Priorytetyzacja i delegowanie w stylu NCLEX: zestaw na powtórkę

Which patient should the RN see first after receiving a report from the night nurse?

1. ADay 3 after bowel surgery, wants a shower and hair wash before breakfast
2. BDay 4 after bowel surgery, waiting for discharge teaching
3. CDay 2 after bowel surgery, asking to start a soft diet
4. DDay 1 after bowel surgery, new chest pain and heart rate 110/min

An older patient has bruises of different ages and seems frightened when a relative visits. What is the nurse’s priority?

1. ATell the patient she must leave home and go to live somewhere else
2. BAsk the relative directly in front of the patient whether they hit her
3. CIgnore it, because older people bruise easily
4. DEnsure the patient’s safety, document the findings and report as required

A parent says, “I tell my son his medicine is candy so he takes it.” What should the nurse teach?

1. ADo not call medicine candy, because the child may take it when no one is watching
2. BIt is fine as long as the medicine is kept in the fridge
3. CThis is a good idea and makes giving medicine easier
4. DIt only matters for medicines that taste bitter or are hard to swallow

Pacjent z zamkniętym implantem radioaktywnym zgłasza, że implant wypadł na łóżko. Co powinna zrobić pielęgniarka?

1. ADługimi szczypcami umieścić go w ołowianym pojemniku
2. BPodnieść go ręką w rękawiczce i wyrzucić do odpadów medycznych
3. CZostawić go na łóżku do przybycia zespołu radiologicznego jutro
4. DPoprosić pacjenta, by potrzymał go do przybycia pomocy

A patient who is breathless during a transfusion has hypotension, fever and bilateral lung infiltrates, with no signs of fluid overload. Which complication is most likely?

1. AA mild febrile nonhemolytic reaction
2. BTransfusion-associated circulatory overload
3. CA simple allergic reaction with hives
4. DTransfusion-related acute lung injury (TRALI)

A patient who had pituitary surgery has fatigue and cold intolerance. The free T₄ is low and the TSH is low. What does this pattern suggest?

1. ANormal thyroid function with a laboratory error in T₄
2. BPrimary hypothyroidism from failure of the thyroid gland
3. CSecondary (central) hypothyroidism from pituitary failure
4. DHyperthyroidism from overactivity of the thyroid gland

U pacjenta na oddziale po pierwszej dawce beta-blokera pojawiają się świsty i duszność. Która choroba w wywiadzie najbardziej to tłumaczy?

1. ANiedoczynność tarczycy
2. BChoroba zwyrodnieniowa stawów
3. CMigrena
4. DAstma

Pacjent po endoprotezoplastyce stawu biodrowego nagle odczuwa silny ból biodra, a kończyna jest skrócona i zrotowana. Jakie jest najbardziej prawdopodobne powikłanie?

1. AZatrzymanie moczu
2. BZwichnięcie endoprotezy
3. CZakażenie rany
4. DZakrzepica żył głębokich łydki

Which emergency equipment should be kept at the bedside of a patient with a tracheostomy?

1. ASpare tubes (same size and one smaller), suction and oxygen
2. BA urinary catheter set, a blood glucose meter and a thermometer
3. CA nasogastric tube and a feeding pump
4. DOnly a spare oxygen mask, since the tube rarely causes problems

A nurse teaches a patient with heart failure who takes ramipril and spironolactone. Which statement shows a need for further teaching?

1. A"I will weigh myself every morning after I go to the toilet."
2. B"I will avoid ibuprofen for my joint pain."
3. C"I will call if I gain weight quickly or get more breathless."
4. D"I will use a salt substitute instead of ordinary salt."

A patient's potassium stays low despite replacement. Which other level should be checked?

1. ABilirubin
2. BAmylase
3. CMagnesium
4. DFerritin

A nurse teaches a carer to give buccal midazolam for prolonged seizures. Which statement shows a need for further teaching?

1. A"I will give it into the space between his gum and cheek."
2. B"I will put something between his teeth so he does not bite his tongue."
3. C"I will call an ambulance if the care plan tells me to."
4. D"I will write down the time the seizure started and the time I gave the dose."

Which advice helps a patient with haemorrhoids?

1. AEat more fibre, drink enough fluid and avoid straining
2. BTake a codeine-based painkiller every day
3. CEat less fibre so that stools are smaller
4. DSit on the toilet for long periods to empty fully

An immobile patient on opioids drinks very little. Which laxative choice is least appropriate?

1. AA stimulant laxative taken regularly
2. BAn osmotic laxative such as a macrogol
3. CA bulk-forming laxative used on its own
4. DA stool softener with a stimulant laxative