Приоритизация и делегирование в стиле NCLEX: шпаргалка-пакет

Which practice makes a shift handover safest?

1. AA structured format, such as SBAR, with time for questions
2. BA quick chat in the corridor with no notes taken
3. CLeaving a sticky note on the computer screen for the next nurse
4. DHanding over only the patients who had problems during the shift

A day after a femur fracture, a young patient becomes confused and breathless, with small red spots on the chest. What should the nurse suspect?

1. ANormal pain after a fracture
2. BAn allergic reaction to the cast
3. CFat embolism syndrome
4. DAlcohol withdrawal

Which toy is safest for a toddler?

1. AA toy with small magnets that come out easily
2. BA bag of marbles to sort by color
3. CA balloon to play with when an adult is out of the room
4. DA large toy with no small parts that can come off

During flu season, a nurse wakes up with fever, cough and muscle aches. What is the best action?

1. AGo to work but avoid caring for patients who have weak immune systems
2. BGo to work but wear a surgical mask for the whole shift
3. CTake an antipyretic so the fever does not show at work
4. DStay home and inform the employer according to the illness policy

У пациента натрий 152 mEq/L. Какие находки ожидает медсестра?

1. AЖажду, сухие слизистые и беспокойство
2. BНабор массы тела с отёками лодыжек
3. CБрадикардию с остроконечными зубцами T
4. DПодёргивания мышц с положительным симптомом Труссо

Приходят четыре лабораторных результата. На какой медсестре следует отреагировать первым?

1. AКалий 6,6 mEq/L у пациента с ХБП и новой мышечной слабостью
2. BНатрий 137 mEq/L у пациента, поступившего вчера с пневмонией
3. CГемоглобин 11,8 g/dL (118 g/L) у пациента с хронической болезнью почек
4. DГлюкоза 140 mg/dL (7,8 mmol/L) после еды у пациента с диабетом

When is a rapid-acting insulin such as insulin aspart usually given?

1. AOnly at bedtime
2. BOnce a week
3. CJust before or with a meal
4. DTwo hours after finishing a meal

Пациент с ХОБЛ на высокопоточном кислороде стал сонливым, пульс скачущий, кожа покрасневшая. Газы крови показывают повышенное PaCO₂ и низкий pH. Какова наиболее вероятная причина?

1. AАллергия на опиоиды
2. BГиперкапническая дыхательная недостаточность, отчасти из-за избытка кислорода
3. CГипогликемия
4. DМетаболический алкалоз из-за рвоты

Почему простую лицевую маску нельзя использовать при потоке кислорода ниже примерно 5 L/min?

1. AМаска подаёт слишком много кислорода при низких потоках
2. BПри низких потоках эластичная лента слишком свободна
3. CВыдыхаемый CO₂ может скапливаться в маске и вдыхаться повторно
4. DПри низких потоках кислород нельзя увлажнить

An adult inhales a peanut while laughing and now has a persistent cough and wheeze on one side. Where is the peanut most likely to have lodged?

1. AThe nasal cavity
2. BThe oesophagus
3. CThe right main bronchus
4. DThe left main bronchus

For which patient with migraine would the nurse question an order for sumatriptan?

1. AA patient with well-controlled hypothyroidism
2. BA patient with a history of angina
3. CA patient who also has asthma
4. DA patient with an allergy to penicillin

A patient with CKD has a high phosphate, a low calcium and a high PTH. What does this show?

1. ASecondary hyperparathyroidism from CKD
2. BHypoparathyroidism after neck surgery
3. CPrimary hyperparathyroidism from a tumour
4. DToo much vitamin D from supplements

What is TENS?

1. AA device that sends mild electrical pulses through skin pads
2. BA type of epidural catheter inserted in theatre
3. CA strong opioid given through the skin as a weekly adhesive patch
4. DA pain score used for babies

Hours after an oesophageal dilatation, a patient has chest pain, fever and crackling swelling under the skin of the neck. What should the nurse suspect?

1. AAn allergic reaction to the sedative
2. BOesophageal perforation
3. CNormal discomfort after the procedure
4. DSimple reflux after the dilatation