Pemberian Keutamaan & Delegasi Gaya NCLEX: pek ulang kaji kilat

A nurse takes a telephone order from a provider. What must the nurse do?

1. ACarry out the order first and ask the provider to confirm it later
2. BAsk the ward clerk to take the order on the nurse’s behalf instead
3. CWrite the order down and read it back to the provider to confirm it
4. DRemember the order and write it in the chart at the end of the shift

A patient with diabetes is sweaty and confused, and no glucose meter is available. The patient can swallow. What should the nurse do?

1. AWithhold all food and fluids until a meter is found
2. BAsk the patient to lie down and sleep it off
3. CTreat for hypoglycemia with fast-acting oral carbohydrate
4. DGive a dose of rapid-acting insulin in case the glucose is high

Apakah tujuan huruf “Tall Man”, seperti dalam hydrOXYzine dan hydrALAZINE?

1. AUntuk menandakan nama jenama
2. BUntuk menunjukkan yang mana satu daripada dua ubat itu ialah ubat berisiko tinggi
3. CUntuk memudahkan nama ubat yang kelihatan serupa dibezakan
4. DUntuk menunjukkan kekuatan ubat

A newly hired nurse has these hepatitis B results: HBsAg negative, anti-HBs positive, anti-HBc negative. What do they show?

1. AImmunity from hepatitis B vaccination
2. BNo immunity, so the vaccine is needed
3. CPast infection that has now cleared
4. DA current hepatitis B infection

A woman who is 30 weeks pregnant has a new blood pressure of 152/98 mm Hg. Which urine finding would most support preeclampsia?

1. ANitrites in the urine
2. BKetones in the urine
3. CGlucose in the urine
4. DProtein in the urine

A patient without symptoms has a finger-stick glucose of 340 mg/dL (18.9 mmol/L). The previous values were normal, and the patient has just peeled an orange. What should the nurse do first?

1. AGive a correction dose of insulin for a glucose of 340 mg/dL
2. BReport the result as a new diagnosis of diabetes mellitus
3. CAsk the laboratory to measure HbA1c from the same drop of blood
4. DHave the patient wash and dry their hands, then repeat the test

A patient with DKA has an arterial blood gas showing a low pH and a low bicarbonate. Which disturbance is this?

1. AMetabolic acidosis
2. BMetabolic alkalosis
3. CRespiratory alkalosis
4. DRespiratory acidosis

Seorang pesakit yang menerima infusi heparin mengalami penurunan mendadak kiraan platelet lima hari selepas bermula. Apakah yang patut disyaki?

1. ATindak balas normal terhadap heparin
2. BKekurangan vitamin K akibat pengambilan makanan yang kurang
3. CAnemia kekurangan zat besi
4. DTrombositopenia akibat heparin (HIT)

A patient's blood pressure is 120/60 mmHg. What is the approximate mean arterial pressure?

1. A90 mmHg
2. B80 mmHg
3. C100 mmHg
4. D60 mmHg

A patient with infective endocarditis is on IV gentamicin with another antibiotic. Which monitoring is most important?

1. ABlood glucose only
2. BDrug levels, renal function and hearing or balance changes
3. CLiver size by daily palpation and weekly abdominal ultrasound
4. DPeak flow readings and spirometry before and after each dose

A nurse is teaching a patient going home after a mild concussion. Which statement shows a need for further teaching?

1. A"Someone will stay with me for the first night."
2. B"I will come back if I start vomiting again and again."
3. C"I will return if my headache gets steadily worse."
4. D"A few drinks tonight will help me relax and sleep."

Antara pesakit strok iskemia akut ini, siapakah yang paling kurang berkemungkinan layak untuk trombolisis IV?

1. APesakit yang tekanan darahnya 170/95 mmHg
2. BPesakit yang imbasan CT-nya tidak menunjukkan tanda pendarahan intrakranial
3. CPesakit yang gejalanya bermula 90 minit lalu
4. DPesakit yang menjalani pembedahan abdomen besar lima hari lalu

Which lung problem is a known toxicity of bleomycin?

1. APulmonary fibrosis
2. BAsthma from pollen
3. CLung cancer within weeks
4. DPneumothorax from coughing

Peraturan keselamatan manakah yang terpakai kepada vinkristin?

1. AIa paling baik diberikan sebagai tolakan IV pantas ke dalam vena kecil
2. BIa biasanya diberikan secara intratekal bersama ubat tulang belakang lain
3. CIa boleh diberikan melalui mana-mana laluan yang diutamakan oleh pempreskripsi
4. DTidak sekali-kali intratekal; dibekalkan dalam beg mini untuk kegunaan IV sahaja