Pemberian Keutamaan & Delegasi Gaya NCLEX: pek ulang kaji kilat

When making patient assignments, what should the charge nurse consider first?

1. AGiving the newest staff the most complex patients
2. BMatching each patient’s needs to staff competence
3. CLetting staff choose the patients they prefer
4. DGiving each nurse patients in rooms next to each other

A patient with known abdominal aortic aneurysm suddenly has severe back pain, a pulsing mass in the abdomen and a falling blood pressure. What should the nurse do?

1. ACall for emergency help at once and prepare for urgent surgery
2. BPalpate the mass firmly to check its size and spread
3. CGive an oral analgesic and reassess the patient in about one hour
4. DEncourage the patient to walk to ease the back pain

Bilakah respirator N95 patut ditanggalkan selepas menjaga pesakit yang menjalani langkah berjaga-jaga udara?

1. ATidak pernah; ia dipakai sepanjang baki syif
2. BSebelum menanggalkan sarung tangan, di dalam bilik
3. CSebaik sahaja memasuki bilik
4. DSelepas keluar dari bilik dan menutup pintu

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

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

Mengapakah kalsium keseluruhan yang rendah mesti ditafsir dengan berhati-hati pada pesakit dengan albumin serum yang rendah?

1. AAlbumin dan kalsium diukur dengan tindak balas kimia yang sama, maka ia sentiasa menurun bersama
2. BAlbumin rendah menjadikan setiap ujian kalsium tidak tepat dan tidak berguna
3. CAlbumin rendah sentiasa menyebabkan hipokalsemia sebenar yang bergejala
4. DBanyak kalsium terikat pada albumin, maka kalsium keseluruhan menurun walaupun kalsium terion normal

A patient with chronic kidney disease stage 4 has a high phosphate, a low-normal calcium and a very high parathyroid hormone (PTH). What does this show?

1. AHypoparathyroidism after neck surgery
2. BVitamin D toxicity from supplements
3. CPrimary hyperparathyroidism from a tumor
4. DSecondary hyperparathyroidism from CKD

Which pattern is typical of relapsing–remitting multiple sclerosis?

1. AConstant weakness that starts in the feet and spreads upwards after a viral illness
2. BA single stroke that leaves permanent weakness
3. CAttacks of symptoms, such as visual loss or numbness, that improve between relapses
4. DSudden severe headache with neck stiffness

A healthcare assistant reports four observations. Which one needs the nurse's immediate action?

1. A"Mr Chen's blood pressure is 128/80 as usual."
2. B"Ms Ali has walked to the bathroom on her own."
3. C"Mrs Jones would like a cup of tea and her glasses cleaned."
4. D"Mr Patel's breathing rate is 8 a minute and he's hard to wake."

A patient in cardiac rehabilitation asks how hard to exercise. Which simple guide is commonly taught?

1. AExercise until chest pain starts, then stop
2. BExercise only until the heart rate rises even slightly
3. CExercise so they are a little breathless but can still talk
4. DExercise until they are too breathless to speak at all

During a cardiac arrest, the monitor shows an organised rhythm, but there is no pulse. What should the team do?

1. ADeliver an unsynchronised shock at once and then check the pulse
2. BContinue CPR and give adrenaline (epinephrine), as the rhythm is non-shockable
3. CStop CPR, because an organised rhythm on the monitor means recovery
4. DGive adenosine to slow the rhythm down

Mengapakah kateterisasi sendiri berselang sering diajar selepas kecederaan saraf tunjang?

1. APundi kencing mungkin tidak kosong, dan pengosongan secara tetap melindungi buah pinggang
2. BIa melatih pundi kencing untuk membesar secara beransur-ansur dari semasa ke semasa
3. CIa menyingkirkan sepenuhnya semua risiko jangkitan saluran kencing
4. DIa terutamanya digunakan untuk mengukur pengeluaran air kencing dengan tepat

A drowsy patient's glucose meter shows "HI". What should the nurse do?

1. ARecord "normal" in the notes because no number appears
2. BTreat it as very high, check ketones and escalate
3. CGive glucose gel in case the reading is wrong
4. DAssume the meter is broken and recheck tomorrow

Why are urinary catheters removed as early as possible after surgery?

1. ABecause catheters always cause kidney stones
2. BBecause patients cannot drink normally while a catheter is in place
3. CTo reduce the risk of catheter-associated infection
4. DBecause the catheter stops the bowel working

A patient taking IV antibiotics has three unexplained loose stools in 24 hours. What should the nurse do first?

1. AIsolate the patient and send a stool sample for testing
2. BGive loperamide after each loose stool and continue as usual
3. CMove the patient to a bay with other patients to watch them closely
4. DWait two days to see if the diarrhoea settles