Приоритизация и делегирование в стиле NCLEX: шпаргалка-пакет

During a blood transfusion, a patient develops chills, back pain and a fever. What is the nurse’s first action?

1. AFinish the unit quickly through a pressure bag so that the reaction does not last long
2. BGive an antipyretic and continue the transfusion
3. CStop the transfusion and keep the IV open with normal saline via new tubing
4. DSlow the transfusion and recheck in an hour

Which patient needs airborne precautions rather than droplet precautions?

1. AA child with pertussis (whooping cough)
2. BA child with chickenpox (varicella)
3. CA teenager with mumps
4. DAn adult with influenza

Before helping a patient from bed into a wheelchair, what should the nurse do with the wheelchair?

1. ALeave the brakes off so the chair can move along with the patient during the pivot
2. BPlace it at the foot of the bed, facing away
3. CPlace it on the patient’s weaker side so that side is supported
4. DLock the brakes and place it close to the bed on the patient’s stronger side

A patient sitting in a chair starts to have a generalized seizure. What should the nurse do?

1. ALeave to get the provider, then return
2. BPut a padded tongue blade between the teeth to protect the tongue and airway
3. CHold the patient firmly in the chair until the seizure stops
4. DEase the patient to the floor, protect the head and turn them on their side

A patient's potassium is unexpectedly 5,8 mEq/L. The sample was taken after the tourniquet was on for several minutes while the patient pumped their fist. What is the best interpretation?

1. AFist pumping lowers potassium, so the true level is even higher
2. BThe result confirms true hyperkalemia and needs no further checking
3. CTourniquet time affects only the glucose result, not the potassium
4. DThe result may be falsely high and should be repeated with better technique

The nurse prepares a patient for a 2-hour oral glucose tolerance test tomorrow morning. Which statement shows a need for further teaching?

1. A"I'll stay seated during the test if I can"
2. B"I'll avoid smoking until the test is over"
3. C"I'll fast overnight but can drink plain water"
4. D"I can have a light breakfast before the test"

После операции на щитовидной железе у пациента покалывание вокруг рта и мышечные судороги. Какое нарушение электролитов следует заподозрить?

1. AГиперкалиемию
2. BГипокальциемию
3. CГипермагниемию
4. DГипернатриемию

У пожилого пациента с переломом бедра через два дня после травмы появились одышка, спутанность сознания и петехиальная сыпь на груди. Какое осложнение следует заподозрить?

1. AИнфекцию мочевыводящих путей
2. BСиндром жировой эмболии
3. CКомпартмент-синдром
4. DПролежень

After a bronchoscopy with throat anaesthesia, when can the patient eat and drink?

1. AOnly after a chest X-ray has been reported
2. BAfter a full 24 hours without food
3. CImmediately after the scope is removed
4. DWhen the gag and cough reflexes have returned

A nurse teaches a patient who has a new permanent pacemaker. Which statement shows a need for further teaching?

1. A"I will keep my follow-up appointments for device checks."
2. B"I will tell staff about the device before any MRI scan."
3. C"I will carry my pacemaker identification card with me at all times."
4. D"I will keep my mobile phone in my shirt pocket over the device."

A woman who takes the combined contraceptive pill is starting carbamazepine. What should she be taught?

1. AThere is no interaction between these two medicines
2. BShe should take both at the same time so they are absorbed together
3. CCarbamazepine can make the pill less effective, so other contraception is needed
4. DThe pill makes carbamazepine toxic, so she must stop the pill

Which patient with a spinal cord injury is at risk of autonomic dysreflexia?

1. AA patient with an injury at L3
2. BA patient with an injury at L5
3. CA patient with an injury at S2
4. DA patient with an injury at T4

Why is thiamine given to patients with alcohol dependence admitted to hospital?

1. ATo prevent bleeding from varices
2. BTo prevent Wernicke's encephalopathy
3. CTo treat the cirrhosis directly
4. DTo reduce the craving for alcohol

У пациента с циррозом и асцитом новая лихорадка, болезненность живота и нарастающая спутанность. Какое осложнение следует заподозрить?

1. AСпонтанный бактериальный перитонит
2. BОстрый панкреатит
3. CПростой запор
4. DНормальное прогрессирование асцита