Priorytetyzacja i delegowanie w stylu NCLEX: zestaw na powtórkę

A nurse cannot read part of a medication order. What should the nurse do?

1. AContact the prescriber to clarify the order before giving the drug
2. BAsk another nurse to guess what the order most likely says, then give it
3. CSkip the drug and not tell anyone until the next ward round
4. DGive the usual dose of the drug the nurse thinks was meant

During JumpSTART triage, a child is not breathing after the airway is opened but has a palpable pulse. What is the next step?

1. ATag the child black at once and move on to the next victim
2. BGive five rescue breaths; if breathing starts, tag the child red
3. CStart full CPR on the child and stay with them until more help arrives
4. DTag the child green and return to them after the others

A patient with poorly controlled seizures asks about activities at home. Which advice is most important?

1. ASleep sitting up in a chair
2. BNever swim or bathe alone
3. CAvoid all forms of exercise
4. DAvoid drinking water before bed

During a disaster, the hospital needs to free beds quickly. Which patient is the best candidate for early discharge?

1. AA patient on an IV heparin infusion that is still being adjusted
2. BA patient with ongoing chest pain awaiting cardiac tests
3. CA patient on a ventilator in the intensive care unit who is slowly improving
4. DA patient admitted overnight for observation who is now stable with normal tests

A patient with type 2 diabetes has a target HbA1c below 7% (53 mmol/mol). Today's result is 7,8% (62 mmol/mol). What is the best interpretation?

1. AAverage glucose over the past months has been above the target
2. BThe result shows today's fasting glucose is above the target
3. CGlucose control has been excellent for the past several months
4. DThe patient has had frequent episodes of severe hypoglycemia

A patient's AST is about twice the ALT, both moderately raised, and the GGT is high. Which cause is most likely?

1. AGallstone blocking the bile duct
2. BAlcohol-related liver disease
3. CAcute myocardial infarction
4. DAcute viral hepatitis A

Which oxygen device delivers a precise, fixed concentration of oxygen?

1. ASimple face mask
2. BNon-rebreathe mask
3. CNasal cannula
4. DVenturi mask

Pacjent na oddziale internistycznym ma biegunkę od trzech dni. Jakie działanie w zakresie kontroli zakażeń jest najwłaściwsze?

1. APrzeniesienie pacjenta na salę wieloosobową, by izolatki pozostały wolne
2. BSzybka izolacja, kontaktowe środki ostrożności i wysłanie próbki kału
3. CStosowanie wyłącznie preparatu alkoholowego do rąk i rezygnacja z rękawiczek dla oszczędności
4. DCzekanie, aż biegunka potrwa tydzień, zanim podejmie się działania

Pacjent z astmą używa inhalatora doraźnego częściej niż trzy razy w tygodniu. Co to sugeruje?

1. AAstma jest dobrze kontrolowana przy obecnym planie leczenia
2. BInhalator zapobiegawczy nie jest już potrzebny
3. CLek doraźny przestał działać i należy go odstawić
4. DKontrola astmy jest słaba i leczenie wymaga przeglądu

An older ex-smoker has a dry cough and worsening breathlessness over a year, finger clubbing and fine "Velcro-like" crackles at both bases at the end of inspiration. Which condition is most likely?

1. ASpontaneous pneumothorax
2. BAn acute asthma attack
3. CIdiopathic pulmonary fibrosis
4. DCommunity-acquired pneumonia

U pacjenta z ostrym urazem rdzenia kręgowego na poziomie C6, jaki obraz sugeruje wstrząs neurogenny?

1. APrawidłowe ciśnienie krwi, szybkie tętno i wysoka gorączka
2. BNiskie ciśnienie krwi, wolne tętno oraz ciepła, sucha skóra
3. CNiskie ciśnienie krwi, szybkie tętno oraz zimna, wilgotna skóra
4. DWysokie ciśnienie krwi, wolne tętno i pulsujący ból głowy

A patient with SIADH is taught about a fluid restriction. Which statement shows a need for further teaching?

1. A"I will weigh myself every morning."
2. B"I will count all drinks, including soup, in my daily total."
3. C"I will report any headaches or confusion."
4. D"If I feel thirsty, I can drink as much water as I like."

Which lung problem is a known toxicity of bleomycin?

1. APneumothorax from coughing
2. BLung cancer within weeks
3. CPulmonary fibrosis
4. DAsthma from pollen

A patient with a permanent pacemaker is booked for surgery using monopolar diathermy. Why must the team know?

1. AThe patient cannot have any anaesthetic at all
2. BDiathermy can interfere with the pacemaker's function
3. CThe pacemaker will always be removed during surgery
4. DPacemakers stop all bleeding during surgery