Prioriteren en delegeren in NCLEX-stijl: samenvattingspakket

Een verpleegkundige delegeert het meten van de bloedglucose aan een getrainde assistent maar vraagt nooit om de uitslag. Welk juist punt van delegeren ontbreekt?

1. AJuiste persoon voor de taak
2. BJuiste taak voor de setting
3. CJuiste omstandigheid
4. DJuist toezicht en evaluatie

During surgery under general anesthesia, a patient develops rising end-tidal carbon dioxide, muscle rigidity and a rapidly increasing temperature. Which drug should the nurse anticipate?

1. AAtropine
2. BDantrolene
3. CFlumazenil
4. DNaloxone

Hair must be removed from a planned surgical site. Which method reduces the risk of surgical site infection?

1. AUsing wax strips on the morning of surgery
2. BClipping with electric clippers just before surgery
3. CShaving with a razor just before the incision
4. DShaving with a disposable razor the night before surgery

A nurse calculates a child’s prescribed dose and finds it is ten times higher than the usual dose for the child’s weight. What should the nurse do?

1. AGive it, because the prescriber must have a reason
2. BGive half the dose and watch the child closely
3. CHold the dose and verify it with the prescriber and pharmacist
4. DGive one-tenth of the dose without telling anyone about it

A stable adult who is not bleeding receives one unit of packed red cells. By about how much is the hemoglobin expected to rise?

1. AAbout 5 g/dL (50 g/L)
2. BAbout 3 g/dL (30 g/L)
3. CAbout 0,1 g/dL (1 g/L)
4. DAbout 1 g/dL (10 g/L)

Het totaal calcium van een patiënt is 7,9 mg/dL (2,0 mmol/L), met een albumine van 2,4 g/dL (24 g/L) en zonder klachten. Welke test verduidelijkt het best of er echte hypocalciëmie is?

1. AEen serumnatrium
2. BEen HbA1c
3. CEen geïoniseerd calcium
4. DEen soortelijk gewicht van de urine

Which adverse effects should be monitored for in a patient receiving IV gentamicin?

1. AKidney damage and hearing loss
2. BHyperglycaemia and tremor
3. CConstipation and urinary retention
4. DHair loss and weight gain

Een patiënt met een acute maag-darmbloeding heeft een hartfrequentie van 120/min en een bloeddruk van 90/60 mmHg. Wat heeft na het inroepen van hulp verpleegkundige prioriteit?

1. ADe patiënt aanmoedigen alleen naar de badkamer te lopen
2. BWachten met handelen tot de kleur van de ontlasting is gecontroleerd
3. CEen iv-toegang met grote diameter zorgen en vocht- of bloedsuppletie voorbereiden
4. DEen grote maaltijd geven om energie aan te vullen

A woman had lymph nodes removed from her left armpit for breast cancer. Which advice helps reduce the risk of lymphoedema?

1. AUse only the left arm for heavy lifting to build up its muscles
2. BAvoid BP cuffs and injections on the left arm where possible
3. CKeep the left arm hanging down and as still as possible all day
4. DApply tight jewellery to the left wrist

A ventilated patient is coughing, and the high-pressure alarm sounds. Coarse sounds are heard over the trachea. What should the nurse do first?

1. ADeflate the endotracheal tube cuff fully
2. BTurn the alarm off and reassess the patient in an hour
3. CAssess the patient and suction if secretions are present
4. DIncrease the tidal volume on the ventilator to overcome it

Why is all urine strained in a patient with suspected kidney stones?

1. ATo stop the stone from blocking the toilet
2. BTo measure the urine volume more accurately
3. CTo remove blood clots before testing
4. DTo catch the stone so it can be analysed

A patient with diabetic neuropathy has a hot, red, swollen foot that is barely painful. The skin is intact, and there is no fever. What should the nurse suspect?

1. AAn acute Charcot foot, needing urgent offloading
2. BNormal swelling from standing too long
3. CGout, which only needs pain relief
4. DA sprained ankle that will settle with walking

Which statement correctly describes physical dependence on opioids?

1. AThe patient always craves the drug and misuses it despite harm
2. BThe drug no longer has any side effects
3. CThe patient is allergic to opioids
4. DWithdrawal occurs if the drug is stopped suddenly

After signing the consent form, a patient tells the nurse, "I don't really understand what they are going to do." What should the nurse do?

1. AExplain the surgical risks in detail without involving the surgeon
2. BInform the surgeon so that the procedure can be explained again
3. CIgnore the comment because the form is already signed
4. DReassure the patient that the surgeon knows best