Приоритизация и делегирование в стиле NCLEX: шпаргалка-пакет

Какая задача помощника медсестры уместна для пациента через два дня после эндопротезирования тазобедренного сустава?

1. AПроверка разреза на покраснение, тепло и отделяемое
2. BОбучение пациента мерам предосторожности для бедра перед выпиской
3. CОценка того, контролировала ли боль последняя доза обезболивающего
4. DПомощь пациенту пересесть в кресло с соблюдением мер предосторожности для бедра

A patient with diabetes takes propranolol. Which sign of hypoglycemia is most likely to still appear?

1. ATremor
2. BTachycardia
3. CPalpitations
4. DSweating

An order reads “Give potassium chloride by IV push.” What should the nurse do?

1. AGive it slowly by IV push over two minutes while watching the cardiac monitor
2. BGive half by IV push and the rest later
3. CNot give it, and contact the prescriber, because it is never given by IV push
4. DDilute it in a small syringe and push it

A nurse teaches parents about using an infant car seat. Which statement shows a need for further teaching?

1. A“We will put the rear-facing seat in the front so we can see the baby.”
2. B“We will make sure the harness straps are snug against the baby’s chest.”
3. C“We will use the car seat for every trip, even short ones.”
4. D“We will install the seat in the back seat, facing the rear.”

A patient taking a statin reports new, unexplained muscle pain and weakness. Which laboratory test would the nurse expect to be ordered?

1. ASerum lipase
2. BSerum ammonia
3. CCreatine kinase (CK)
4. DCardiac troponin

После химиотерапии быстрорастущей лимфомы какая картина результатов указывает на синдром лизиса опухоли?

1. AТолько высокий натрий и низкая глюкоза
2. BНизкий калий, низкий фосфат, низкая мочевая кислота и повышенный кальций
3. CНормальные электролиты с высоким гемоглобином
4. DВысокий калий, высокий фосфат, высокая мочевая кислота и низкий кальций

A patient with sickle cell disease is admitted with a painful crisis. What is a key early nursing priority?

1. ADelaying pain relief until a diagnosis is confirmed
2. BRestricting oral fluids
3. CGiving prompt, effective analgesia
4. DApplying cold packs to the painful areas

A patient with diabetes is found confused with slurred speech and weakness on one side. What should the nurse check first?

1. ASerum cholesterol
2. BUrine output for the last day
3. CBody mass index
4. DCapillary blood glucose

У пациента повышен натрийуретический пептид B-типа (BNP или NT-proBNP). Что это в основном отражает?

1. AВоспаление печени из-за застоя
2. BИшемическое повреждение сердечной мышцы
3. CРастяжение и перегрузку давлением желудочков
4. DПовреждение скелетных мышц после падения

A patient's blood gas shows pH 7,26, PaCO₂ 9,0 kPa (68 mmHg) and bicarbonate 25 mmol/L. What does this show?

1. AMetabolic acidosis with compensation
2. BRespiratory alkalosis
3. CAcute respiratory acidosis
4. DMetabolic alkalosis

A patient with gout has recurrent uric acid kidney stones. Which treatment helps prevent them?

1. ARestricting fluids in the evening only
2. BCalcium tablets and a low-fluid diet
3. CAllopurinol and making the urine less acidic
4. DVitamin C supplements and a high-meat diet

A patient with myasthenia gravis is admitted with pneumonia. Which newly prescribed antibiotic should the nurse question?

1. ABenzylpenicillin
2. BCeftriaxone
3. CAmoxicillin
4. DGentamicin

After laparoscopic cholecystectomy, a patient has pain in the right shoulder. What is the most likely cause?

1. AA dislocated shoulder from patient positioning
2. BAn allergy to the dressing on the wound
3. CGas used during surgery irritating the diaphragm
4. DA heart attack during the operation

Why is an SGLT2 inhibitor such as dapagliflozin usually withheld before surgery?

1. AIt interacts with all general anaesthetic gases and stops them working
2. BIt makes the patient's potassium dangerously high
3. CIt causes the surgical wound to bleed more
4. DIt raises the risk of ketoacidosis, even with near-normal glucose