Priorytetyzacja i delegowanie w stylu NCLEX: zestaw na powtórkę

Which postoperative patient should the nurse see first?

1. AWants help with washing her hair before her visitors arrive this afternoon
2. BDressing soaked with bright red blood and a heart rate rising to 118/min
3. CPain of 4/10 one hour after an oral analgesic
4. DAsking when the urinary catheter will be removed

A patient at 36 weeks of pregnancy has sudden severe abdominal pain, a hard, board-like uterus and dark vaginal bleeding. What should the nurse suspect?

1. APlacental abruption, which is an emergency
2. BA urinary tract infection
3. CNormal labor contractions starting
4. DPlacenta previa, which is usually painless

A patient has botulism after eating contaminated food. Which precautions are needed?

1. ADroplet precautions
2. BAirborne precautions
3. CContact precautions
4. DStandard precautions

A nurse has worked three long shifts in a row and feels exhausted. The manager asks the nurse to stay for another shift. What is the most appropriate response?

1. AAgree, but skip the independent medication checks to save energy on the shift
2. BExplain that fatigue would make care unsafe and decline the extra shift
3. CAgree and drink extra coffee to stay alert
4. DAgree without telling anyone about the fatigue

Który czynnik najprawdopodobniej zwiększy stężenie litu u pacjenta?

1. ASpożywanie większej niż zwykle ilości soli przez kilka dni
2. BPrzyjmowanie każdej dawki z posiłkiem zamiast przed nim
3. CPicie większej niż zwykle ilości płynów w upalną pogodę
4. DOdwodnienie lub nagłe zmniejszenie podaży sodu

A patient on lithium has had vomiting and diarrhea for 3 days and has been taking ibuprofen. They now have a coarse tremor and confusion. The lithium level is 2,2 mEq/L. What is the best interpretation and action?

1. AA low level; ask for the lithium dose to be raised
2. BLithium toxicity; hold lithium and report urgently
3. CIbuprofen side effects only; give it with food
4. DA normal level; continue lithium as prescribed

W trakcie wlewu dożylnego okolica kaniuli staje się obrzęknięta, chłodna i blada, a wlew zwalnia. Co jest prawdopodobne?

1. ANacieczenie płynem otaczającej tkanki
2. BZator powietrzny
3. CZapalenie żyły spowodowane bakteryjnym zakażeniem ściany żyły
4. DPrzeciążenie krążenia płynami

During a general anaesthetic, a patient develops a rapidly rising temperature, muscle rigidity and rising carbon dioxide levels. What should be suspected?

1. ANeuroleptic malignant syndrome from antipsychotics
2. BA normal response to surgery
3. CPostoperative infection
4. DMalignant hyperthermia

Which exercise advice is recommended for intermittent claudication?

1. ASupervised walking until pain is near maximal, then rest and repeat
2. BStopping walking at the very first twinge of pain each time
3. CComplete bed rest until the leg pain has gone for at least a month
4. DWalking only on days when the legs feel warm and painless

A patient with COPD who is known to retain CO₂ arrives on 15 L/min oxygen. They are now drowsy with SpO₂ 99%. What is the most appropriate action?

1. AReduce the oxygen to aim for 88–92% and get a blood gas
2. BGive a sedative to help the patient rest
3. CKeep the oxygen at 15 L/min because the saturation is excellent
4. DRemove the oxygen completely and observe

How do DPP-4 inhibitors such as sitagliptin work?

1. AThey replace insulin that the pancreas cannot make
2. BThey stop the gut from absorbing fat
3. CThey block glucose reabsorption in the kidney
4. DThey prolong the action of gut incretin hormones

Four patients had a minor head injury with no loss of consciousness and a GCS of 15. Which one most needs a CT scan of the head?

1. AA 25-year-old with a small scalp graze after a fall
2. BA 40-year-old with a mild headache that is improving
3. CA 78-year-old who takes warfarin for atrial fibrillation
4. DA 30-year-old who bumped their head on a cupboard door

Dysphagia that started with solids and now includes liquids, with weight loss, most suggests which cause?

1. AA dry mouth from drinking too little water
2. BA narrowing such as an oesophageal tumour
3. CSimple anxiety about swallowing tablets
4. DNormal ageing of the swallowing muscles

A patient is splashed in the eye with an alkaline cleaning product. What is the first action?

1. AAdd a few drops of vinegar to neutralise it
2. BCover the eye with a pad and wait for a doctor to examine it first
3. CAsk the patient to rub the eye to clear it
4. DIrrigate the eye at once with large volumes of water or saline