Priorytetyzacja i delegowanie w stylu NCLEX: zestaw na powtórkę

A patient has a new plaster cast that is still drying. How should the nurse handle it?

1. ABy covering it tightly with a plastic sheet
2. BBy resting it directly on a hard surface
3. CWith the fingertips, pressing firmly to test it
4. DWith the palms of the hands, not the fingertips

A patient with SIADH has a serum sodium of 120 mEq/L and is newly confused. Which nursing action has priority?

1. ATeaching the patient about a low-sodium diet at home
2. BSeizure precautions and close neurological checks
3. CEncouraging the patient to drink plenty of water
4. DHelping the patient to walk in the corridor alone

Hair must be removed from a planned surgical site. Which method reduces the risk of surgical site infection?

1. AShaving with a disposable razor the night before surgery
2. BShaving with a razor just before the incision
3. CClipping with electric clippers just before surgery
4. DUsing wax strips on the morning of surgery

Which patient should the nurse assess first?

1. AA patient with an MRSA wound due for a routine dressing change
2. BA patient on chemotherapy with a new temperature of 38,4 °C (101,1 °F)
3. CA patient who wants more alcohol hand rub in the room
4. DA patient with tuberculosis who is asking to have visitors

A patient has taken a proton pump inhibitor (such as omeprazole) for many years and now has muscle cramps and tremor. Which electrolyte is most likely to be low?

1. ASodium
2. BPhosphate
3. CMagnesium
4. DChloride

Który zestaw wyników jest najbardziej typowy dla niedokrwistości z niedoboru żelaza?

1. ANiska hemoglobina, duże krwinki czerwone (wysokie MCV) i wysoka ferrytyna
2. BWysoka hemoglobina i wysoki hematokryt
3. CNiska hemoglobina, małe krwinki czerwone (niskie MCV) i niska ferrytyna
4. DPrawidłowa hemoglobina wyłącznie z wysoką liczbą płytek

Pacjent przyjmujący warfarynę ma INR znacznie powyżej zakresu docelowego i siniaki. Jaki lek może zostać zlecony w celu odwrócenia działania?

1. AWitamina K
2. BKwas acetylosalicylowy
3. CSiarczan protaminy
4. DNalokson

A patient admitted after a fall takes many regular medicines. Which safety step on admission helps prevent medication errors?

1. AMedicines reconciliation against reliable sources, such as primary care records
2. BDoubling the doses to make up for any missed while at home
3. CPrescribing only the medicines that the patient can remember taking
4. DStopping all regular medicines until the day the patient is discharged

A patient has exercise-induced asthma. Which advice is most appropriate?

1. ATake a beta-blocker before exercise
2. BUse the reliever inhaler shortly before exercise and warm up
3. CExercise only in cold, dry air to toughen the airways
4. DAvoid all forms of exercise permanently to prevent attacks

Two days after a coronary stent, a patient on aspirin and ticagrelor has black, tarry stools and feels faint on standing. What should the nurse do?

1. AGive a laxative and repeat the observations tomorrow
2. BReassure the patient that iron tablets cause black stools
3. CCheck vital signs, report urgently and anticipate a blood count
4. DStop both antiplatelet drugs permanently on the nurse's own decision

A patient is due a rapid-acting insulin dose before lunch, but the meal trays are delayed. What should the nurse do?

1. AGive the insulin now and the meal when it comes
2. BGive the insulin with a glass of water instead
3. COmit the dose entirely for the rest of the day
4. DWait to give the insulin until the meal arrives

Napad trwa 12 minut. Podano dwie dawki benzodiazepiny, a napad trwa nadal. Drogi oddechowe i tlen są zabezpieczone. Jaki jest następny krok w powszechnych protokołach?

1. APodanie doustnych tabletek przeciwpadaczkowych, gdy pacjent będzie mógł połykać
2. BDożylny lek drugiego rzutu, taki jak lewetyracetam lub fenytoina
3. CCzekanie kolejne 30 minut, czy napad ustąpi
4. DTrzecia i czwarta dawka benzodiazepiny co dwie minuty

A day after a spinal anaesthetic, a patient has a headache that is worse when sitting up and better when lying flat. What is the most likely cause?

1. ARaised blood pressure from pain
2. BPost-dural puncture headache
3. CA side effect of the antibiotic
4. DMigraine caused by hospital lighting

Which new prescription for a patient with cirrhosis should the nurse question?

1. ALactulose to keep the bowels open
2. BThiamine supplements
3. CSpironolactone for ascites
4. DRegular ibuprofen for back pain