Prioriteren en delegeren in NCLEX-stijl: samenvattingspakket

A patient with asthma uses a peak flow meter. A reading below 50% of personal best is in the red zone. Which statement shows correct understanding?

1. A“I will stop all my inhalers until the reading is back up.”
2. B“I will use my reliever inhaler and get emergency help straight away.”
3. C“I will go for a short run to open up my lungs.”
4. D“I will wait until tomorrow morning to see if the reading gets better on its own.”

Which patient is the most appropriate to assign to an LPN/LVN?

1. AA patient who has just arrived from the emergency department with pneumonia and confusion
2. BA patient with a tracheostomy placed this morning who is coughing up blood
3. CA patient with a long-standing tracheostomy who needs routine suctioning and care
4. DA patient on a new IV medication that needs frequent titration

How should a nurse handle soiled bed linen?

1. ACarry it bundled against the body to the soiled utility room down the hall
2. BPut it on the floor until the bed is made
3. CShake it out first to check for lost items
4. DHold it away from the uniform and place it straight into a linen bag

A nurse cannot find a confused patient who was in their room 15 minutes ago. What should the nurse do first?

1. AAlert staff and security at once, following the missing-patient procedure
2. BWait an hour in case the patient comes back
3. CCall the family to ask whether the patient has gone home on their own
4. DDocument the absence at the end of the shift

Een patiënt met een ventriculaire ritmestoornis toont een draaiend patroon (torsades de pointes) op de monitor. Welke elektrolyt wordt gewoonlijk intraveneus als behandeling gegeven?

1. ANatriumbicarbonaat
2. BCalciumcarbonaat
3. CMagnesiumsulfaat
4. DKaliumfosfaat

A health care worker's hepatitis B tests show: HBsAg negative, anti-HBs positive, anti-HBc positive. What does this mean?

1. AImmunity from vaccination only, never infected
2. BCurrent chronic hepatitis B infection
3. CPast infection that has resolved, with immunity
4. DNot immune and never exposed to the virus

A patient receives IV furosemide for fluid overload. Which findings show the treatment is working?

1. AFalling urine output, new ankle swelling and a rise in weight
2. BA rise in blood pressure and a new cough
3. CA rise in weight and more lung crackles
4. DIncreased urine output, less breathlessness and a falling weight

A nurse teaches a patient with hypertension about their medicines. Which statement shows a need for further teaching?

1. A"I'll get up slowly from sitting."
2. B"I'll stop my tablets once my readings are normal."
3. C"I'll keep taking my tablets even if I feel well."
4. D"I'll have my blood pressure checked regularly."

Wat is de ejectiefractie?

1. ADe druk in de linkerkamer aan het einde van de diastolische vulling
2. BHet percentage bloed in de ventrikel dat bij elke hartslag wordt uitgeworpen
3. CHet volume bloed dat bij elke hartslag wordt uitgepompt
4. DHet volume bloed dat het hart elke minuut rondpompt

A patient taking ramipril and indapamide for hypertension starts regular ibuprofen for back pain. A week later, creatinine has risen sharply. What is the most likely cause?

1. ABack pain causing kidney damage
2. BIbuprofen raising the blood pressure to levels that damage the kidneys
3. CAn ACE inhibitor, diuretic and NSAID together reducing kidney perfusion
4. DAn allergic reaction to the diuretic causing inflammation of the kidney

When the nurse squeezes the trapezius muscle, the patient brings a hand up above the collarbone towards the stimulus. Which GCS motor score is this?

1. A4, withdraws from pain
2. B5, localises to pain
3. C3, abnormal flexion
4. D6, obeys commands

A patient is being assessed for brain death (brainstem death). Which condition must be excluded before testing?

1. AEffects of sedative drugs or severe hypothermia
2. BA previous episode of migraine
3. CA haemoglobin of 110 g/L (11 g/dL)
4. DA history of high blood pressure

What is a Curling's ulcer?

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

A patient arrives in the anaesthetic room without an identity band. What should the nurse do?

1. AProceed because the patient can say their name
2. BStop and confirm identity, then apply a band
3. CUse the spare identity band from the front of the patient's notes folder
4. DProceed and add a band once in recovery