Priorytetyzacja i delegowanie w stylu NCLEX: zestaw na powtórkę

The day after a total thyroidectomy, a patient reports tingling around the mouth and in the fingers. What should the nurse do first?

1. AGive the patient’s routine oral iron supplement early
2. BReassure the patient that this is normal after neck surgery
3. CCheck for signs of low calcium and inform the provider
4. DEncourage deep breaths into a paper bag until it passes

A patient is admitted with inhalational anthrax. Which precautions are needed?

1. AFull contact and droplet precautions for all staff and visitors on the unit
2. BDroplet precautions with a surgical mask for everyone who enters
3. CAirborne precautions in a negative-pressure room for the whole of the hospital stay
4. DStandard precautions, because it does not usually spread from person to person

Jaki jest cel zapisu „Tall Man”, jak w hydrOXYzine i hydrALAZINE?

1. AUłatwienie odróżniania podobnie brzmiących nazw leków
2. BWskazanie, który z dwóch leków jest lekiem wysokiego ryzyka
3. CWskazanie mocy leku
4. DOznaczenie nazwy handlowej

A nurse teaches a patient who has had a splenectomy. Which statement shows a need for further teaching?

1. A“I will tell all of my health care providers that I have no spleen.”
2. B“I will get medical help quickly if I get a high temperature.”
3. C“I will keep my vaccinations up to date.”
4. D“Now that my spleen is out, a fever is nothing to worry about.”

A patient with recurrent gout starts allopurinol. Which laboratory result shows that the treatment is achieving its goal?

1. AA rising white cell count
2. BA falling serum uric acid
3. CA falling serum potassium
4. DA rising serum calcium

A patient with chronic kidney disease stage 4 has a high phosphate, a low-normal calcium and a very high parathyroid hormone (PTH). What does this show?

1. APrimary hyperparathyroidism from a tumor
2. BHypoparathyroidism after neck surgery
3. CVitamin D toxicity from supplements
4. DSecondary hyperparathyroidism from CKD

In suspected sepsis, what should ideally be collected before the first dose of antibiotics, as long as it does not delay treatment?

1. ABlood cultures
2. BA 24-hour urine collection
3. CA fasting cholesterol level
4. DA stool sample for occult blood

Pacjent po operacji brzusznej nie oddał moczu od ośmiu godzin, odczuwa dyskomfort w podbrzuszu, a pęcherz jest wyczuwalny. Jaki jest najbardziej prawdopodobny problem?

1. AZakażenie układu moczowego bez zatrzymania moczu
2. BOstre zatrzymanie moczu
3. CWyłącznie odwodnienie
4. DOstre uszkodzenie nerek bez wytwarzania moczu

A patient on ramipril is to start sacubitril/valsartan for heart failure. What is the key safety point?

1. AThe ACE inhibitor dose should be doubled during the change
2. BSacubitril/valsartan is safe to start on the same morning
3. CThe ACE inhibitor must be stopped first, with a gap before starting
4. DBoth drugs should be taken together each day for the best effect

A patient with life-threatening asthma has not responded to repeated nebulised salbutamol (albuterol), ipratropium and steroids. Which drug is commonly given intravenously next?

1. AMetoprolol
2. BMorphine
3. CMagnesium sulfate
4. DIntravenous furosemide

Where is the zero point of an external ventricular drain usually levelled?

1. AAt the mid-axillary line of the chest
2. BAt the top of the head
3. CAt the tragus of the ear
4. DAt the level of the umbilicus

A patient's corrected calcium is 1,7 mmol/L (about 6,8 mg/dL). Which ECG change is most typical?

1. AST elevation in all leads
2. BA prolonged QT interval
3. CA shortened QT interval
4. DTall, peaked T waves

Which practice is correct when giving parenteral nutrition through a central line?

1. AGive other IV drugs through the same lumen to save time
2. BLet the bag hang at room temperature for several days
3. CUse a dedicated lumen and strict aseptic technique
4. DDisconnect and reconnect the line without cleaning the hub

A worker has a hydrofluoric acid burn on the hand and severe pain. After irrigation with water, which specific treatment is commonly applied?

1. ACalcium gluconate gel
2. BSodium bicarbonate paste
3. CIce cubes wrapped in a cloth
4. DSilver sulfadiazine cream