Priorytetyzacja i delegowanie w stylu NCLEX: zestaw na powtórkę

Which medication order should the nurse question?

1. APotassium chloride diluted in an IV bag via a pump
2. BPotassium chloride by IV push
3. COral potassium chloride with food
4. DPotassium chloride oral solution diluted in juice

A nurse sees a colleague put a vial of an opioid into their own pocket instead of returning it. What should the nurse do?

1. AAsk the colleague to share the vial with them
2. BSay nothing, because it is not their business
3. CTell the patients to watch the colleague carefully
4. DReport it to the nurse manager according to policy

When is it appropriate to use the override function on an automated dispensing cabinet to take a drug before pharmacist review?

1. AAt the start of each shift to save time later
2. BOnly in an urgent situation where delay would harm the patient, per policy
3. CWhenever the pharmacist is slow to review new orders and the patient is waiting
4. DWhenever the nurse is sure of the dose

A nurse has just started a unit of red blood cells when a colleague asks for urgent help with another patient. What is the best action?

1. ASpeed up the transfusion so it finishes sooner
2. BPause the transfusion until the nurse is free again
3. CStay with the transfusing patient for the first 15 minutes and ask another nurse to help
4. DLeave to help the other patient, and check the transfusion again in about an hour

Pacjent przyjmujący digoksynę ma stężenie 2,8 ng/mL i tętno 52/min. Jakie jest najlepsze działanie pielęgniarki?

1. APodać dawkę i powtórzyć oznaczenie stężenia za miesiąc
2. BWstrzymać dawkę i poinformować lekarza zlecającego
3. CPodać podwójną dawkę, aby skorygować rytm
4. DPodać dawkę, ponieważ tętno jest powyżej 50/min

Pacjent przyjmujący warfarynę ze stabilnym INR 2,4 rozpoczyna kurację antybiotykiem, takim jak cyprofloksacyna. Tydzień później INR wynosi 4,6. Jakie jest najbardziej prawdopodobne wyjaśnienie?

1. AInterakcja leków zwiększająca działanie warfaryny
2. BAntybiotyk wyleczył pacjenta z potrzeby leczenia przeciwzakrzepowego
3. CPacjent jadł więcej produktów bogatych w witaminę K
4. DBłąd laboratorium jest jedynym możliwym wyjaśnieniem

Which blood result often rises in an upper GI bleed because blood is digested in the gut?

1. ASodium
2. BGlucose
3. CCalcium
4. DUrea (blood urea nitrogen)

A patient with a small leg wound has severe pain out of proportion to the skin changes, rapidly spreading redness and signs of sepsis. What should be suspected?

1. ANecrotising fasciitis
2. BAn allergic reaction to the dressing
3. CSimple cellulitis that will settle with oral antibiotics
4. DA superficial bruise

Rheumatic heart disease most often follows which infection?

1. AA fungal infection of the lungs
2. BStaphylococcal infection of the skin
3. CA group A streptococcal throat infection
4. DA viral infection of the upper airway

A woman starting rifampicin (rifampin) for tuberculosis uses a combined oral contraceptive pill. What advice is correct?

1. AUse another reliable method, as rifampicin reduces the pill's effect
2. BStop all contraception during TB treatment, as pregnancy cannot occur
3. CContinue the pill as usual, because there is no interaction with TB drugs
4. DTake two pills a day to make up for the drug

A patient with atrial fibrillation has had an ischaemic stroke. Which long-term medicine type most reduces the risk of another stroke?

1. AAn oral anticoagulant
2. BA proton pump inhibitor
3. CA loop diuretic
4. DA beta-agonist inhaler

Po całkowitej tyreoidektomii pacjent staje się niespokojny, ma stridor i napięty obrzęk na szyi. Co powinna zrobić pielęgniarka w pierwszej kolejności?

1. APoprosić pacjenta, aby jak najwięcej mówił w celu sprawdzenia głosu
2. BPodać lek przeciwbólowy i ponownie ocenić obrzęk za godzinę
3. CPrzyłożyć okład z lodu na szyję i położyć pacjenta płasko
4. DWezwać pomoc w trybie nagłym: krwiak może uciskać drogi oddechowe

Why are many patients screened for MRSA before planned surgery?

1. ATo check whether the patient has had a flu vaccine
2. BSo that surgery can be cancelled for all positive patients
3. CTo decide which anaesthetic drug to use
4. DSo that carriers can be decolonised to reduce infection

A patient with bone metastases is starting regular zoledronic acid. Which advice is important?

1. AStop drinking all fluids on the day of each infusion
2. BHave a dental check and report jaw pain or loose teeth
3. CTake extra calcium only on the day of infusion
4. DAvoid all physical activity for six months