg/dL (7.0 mmol/L). Why is this result important?

1. AIt raises the risk of acute pancreatitis
2. BIt shows the nutrition is fully effective
3. CIt means the patient needs more lipid
4. DIt is a normal fasting value for adults

Which advice should be given to a patient with a new permanent pacemaker?

1. ATell staff about the pacemaker before any MRI scan or procedure
2. BAvoid using all household electrical appliances such as kettles
3. CNever raise the arm on that side again
4. DStop all heart medicines straight away

Why might a patient with diabetes who takes a beta-blocker not notice hypoglycaemia early?

1. ABeta-blockers raise blood glucose, so true hypoglycaemia cannot happen at all
2. BBeta-blockers stop the liver from responding to insulin
3. CBeta-blockers make the patient sleep through the night
4. DBeta-blockers can mask warning signs such as tremor and a fast heart rate

Seorang pesakit takikardia supraventrikular akan menerima adenosin IV. Apakah yang patut diberitahu oleh jururawat kepada pesakit?

1. AMuka kemerahan atau dada terasa ketat seketika dan jeda selama beberapa saat
2. BSakit terbakar di sepanjang vena lengan selama kira-kira seminggu
3. CRasa mengantuk selama beberapa jam, pertuturan pelat dan kekeliruan selepas itu
4. DSakit kepala yang berlarutan selama beberapa hari selepas itu

Seorang pesakit dengan penyakit arteri periferi yang diketahui tiba-tiba mengalami kaki sejuk, putih dan sakit tanpa nadi serta jari kaki kebas. Apakah keutamaan?

1. AMembuat eskalasi serta-merta sebagai kecemasan; pastikan kaki sama aras, tiada haba
2. BMenaikkan kaki di atas bantal dan menghangatkan kaki dengan botol air panas
3. CMenggalakkan berjalan untuk membuka peredaran kolateral
4. DMengenakan bebat mampatan untuk memperbaik peredaran darah

After a lumbar discectomy, which finding should the nurse report promptly?

1. ANew weakness or numbness in the legs
2. BStiffness when getting out of bed
3. CA dry, intact wound dressing
4. DMild pain at the wound site

A patient has fever, confusion, odd behaviour and a new seizure. Herpes simplex encephalitis is suspected. Which drug is usually started straight away?

1. AIV insulin
2. BIV aciclovir
3. COral amoxicillin
4. DOral prednisolone

Which statement about pain in older adults is correct?

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

Seorang pesakit yang menerima filgrastim (G-CSF) selepas kemoterapi bertanya kesan sampingan apa yang patut dijangka. Kesan sampingan manakah yang paling lazim?

1. APenurunan pantas kiraan sel darah putih
2. BKeguguran rambut sepenuhnya dalam beberapa hari selepas suntikan pertama
3. CKehilangan pendengaran yang kekal
4. DSakit tulang yang menyengat, kerana sumsum tulang dirangsang