Priorytetyzacja i delegowanie w stylu NCLEX: zestaw na powtórkę

Which telephone call should a clinic nurse return first?

1. AAn adult asking for a repeat prescription for a statin
2. BA parent of a 5-year-old with a runny nose for two days
3. CAn adult who wants to move a routine blood test appointment
4. DA parent of a 6-week-old with a temperature of 38,3 °C

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. APlacenta previa, which is usually painless
2. BPlacental abruption, which is an emergency
3. CNormal labor contractions starting
4. DA urinary tract infection

Which technique is used for suctioning a tracheostomy in hospital?

1. AClean technique, with the catheter rinsed in tap water
2. BSterile technique, with a sterile catheter and sterile glove
3. CClean technique, reusing the catheter during the shift
4. DNo gloves at all, because the airway already contains bacteria

Pielęgniarka zauważa, że nabrała niewłaściwy lek, ale uświadamia to sobie przed podaniem. Co powinna zrobić?

1. ANic nie mówić, ponieważ pacjent nie doznał szkody
2. BZgłosić tylko wtedy, gdy ta sama pomyłka powtórzy się na oddziale
3. CWyrzucić go, przygotować właściwy lek i zgłosić zdarzenie niemal niepożądane
4. DMimo to podać lek, skoro jest już nabrany

A patient's levothyroxine dose was changed today. When is the TSH usually rechecked?

1. AAfter about 24 hours
2. BAfter about 6–8 weeks
3. CAfter about 3 days
4. DAfter about 1 year

Pacjent w kwasicy ketonowej cukrzycowej ma potas 3,0 mEq/L, zanim rozpoczęto wlew insuliny. Czego powinna się spodziewać pielęgniarka?

1. ANajpierw uzupełnia się potas, a insulina czeka, aż stężenie będzie bezpieczne według protokołu
2. BInsulinę włącza się od razu z większą szybkością
3. CPłyny zatrzymuje się do czasu normalizacji potasu
4. DPotasu się nie uzupełnia, ponieważ insulina go podniesie

Which ECG change is typical of hypokalaemia?

1. AFlattened T waves and prominent U waves
2. BST elevation in leads II, III and aVF
3. CA very short PR interval with a delta wave
4. DTall, peaked T waves

Dlaczego stężonego chlorku potasu nigdy nie wolno podawać w szybkim wstrzyknięciu dożylnym?

1. ANie działa, gdy podany szybko
2. BKrystalizuje w żyle i zatyka kaniulę
3. CPowoduje natychmiastową niewydolność nerek
4. DMoże wywołać śmiertelne zaburzenia rytmu serca

Which feature of a COPD exacerbation most suggests that antibiotics are needed?

1. AA dry, tickly cough with no sputum at all for a day
2. BAn increase in purulent (green or yellow) sputum
3. CA clear runny nose
4. DA mild sore throat that lasted for one day only

Twelve hours after a coronary stent, a patient has sudden severe chest pain again with new ST elevation in the same leads. What is the most likely cause?

1. APericarditis from the catheter
2. BNormal pain from the procedure site
3. CIndigestion from the hospital meal
4. DAcute stent thrombosis

Why might a patient bleed more from the needle sites straight after haemodialysis?

1. ADialysis raises the blood pressure sharply for several hours
2. BThe fistula has been damaged and must be tied off
3. CHeparin is often used to stop the circuit from clotting
4. DDialysis removes all the platelets from the blood

A patient with Parkinson's disease is nil by mouth after abdominal surgery. Their levodopa is due. What is the best action?

1. AOmit the dose until the patient can swallow again
2. BGive double the dose once eating restarts
3. CGive the tablets with a sip of water anyway
4. DContact the prescriber or pharmacist about another route

Which factor can precipitate hepatic encephalopathy in a patient with cirrhosis?

1. AA low-salt diet
2. BConstipation
3. CRegular gentle walking
4. DA high fluid intake

Shortly after a spinal anaesthetic, a patient says their arms feel weak and it is hard to breathe, and the BP is falling. What is most likely?

1. AA high spinal block
2. BA normal spinal effect
3. CAn anxiety attack
4. DA post-dural puncture headache