Pemberian Keutamaan & Delegasi Gaya NCLEX: pek ulang kaji kilat

Which two patients can most safely share a room?

1. AA patient with chickenpox and a patient on chemotherapy
2. BA patient with MRSA in a wound and a patient after surgery
3. CA patient with influenza and a patient with COPD
4. DTwo patients who both have C. difficile infection

During surgery under general anesthesia, a patient develops rising end-tidal carbon dioxide, muscle rigidity and a rapidly increasing temperature. Which drug should the nurse anticipate?

1. AAtropine
2. BNaloxone
3. CDantrolene
4. DFlumazenil

A nurse finds an unlabeled syringe of clear fluid on the medication counter. What should the nurse do?

1. ADiscard it, because its contents cannot be confirmed
2. BLabel it with the most likely drug name
3. CGive it to the patient whose medication is due
4. DAsk nearby staff and use it if someone recognizes it

According to the “Swiss cheese” model of error, why do errors reach patients?

1. ATechnology fails more often than people do
2. BWeaknesses in several layers of defense line up at the same time
3. COne careless person makes a mistake that no system could stop
4. DPatients often do not follow their care instructions

Paras palung vankomisin berada di atas julat sasaran. Kesan advers manakah yang menjadi kebimbangan utama?

1. ASembelit dan kembung perut
2. BGlukosa darah rendah (hipoglisemia)
3. CKiraan platelet yang meningkat (trombositosis)
4. DKerosakan buah pinggang (nefrotoksisiti)

A young woman with frequent self-induced vomiting has swollen salivary glands. Which laboratory pattern is most likely?

1. ALow sodium, low bicarbonate and high lipase
2. BLow potassium, high bicarbonate and high amylase
3. CHigh calcium, high phosphate and high glucose
4. DHigh potassium, low bicarbonate and low amylase

What is one advantage of a direct oral anticoagulant (DOAC) such as apixaban compared with warfarin?

1. AIt does not need routine INR monitoring
2. BIt is safe in all patients with severe kidney failure
3. CIt never interacts with other drugs
4. DIt has no risk of bleeding

An older patient with delirium is trying to leave the ward at night, saying he must go home. What is the best initial approach?

1. AGive a sedative straight away without a prescription
2. BPhysically restrain him in bed until the morning so that he cannot fall
3. CLet him leave, because adults can always do as they wish whatever their state
4. DCalmly reassure and redirect him while the team assesses his capacity and safety

Menurut garis panduan semasa, bilakah oksigen patut diberikan kepada pesakit dengan sindrom koronari akut?

1. ASentiasa pada 15 L/min, tanpa mengira ketepuan
2. BHanya apabila SpO₂ di bawah julat sasaran
3. CTidak pernah, kerana oksigen membahayakan otot jantung
4. DHanya apabila keputusan troponin tersedia

During tracheal suctioning, a patient's heart rate drops from 88/min to 48/min. What should the nurse do?

1. AContinue suctioning until the airway is completely clear
2. BGive a dose of atropine without a prescription
3. CIncrease the suction pressure to finish faster
4. DStop suctioning, give oxygen and monitor the patient

A patient has radioactive iodine treatment for hyperthyroidism. Which advice is correct?

1. AStay in strict isolation in hospital for several months
2. BLimit close contact with children and pregnant women for a time
3. CStart breastfeeding again the next day
4. DThere are no precautions, because the dose is tiny

A patient has had a high sodium of 160 mmol/L for several days. Why must it be corrected slowly?

1. AThe sodium will rise again if corrected quickly
2. BRapid correction causes kidney stones
3. CRapid correction can cause brain swelling
4. DRapid correction raises the blood glucose

How are skin staples usually removed from a healed incision?

1. AOnly the staples at each end, leaving the others for good
2. BAll staples at once by pulling each one straight up from the skin
3. CThe staples are left in permanently under the skin
4. DAlternate staples first, then the rest if the wound holds

Sepuluh hari selepas kemoterapi, seorang pesakit mempunyai suhu 37.6 °C tetapi berasa menggigil dan tidak sihat, dengan nadi 112/min dan TD 95/60 mmHg. Apakah tindakan yang betul?

1. AMenunggu kiraan neutrofil sebelum memutuskan sebarang rawatan
2. BMerawat sebagai kemungkinan sepsis neutropenik: antibiotik IV dalam masa sejam
3. CMemberikan parasetamol dan menyemak semula suhu dalam empat jam
4. DMenenangkan pesakit, kerana suhu masih di bawah 38 °C