Pemberian Keutamaan & Delegasi Gaya NCLEX: pek ulang kaji kilat

Which medication order should the nurse question?

1. AOral potassium chloride with food
2. BPotassium chloride oral solution diluted in juice
3. CPotassium chloride by IV push
4. DPotassium chloride diluted in an IV bag via a pump

A provider asks a nurse to perform a procedure that is outside the nurse’s scope of practice. What should the nurse do?

1. ADo it just this once and promise the provider not to do it again
2. BAsk a nursing assistant to do it instead
3. CDecline, explain why and suggest who can safely do it
4. DDo it, because the provider gave the instruction

Which PPE does a nurse wear when giving an IV chemotherapy drug?

1. AA surgical mask and no gloves
2. BTwo pairs of chemotherapy-tested gloves and a disposable impermeable gown
3. COne pair of standard latex gloves, changed after the infusion is started
4. DA reusable cloth gown and one pair of gloves

Pada pagi pembedahan, pesakit berkata pembedahan itu pada lutut kiri, tetapi borang persetujuan menyatakan lutut kanan. Apakah yang patut dilakukan oleh jururawat?

1. AMengikut pesakit, kerana pesakit paling mengenali badan sendiri
2. BMenandakan kedua-dua lutut supaya mana-mana satu boleh dibedah
3. CBerhenti dan memberitahu pakar bedah, supaya tapak disahkan dahulu
4. DMengikut borang persetujuan, kerana ia telah ditandatangani

During a red cell transfusion, when are serious acute reactions most likely, so the nurse stays with the patient?

1. AAfter about 2 hours
2. BThe next morning
3. CIn the first 15 minutes
4. DAfter the last drop is given

Mengapakah kreatinin yang normal boleh mengelirukan pada warga emas yang lemah dengan jisim otot yang rendah?

1. AOtot yang kurang menghasilkan kreatinin yang kurang, menyembunyikan fungsi buah pinggang yang berkurang
2. BParas kreatinin tidak bergantung pada jisim otot sama sekali
3. CKreatinin yang normal sentiasa membuktikan fungsi buah pinggang yang normal
4. DWarga emas sentiasa mempunyai kreatinin lebih tinggi daripada orang muda

After a laparoscopic cholecystectomy, a patient has pain in the shoulder tip. What is the most likely cause?

1. AAn allergic reaction to the dressing
2. BGas used during the operation irritating the diaphragm
3. CA heart attack caused by the stress of surgery
4. DA broken collarbone from being moved onto the table

A patient has a single hot, swollen, very painful knee and a fever. Why is urgent joint aspiration important?

1. ATo measure the patient's cholesterol
2. BTo prevent osteoporosis
3. CTo rule out septic arthritis, which can rapidly destroy the joint
4. DTo check for rheumatoid arthritis antibodies in the joint fluid

How can a patient reduce wound pain when coughing after abdominal surgery?

1. AHold the breath for as long as possible
2. BLie flat on the back with the legs straight
3. CAvoid coughing completely until all the stitches are removed
4. DHold a pillow firmly against the wound while coughing

After a pneumonectomy, how is the patient usually positioned?

1. AFlat and prone for the whole of the first day after surgery
2. BFully on the non-operated side, to help drain the empty space
3. COn the back or the operated side, not fully on the remaining lung
4. DHead down with the legs raised, to drain secretions from the lung

Which group of problems is typical of primary hyperparathyroidism?

1. AHeat intolerance, tremor, weight loss and diarrhoea
2. BMuscle cramps, tingling lips and seizures
3. CHair loss, weight gain and feeling cold
4. DKidney stones, bone pain, abdominal pain and low mood

After a TURP, a patient on bladder irrigation has bladder spasms. The drainage has slowed and contains clots, and the bag holds less than the irrigant given. What should the nurse do first?

1. AGive an antispasmodic and recheck in four hours
2. BEncourage the patient to strain to pass the clots
3. CSuspect a clot in the catheter and follow the protocol
4. DTurn off the irrigation and leave the catheter alone

Which change suggests that a burn wound is becoming infected?

1. AA partial-thickness burn becoming deeper, with new discolouration
2. BThe wound becoming pink and a little smaller at each dressing change
3. CLess exudate on each dressing change
4. DDry, healing skin with mild itching

A patient with cirrhosis and ascites has a falling urine output and a rising creatinine. They have not received nephrotoxic drugs and are not dehydrated. Which complication is likely?

1. AHepatorenal syndrome
2. BPolycystic kidney disease
3. CUrinary tract infection
4. DNephrotic syndrome