Pemberian Keutamaan & Delegasi Gaya NCLEX: pek ulang kaji kilat

A nurse teaches a patient about levothyroxine. Which statement shows a need for further teaching?

1. A“I will take it at the same time each morning.”
2. B“I will keep taking it even when I feel well.”
3. C“I will take it at breakfast with my calcium tablet.”
4. D“I will take it on an empty stomach with a glass of water.”

Di unit pembedahan, pesakit pascaoperasi manakah yang patut dilihat dahulu oleh jururawat?

1. A6 jam selepas endarterektomi karotid: bengkak leher bertambah, berkata sukar menelan
2. BSelepas pembedahan prostat dengan pengairan pundi kencing: air kencing merah jambu muda, tiada ketulan
3. C2 hari selepas penggantian pinggul: kesakitan 5/10 semasa bergerak, analgesik diberi 1 jam lalu
4. D2 hari selepas pembentukan kolostomi: stoma lembap dan merah jambu, sedikit keluaran

Semasa memakai sarung tangan steril, bagaimanakah jururawat memakai sarung tangan kedua?

1. ASelitkan jari bersarung di bawah kolar sarung tangan kedua dan tarik memakainya
2. BGunakan tangan kosong untuk melaraskan bahagian luar sarung tangan pertama
3. CPegang bahagian dalam sarung tangan kedua dengan tangan bersarung
4. DTarik sarung tangan kedua pada hujung jarinya, menggunakan tangan kosong

A patient is on contact precautions. Which task is appropriate for the nurse to delegate to assistive personnel?

1. AHelping the patient bathe while wearing a gown and gloves
2. BAssessing the wound for new signs of infection during the bath
3. CDeciding when the precautions can be stopped
4. DTeaching the family how to follow the precautions

Bagaimanakah kalsium glukonat IV membantu pesakit dengan hiperkalemia teruk?

1. AIa menstabilkan membran sel jantung tanpa menurunkan kalium
2. BIa mengikat kalium dalam usus supaya dikeluarkan dalam najis
3. CIa memindahkan kalium daripada darah ke dalam sel
4. DIa meningkatkan perkumuhan kalium oleh buah pinggang

The nurse teaches a patient about the HbA1c test. Which statement shows a need for further teaching?

1. A"My daily finger-stick readings still matter between the tests"
2. B"The test shows my average glucose over the past few months"
3. C"A lower result means less risk of damage to my eyes and kidneys"
4. D"I must not eat anything for 12 hours before the HbA1c test"

Gangguan elektrolit manakah yang paling berbahaya bagi rentak jantung?

1. AKlorida tinggi
2. BKalium tinggi atau rendah
3. CFosfat rendah
4. DNatrium rendah

Why can sepsis be missed in older adults?

1. ABlood tests are not useful in older people
2. BThey may have no fever and present with confusion, falls or reduced mobility
3. COlder adults always have a very high fever
4. DOlder adults cannot develop sepsis because their immune system is weaker

A patient has a heart rate of 36/min with hypotension and dizziness. Which drug is usually the first choice?

1. AIntravenous adenosine
2. BOral bisoprolol
3. CIntravenous amiodarone
4. DIntravenous atropine

Seconds after an intramuscular injection, a patient becomes pale, sweaty and faint, with a heart rate of 48/min. There is no rash, wheeze or swelling, and they recover quickly when laid flat. What is the most likely cause?

1. AA myocardial infarction
2. BA tension pneumothorax
3. CA vasovagal reaction
4. DAnaphylaxis

Which statement about storing insulin is correct?

1. AInsulin should be kept on a sunny windowsill to stay warm
2. BInsulin that has been frozen can be used once it has thawed
3. CAll insulin must be stored in the freezer to keep it stable
4. DUnopened insulin goes in the fridge and must never be frozen

Two days after a spinal cord injury, a patient has a swollen abdomen, no bowel sounds and is vomiting. What is most likely, and what is the nursing action?

1. ANormal constipation, so give a large meal to stimulate the bowel
2. BAn allergic reaction to food, so give an antihistamine
3. CA full bladder, so encourage oral fluids
4. DParalytic ileus, so keep nil by mouth and prepare for an NG tube

Mengapakah urea mungkin meningkat jauh lebih banyak daripada kreatinin pada pesakit pendarahan GI atas?

1. AUrea dihasilkan oleh lapisan perut yang berdarah
2. BPendarahan sentiasa merosakkan tubul buah pinggang secara langsung
3. CKreatinin hilang daripada badan dalam muntah
4. DDarah yang dihadam ialah beban protein yang meningkatkan urea

An immobile patient on opioids drinks very little. Which laxative choice is least appropriate?

1. AAn osmotic laxative such as a macrogol
2. BA bulk-forming laxative used on its own
3. CA stool softener with a stimulant laxative
4. DA stimulant laxative taken regularly