Priorytetyzacja i delegowanie w stylu NCLEX: zestaw na powtórkę

An Rh-negative mother has just given birth to an Rh-positive baby. What does the nurse expect to give the mother?

1. ARh immunoglobulin within 72 hours
2. BNo treatment is needed
3. CA dose of the hepatitis B vaccine instead
4. DVitamin K to the mother

A patient with diabetic ketoacidosis is about to start an IV insulin infusion. The serum potassium is 3,0 mEq/L. What should the nurse do?

1. AStart the insulin at once, because the glucose is the bigger problem
2. BIgnore the result, since potassium is always high in this condition and will correct itself
3. CReport the result before starting, because insulin will push potassium even lower
4. DGive the insulin as a fast bolus to bring the potassium up

A patient with difficulty swallowing is prescribed an extended-release tablet. What should the nurse do?

1. ADissolve the tablet in a glass of hot water
2. BCut the tablet in half so it is easier to swallow
3. CAsk the prescriber or pharmacist for another form and not crush the tablet
4. DCrush the tablet finely and mix it into a spoonful of applesauce or yogurt

A nurse floated to an unfamiliar unit is asked to manage a device they have never been trained to use. What should the nurse do?

1. AAsk the patient or the family to explain how the device works
2. BLeave the device untouched and not tell anyone
3. CDo it anyway, using only the device manual and the instructions on the screen
4. DTell the charge nurse and ask for help or a change of assignment

W jaki sposób dożylny glukonian wapnia pomaga pacjentowi z ciężką hiperkaliemią?

1. AStabilizuje błony komórek serca bez obniżania potasu
2. BZwiększa wydalanie potasu przez nerki
3. CPrzesuwa potas z krwi do komórek
4. DWiąże potas w jelicie, aby został wydalony ze stolcem

Po chemioterapii szybko rosnącego chłoniaka, który układ wyników sugeruje zespół lizy guza?

1. APrawidłowe elektrolity z wysoką hemoglobiną
2. BNiski potas, niskie fosforany, niski kwas moczowy i podwyższony wapń
3. CWysoki potas, wysokie fosforany, wysoki kwas moczowy i niski wapń
4. DWyłącznie wysoki sód i niska glukoza

Why are people with diabetes advised to have regular eye screening?

1. ATo detect diabetic retinopathy early, before sight is lost
2. BTo measure their blood glucose through the eye
3. CTo check whether they need reading glasses for close work
4. DTo prevent conjunctivitis

A few hours after cardiac surgery, a patient has low blood pressure, a raised jugular venous pressure and quiet, muffled heart sounds. What should be suspected?

1. APneumonia
2. BHypovolaemia from dehydration
3. CHyperkalaemia
4. DCardiac tamponade

A patient with heart failure takes furosemide once a day. When is the best time to take it?

1. AJust before the evening meal, with a large drink
2. BAt bedtime, so the effect lasts through the night
3. CWhenever the ankles look swollen, on those days only
4. DIn the morning, to avoid needing the toilet at night

Four hours after abdominal surgery, a patient's heart rate has risen from 84 to 122/min and they are restless and pale. BP is still 118/76 mmHg, and the surgical drain is filling with blood. What should the nurse conclude?

1. AThe tachycardia is from pain and needs only analgesia
2. BEarly haemorrhagic shock is likely, so escalate urgently
3. CThe patient is stable because the blood pressure is normal
4. DThe drain is working well, so no action is needed

In the first trimester of pregnancy, why is propylthiouracil often preferred to carbimazole for hyperthyroidism?

1. ACarbimazole cannot cross into the mother's blood
2. BCarbimazole has a higher risk of birth defects early on
3. CPropylthiouracil has no side effects at all
4. DPropylthiouracil works faster than any other drug

During a TURP, a patient becomes confused and nauseated, with a slow pulse and a raised BP. The sodium is 121 mmol/L. What is most likely?

1. AHypoglycaemia from fasting for many hours before surgery
2. BTURP syndrome from absorbed irrigation fluid
3. CA normal reaction to the spinal anaesthetic
4. DAn allergic reaction to the catheter

A patient on enteral feeding develops diarrhoea. What should the nurse review first?

1. AThe medicine chart, including laxatives and antibiotics
2. BThe colour of the feeding bag label
3. CThe patient's eye drops and skin creams
4. DThe patient's mobility aids and walking distance

After forearm fracture surgery, a patient has severe pain not eased by opioids, made worse by passively moving the fingers. What should the nurse do?

1. AApply ice and a tighter bandage to reduce the swelling
2. BRaise the arm as high as possible and give a further dose of opioid
3. CLoosen any tight dressing, keep the arm at heart level and escalate
4. DReassure the patient that this pain is expected