Priorytetyzacja i delegowanie w stylu NCLEX: zestaw na powtórkę

Which newborn finding needs prompt reporting?

1. AMild jaundice that first appears on the third day
2. BBluish hands and feet in the first hours
3. CMilia (small white spots) on the nose
4. DJaundice that appears within the first 24 hours

A patient has a potassium of 7,0 mEq/L with peaked T waves. Several drugs are prescribed. Which one is usually given first to protect the heart?

1. AIV furosemide
2. BIV calcium gluconate
3. COral sodium bicarbonate
4. DOral potassium binder

A patient has botulism after eating contaminated food. Which precautions are needed?

1. AStandard precautions
2. BAirborne precautions
3. CContact precautions
4. DDroplet precautions

Pacjent w poczekalni oddziału ratunkowego ma kaszel od sześciu tygodni, nocne poty, utratę masy ciała i krew w plwocinie. Co powinna zrobić pielęgniarka w pierwszej kolejności?

1. AZałożyć pacjentowi maskę i przenieść go do izolatki do zakażeń przenoszonych drogą powietrzną
2. BUmieścić pacjenta we wspólnym boksie z zasłoniętą zasłoną
3. CPoprosić pacjenta, by czekał w poczekalni do wywołania
4. DWdrożyć środki ostrożności przeciwko transmisji przez kontakt, z fartuchem i rękawiczkami dla personelu

A pregnant woman's blood type is O Rh-negative, and her antibody screen (indirect Coombs test) is negative. What is usually offered at about 28 weeks?

1. AA transfusion of group O Rh-positive red cells
2. BAn IV dose of vitamin K given for the fetus
3. CDaily oral iron and folic acid supplements only
4. DAnti-D immunoglobulin (Rho(D) immune globulin)

A patient has eaten very little for 2 weeks and has received broad-spectrum antibiotics. The INR is now 2,3 without warfarin, and the platelets are normal. What is the most likely cause?

1. AHemophilia A
2. BIron-deficiency anemia
3. CImmune thrombocytopenia
4. DVitamin K deficiency

Why is oxygen often humidified for a patient with a tracheostomy?

1. AHumidity is needed for the oxygen to work as a drug
2. BHumidification lowers the oxygen concentration to a safer level
3. CThe tube bypasses the nose, which normally warms and moistens air
4. DDry oxygen causes high blood glucose

A healthcare assistant reports four observations. Which one needs the nurse's immediate action?

1. A"Mr Chen's blood pressure is 128/80 as usual."
2. B"Mr Patel's breathing rate is 8 a minute and he's hard to wake."
3. C"Ms Ali has walked to the bathroom on her own."
4. D"Mrs Jones would like a cup of tea and her glasses cleaned."

Which finding shows that long-standing hypertension has caused target organ damage?

1. AClear lung fields on the chest X-ray
2. BA normal fasting glucose
3. CLeft ventricular hypertrophy on the ECG
4. DA heart rate of 72/min

A nurse is reviewing four telemetry patients. Which rhythm needs attention first?

1. AFirst-degree heart block with a stable blood pressure and no symptoms
2. BSinus bradycardia of 54/min in a patient who is asleep and comfortable
3. CRepeated runs of ventricular tachycardia in a patient who feels dizzy
4. DRate-controlled atrial fibrillation at 82/min

A man starts tamsulosin for BPH. Which teaching point is most important?

1. AStand up slowly, because it can make you dizzy
2. BStop it if the urine stream improves
3. CExpect the drug to shrink the prostate within a day
4. DTake it with grapefruit juice to make it work better

A man who takes tamsulosin for BPH is listed for cataract surgery. Which statement is correct?

1. AIt should be swapped for oxybutynin the night before to protect the eye
2. BThe dose should be doubled before surgery to prevent urinary retention
3. CTamsulosin has no effects outside the urinary tract, so nothing changes
4. DThe eye surgeon must be told, as it can cause floppy iris during surgery

A patient received IV morphine 20 minutes ago and the surgical consent form has not been signed. What should the nurse do?

1. AAsk the patient to sign quickly before they get sleepier
2. BSign the form on the patient's behalf as a witness
3. CAsk a relative to sign instead of the patient
4. DTell the surgeon, as the patient may not be able to consent now

A patient asks whether to take their usual bisoprolol on the morning of surgery. What is the usual guidance?

1. AUsually continue it with a sip of water, unless told otherwise
2. BStop it one week before any operation
3. CTake a double dose to protect the heart
4. DTake it only after the operation is finished