Priorytetyzacja i delegowanie w stylu NCLEX: zestaw na powtórkę

Pielęgniarka dyplomowana mówi do asystenta pielęgniarskiego: „Proszę zajrzeć do pacjenta w sali 12”. Którego „właściwego” elementu delegowania brakuje?

1. AWłaściwych okoliczności
2. BWłaściwego zadania dla danego miejsca
3. CWłaściwych wskazówek i komunikacji
4. DWłaściwej osoby do zadania

Którego pacjenta na oddziale nefrologicznym pielęgniarka powinna zobaczyć w pierwszej kolejności?

1. APacjenta, którego przetoka tętniczo-żylna ma silne drżenie i szmer
2. BPacjenta na hemodializie, który opuścił wczorajszą sesję i ma teraz osłabienie mięśni i nieregularne tętno
3. CPacjenta, który prosi o poradę dotyczącą diety ubogofosforanowej
4. DPacjenta na dializie otrzewnowej, u którego odprowadzany płyn jest przejrzysty

A nurse pours sterile saline into a bowl on a sterile field. Which technique is correct?

1. AHold the bottle with the label in the palm and pour without touching the bowl
2. BReach across the field to fill the bowl at the far side
3. CRest the lip of the bottle on the edge of the bowl so that the saline does not splash
4. DPour from below the level of the field to reduce splashing

Shortly after a patient falls, the team holds a brief “post-fall huddle”. What is its main purpose?

1. ATo agree on what the team will tell the patient’s lawyer and the family
2. BTo decide which staff member was to blame for the fall
3. CTo find out quickly why the fall happened and change the care plan to prevent another
4. DTo complete the patient’s discharge paperwork

A blood sample drawn just after a patient ate a fatty meal is reported as "lipemic." What does this mean for the results?

1. AThe sample shows the patient has diabetic ketoacidosis
2. BThe results are more accurate than in a fasting sample
3. CThe sample was contaminated by an IV fluid with dextrose
4. DHigh fat in the sample may interfere with some test results

A patient's potassium is 7,2 mEq/L, and the monitor shows wide QRS complexes. Several treatments are prescribed. Which should be given first?

1. AIV furosemide (a loop diuretic)
2. BUrgent hemodialysis session
3. CAn oral potassium binder dose
4. DIV calcium gluconate (or chloride)

A patient with COPD and known carbon dioxide retention needs a nebulised bronchodilator. How should it usually be given?

1. AOnly with the patient lying flat
2. BDriven by high-flow oxygen at 15 L/min for as long as possible
3. CWithout monitoring oxygen saturation
4. DDriven by compressed air, with oxygen given separately if needed

An older patient has fallen several times since starting a new medicine. Which drug group is most likely to contribute?

1. AVitamin D supplements
2. BBenzodiazepine sleeping tablets
3. CLubricating eye drops
4. DEmollient creams applied to the legs

How does varenicline help people stop smoking?

1. AIt partly stimulates and partly blocks nicotine receptors
2. BIt speeds the clearance of nicotine by the liver
3. CIt replaces nicotine through the skin, like a nicotine patch
4. DIt makes cigarettes taste of metal so smoking feels unpleasant

A patient with infective endocarditis is on IV gentamicin with another antibiotic. Which monitoring is most important?

1. ALiver size by daily palpation and weekly abdominal ultrasound
2. BBlood glucose only
3. CPeak flow readings and spirometry before and after each dose
4. DDrug levels, renal function and hearing or balance changes

A patient has Cushing's syndrome. Which nursing assessment is especially important?

1. ARegular blood glucose checks
2. BMonitoring for a high potassium
3. CChecking for low blood pressure
4. DWatching for weight loss

A patient with renal colic has normal kidney function and no other contraindications. Which drug is usually the first choice for pain?

1. AA benzodiazepine such as diazepam
2. BAn oral antihistamine such as cetirizine
3. COral paracetamol (acetaminophen) alone
4. DAn NSAID such as diclofenac

Przez jak długo często obowiązują szczególne środki ostrożności przy płynach ustrojowych po wielu lekach chemioterapeutycznych?

1. APrzez cały rok
2. BNigdy nie są potrzebne
3. CZwykle przez około 48 godzin
4. DTylko podczas wlewu

A patient is booked for a urea breath test for H. pylori. Which medicine should usually be stopped 2 weeks before the test?

1. ALevothyroxine
2. BOmeprazole
3. CAmlodipine
4. DParacetamol (acetaminophen)