Pemberian Keutamaan & Delegasi Gaya NCLEX: pek ulang kaji kilat

A pregnant nurse is on the unit. Which patient should the charge nurse avoid assigning to her?

1. AA patient with a sealed radioactive implant for cervical cancer
2. BA patient with type 2 diabetes who needs insulin teaching before discharge
3. CA patient with a fractured wrist
4. DA patient after a hip replacement

A patient suddenly has severe pain in one leg. The leg is pale and cold with no pedal pulse. What does this suggest?

1. AA deep vein thrombosis that can be treated next week
2. BAcute arterial occlusion, which is an emergency
3. CChronic venous insufficiency that needs elevation
4. DA muscle cramp that will pass with stretching

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

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

A nurse has weeping dermatitis on both hands. What is the most appropriate action?

1. AAvoid direct patient care and handling of equipment until it heals, and see occupational health
2. BUse extra alcohol hand rub on the lesions
3. CContinue care as usual and wear one pair of gloves
4. DCover the lesions with a waterproof bandage and keep working with patients as usual

A week after a splenectomy, a patient's platelet count is 650 × 10³/µL. What is the best interpretation?

1. AA sign of iron overload from the surgery and transfusion
2. BA laboratory error, because platelets fall after splenectomy
3. CAn expected rise after splenectomy that increases clot risk
4. DA sign of new leukemia that needs immediate chemotherapy

A patient with blood pressure that is hard to control has a potassium of 2.9 mEq/L, a sodium of 144 mEq/L and a raised serum bicarbonate, without taking a diuretic. Which condition is most likely?

1. ACentral diabetes insipidus
2. BSyndrome of inappropriate ADH
3. CPrimary adrenal insufficiency
4. DPrimary hyperaldosteronism

Which mask is required for staff during an aerosol-generating procedure on a patient with a respiratory infection spread by aerosols?

1. ANo mask, as long as gloves are worn
2. BA fit-tested respirator mask (such as FFP3 or N95)
3. CA standard fluid-repellent surgical mask with a visor
4. DA cloth face covering

A patient due a blood transfusion is not wearing an identity band. What should the nurse do?

1. AAsk another patient to confirm who the patient is
2. BCheck the name on the bed and proceed
3. CAsk the patient to state their name and date of birth, then start straight away
4. DNot start until a correct identity band is in place and identity is confirmed

Cecair dalam saluran dada telah berhenti berayun. Apakah maksudnya?

1. AParu-paru telah mengembang semula, atau tiub berlipat atau tersumbat
2. BUnit saliran telah mula menyalirkan abdomen
3. CPneumotoraks baharu telah terbentuk di sebelah yang lain
4. DParas air dalam ruang kini terlalu tinggi untuk bergerak

A nurse has four cardiac patients. Which one should be seen first?

1. AA patient with AF and a heart rate of 86/min who is due an apixaban dose this morning
2. BA patient with heart failure whose weight is 0.3 kg up on yesterday's morning weight
3. CA patient with angina whose chest pain has not eased with rest and who is sweating
4. DA patient after a radial angiogram asking when they can eat

Corak elektrolit manakah yang tipikal bagi penyakit Addison?

1. AKalium rendah dan glukosa rendah
2. BKalsium tinggi dan fosfat rendah
3. CNatrium tinggi dan kalium rendah
4. DNatrium rendah dan kalium tinggi

A nurse teaches a wheelchair user with a spinal cord injury about skin care. Which statement shows a need for further teaching?

1. A"I will use a mirror to check my bottom and heels every day."
2. B"I will keep my skin clean and dry."
3. C"I will shift my weight in the chair regularly."
4. D"I only need to check my skin when something hurts."

How is the height of an epidural sensory block usually checked?

1. AChecking the colour of the patient's urine
2. BTesting sensation to cold with ice or a cold spray
3. CMeasuring the patient's blood glucose level
4. DTapping the knee with a reflex hammer and recording the score

Seorang pesakit kanser paru-paru mengalami bengkak muka, vena leher mengembung dan sesak nafas yang bertambah teruk apabila berbaring. Kecemasan manakah yang berkemungkinan?

1. AEmbolisme pulmonari masif
2. BMampatan saraf tunjang
3. CHiperkalsemia akibat keganasan
4. DSekatan vena kava superior