Pemberian Keutamaan & Delegasi Gaya NCLEX: pek ulang kaji kilat

A patient has a reddened area on the sacrum that does not blanch when pressed. What is the priority action?

1. AApply a heat pad to the area to increase circulation
2. BRelieve pressure on the area by changing position regularly
3. CMassage the area firmly to improve the blood flow to the skin
4. DKeep the patient lying on the back to protect the area

An RN sees an LPN/LVN crushing an extended-release metoprolol tablet to mix with applesauce. What should the RN do?

1. AStop the LPN/LVN and contact the prescriber or pharmacist about another form
2. BTell the LPN/LVN to give half of the crushed tablet now and the other half at lunchtime
3. CReport the LPN/LVN at the end of the month without saying anything now
4. DLet the LPN/LVN continue, since crushing makes the tablet easier to swallow

Dua pesakit yang dijangkiti organisma yang sama dimasukkan ke wad, dan tiada bilik tunggal tersedia. Apakah pilihan yang diterima?

1. AMengelompokkan mereka dalam bilik yang sama, mengikut nasihat kawalan jangkitan
2. BMenempatkan setiap seorang bersama pesakit yang sistem imunnya lemah
3. CMenempatkan mereka di koridor
4. DMenghentikan langkah berjaga-jaga sentuhan

A nurse teaches parents about firearm safety at home. Which statement shows a need for further teaching?

1. A“We will ask other parents about guns before play dates.”
2. B“We store the gun unloaded in a locked safe in the bedroom.”
3. C“We keep all the ammunition locked away separately from the gun.”
4. D“We keep the gun loaded in the nightstand, and the children know not to touch it.”

A patient with iron-deficiency anemia started oral iron. Which result is usually the earliest sign that treatment is working?

1. AA fall in the white cell count
2. BA fall in the mean cell volume (MCV)
3. CA rise in the platelet count
4. DA rise in the reticulocyte count

Seorang pesakit mengambil overdos asetaminofen (parasetamol) yang besar 24 jam lalu. Perubahan makmal manakah yang paling dijangka?

1. AALT dan AST yang sangat tinggi dan INR yang meningkat
2. BKiraan sel darah putih yang rendah dengan ujian hati yang normal
3. CALT dan AST yang rendah dan INR yang rendah
4. DTroponin yang tinggi dengan ALT yang normal

A dying patient can no longer drink and has a dry mouth. What is the most appropriate nursing care?

1. AStarting a fast intravenous infusion to correct the dryness
2. BInserting a nasogastric tube for fluids
3. CLeaving the mouth alone to avoid disturbing them
4. DFrequent mouth care that keeps the lips and mouth moist

Pesakit yang menerima vankomisin IV mengalami muka merah padam dan ruam merah gatal pada muka dan leher semasa infusi pantas. Apakah punca dan tindak balas yang paling mungkin?

1. ATerbakar matahari; sapu krim dan teruskan
2. BKegagalan hati; hentikan semua ubat secara kekal
3. CTindak balas berkaitan infusi; hentikan atau perlahankan infusi dan maklumkan pemreskripsi
4. DTindak balas normal; tingkatkan kadar infusi

Why must anti-embolism stockings be measured and fitted correctly?

1. ALoose stockings make the patient's legs too warm at night
2. BPoorly fitting stockings can cause pressure damage
3. CCorrect fit is needed only to improve the appearance
4. DTight stockings work better, so the smallest size is always best

Seorang pesakit COPD dengan pelitup muka Venturi 28% (SpO₂ 90%) ingin makan. Apakah pelan yang paling sesuai?

1. ABertukar kepada pelitup muka bukan-sedut-semula pada 15 L/min semasa makan
2. BMengekalkan pelitup muka Venturi dan memberikan cecair sahaja melalui straw
3. CMengeluarkan semua oksigen semasa makan dan memasangnya semula selepas itu
4. DBertukar kepada kanula hidung pada aliran rendah, mengekalkan SpO₂ pada 88–92%

A patient uses a continuous glucose monitor. Which statement is correct?

1. AIt makes finger-prick checks unnecessary in every situation
2. BIt reads glucose in fluid under the skin, a little behind blood glucose
3. CIt measures glucose directly in the blood every second of the day
4. DIt works by giving small doses of insulin automatically

Hiponatremia kronik seorang pesakit dibetulkan daripada 115 kepada 132 mmol/L dalam 24 jam. Dua hari kemudian mereka mengalami pertuturan pelat, kesukaran menelan dan kelemahan anggota. Apakah punca yang paling mungkin?

1. APemulihan normal daripada hiponatremia
2. BHipoglisemia akibat pengambilan makanan yang lemah
3. CStrok baharu yang tidak berkaitan dengan natrium
4. DSindrom demielinasi osmotik

What is a Curling's ulcer?

1. AA leg ulcer caused by venous disease after long bed rest
2. BA pressure ulcer under a splint that has been left on too long
3. CA stress ulcer of the stomach or duodenum after a major burn
4. DA burn on the sole of the foot

A bag of parenteral nutrition runs out and the next one will not arrive for several hours. Which risk should the nurse anticipate?

1. ARaised intracranial pressure
2. BSevere hyperkalaemia
3. CAcute urinary retention
4. DRebound hypoglycaemia