Pemberian Keutamaan & Delegasi Gaya NCLEX: pek ulang kaji kilat

A patient is admitted with diabetic ketoacidosis. Which prescribed treatment is usually started first?

1. AIV isotonic fluid such as 0.9% sodium chloride
2. BOral potassium tablets
3. CSubcutaneous long-acting insulin only, given once
4. DA high-carbohydrate meal

Tugasan kepada LPN/LVN manakah yang paling sesuai?

1. APesakit yang dipindahkan dari rawatan rapi sejam lalu
2. BPesakit COPD yang stabil yang memerlukan bronkodilator nebulisasi berjadual dan ubat oral
3. CPesakit yang memerlukan pengajaran discaj untuk warfarin yang baru dimulakan
4. DPesakit dengan fibrilasi atrium baharu yang baru memulakan infusi diltiazem IV

A patient has a non-violent restraint. In most nursing policies, how often at minimum is it released for range of motion, toileting and skin care?

1. AOnly when the patient asks for it
2. BOnce every 12-hour shift
3. CAt least every 2 hours
4. DOnce a day, during the bath

An IV bag from the pharmacy holds the correct drug, but the label shows another patient’s name. What should the nurse do?

1. ACross out the name and write in the correct patient’s name
2. BAsk the patient whether it is fine to use the bag
3. CNot hang it, and get a correctly labeled bag from the pharmacy
4. DHang it, because the drug and dose are correct

How does normal pregnancy usually affect serum creatinine?

1. AIt stays exactly the same
2. BIt rises, because GFR falls
3. CIt falls, because GFR rises
4. DIt rises with every week

A patient's potassium is 7.2 mEq/L, and the monitor shows wide QRS complexes. Several treatments are prescribed. Which should be given first?

1. AAn oral potassium binder dose
2. BIV calcium gluconate (or chloride)
3. CIV furosemide (a loop diuretic)
4. DUrgent hemodialysis session

Ubat manakah yang digunakan untuk membalikkan heparin tak terpecah?

1. AVitamin K (fitomenadion)
2. BFlumazenil
3. CProtamin sulfat
4. DNalokson

Which sign is often a late finding in hypovolaemic shock in a young, previously fit adult?

1. AA fall in blood pressure
2. BCool peripheries
3. CA slightly raised respiratory rate
4. DA rise in heart rate

Where is the V1 electrode placed for a 12-lead ECG?

1. AThe fifth intercostal space in the mid-axillary line
2. BThe fourth intercostal space just right of the sternum
3. CJust below the left collarbone
4. DOver the left nipple

A patient with lung cancer develops swelling of the face and arms, distended neck and chest veins and breathlessness that is worse when bending forward. What is the most likely cause?

1. ARight-sided heart failure
2. BAn allergic reaction to chemotherapy
3. CA deep vein thrombosis in the leg
4. DSuperior vena cava obstruction

Mengapakah pesakit ditimbang sebelum dan selepas setiap sesi hemodialisis?

1. AUntuk mengira dos setiap ubat untuk minggu yang akan datang
2. BKerana mesin tidak boleh dimulakan tanpa berat
3. CUntuk menyemak penurunan berat badan akibat malnutrisi
4. DUntuk melihat berapa banyak cecair disingkirkan dan memandu berat kering

Which patient with a spinal cord injury is at risk of autonomic dysreflexia?

1. AA patient with an injury at L5
2. BA patient with an injury at S2
3. CA patient with an injury at T4
4. DA patient with an injury at L3

A day after a spinal anaesthetic, a patient has a headache that is worse when sitting up and better when lying flat. What is the most likely cause?

1. ARaised blood pressure from pain
2. BA side effect of the antibiotic
3. CMigraine caused by hospital lighting
4. DPost-dural puncture headache

On day 5 after hip surgery, a patient suddenly becomes breathless, with sharp chest pain on breathing in, a pulse of 120/min and SpO₂ 89%. What should the nurse suspect and do first?

1. AAnxiety; give reassurance and repeat the observations in an hour's time
2. BPulmonary embolism; sit up, give oxygen and call for urgent help
3. CSimple atelectasis; encourage walking around the ward
4. DWound infection; take a wound swab and wait for results