NCLEX-PN tarzı alıştırma soruları (LPN/LVN): hızlı tekrar paketi

Which of these is one of the five rights of delegation?

1. AThe right supervision
2. BThe right time of year
3. CThe right uniform
4. DThe right salary

A postoperative wound drain that had drained little suddenly fills with bright red blood. What should the nurse do?

1. ARemove the drain because it is not working
2. BCheck the patient's vital signs and report it urgently
3. CEmpty the drain and record it at the next routine round
4. DClamp the drain and tell no one

Which kitchen practice helps prevent scald burns in young children?

1. AHold the child while drinking a hot drink
2. BLeave hot drinks at the edge of the table
3. CTurn pot handles toward the back of the stove
4. DLet the child stand on a chair beside the stove

A nurse has a needlestick from a patient with hepatitis B. The nurse finished the vaccine series and has a documented protective antibody level. Which statement is correct?

1. ANo reporting is needed because the nurse is immune
2. BThe nurse must stop all patient care for six months
3. CHepatitis B immune globulin and a complete new vaccine series are both needed at once
4. DNo hepatitis B treatment is needed, but the injury is still reported and followed up

A patient is receiving a blood transfusion. Which task can the nurse delegate to a nursing assistant?

1. AAssessing the patient for signs of a transfusion reaction
2. BStarting the transfusion once the blood arrives
3. CMeasuring and reporting vital signs at the times set by the nurse
4. DDeciding whether to stop the transfusion if the patient has chills

An older adult with type 2 diabetes is confused and very dehydrated. The glucose is 900 mg/dL (50 mmol/L), and blood and urine show no significant ketones. What is the most likely problem?

1. AStress-induced mild hyperglycemia
2. BDiabetic ketoacidosis
3. CHypoglycemia with rebound
4. DHyperosmolar hyperglycemic state

During a red cell transfusion, when are serious acute reactions most likely to start?

1. AIn the first 15 minutes
2. BOnly after the unit has finished
3. CAbout 24 hours later
4. DAfter the third unit only

Kafa travması olan bir hastanın GKS'si 14'ten 10'a düşüyor ve bir pupil büyüyüp ışığa yavaş yanıt veriyor. Hemşire ne yapmalıdır?

1. AHastayı uyumaya teşvik etmelidir
2. BNörolojik acil durum olarak hemen bildirmelidir
3. CHastayı sakinleştirmek için sedatif vermelidir
4. DGKS'yi bir sonraki rutin gözlem turunda yeniden kontrol etmelidir

Bir hastanın sodyumu 124 mEq/L, baş ağrısı ve yeni konfüzyonu var. Hangi hemşirelik önlemi en uygundur?

1. AReçete edilen tiyazid diüretiğin bir sonraki dozunu erken vermek
2. BNöbet önlemlerini almak ve nörolojik durumu izlemek
3. CHastayı düz yatırmak ve nörolojik kontrolleri vardiyada bire indirmek
4. DHastayı bol bol sade su içmeye teşvik etmek

Ten days after chemotherapy, a patient has a platelet count of 9 × 10³/µL and reports a sudden severe headache and blurred vision. What is the priority?

1. AGive acetaminophen (paracetamol) for the headache and reassess in 1 hour
2. BEncourage the patient to drink more fluids and check the blood pressure later
3. CDim the lights and encourage rest, as headaches are common after chemotherapy
4. DAssess neurological status and report it at once as possible brain bleeding

Why is ketorolac given only for a short course?

1. AGI bleeding and kidney injury become more likely with longer use
2. BIt quickly loses all its pain-relieving effect because of tolerance
3. CIt is a strong opioid that causes addiction
4. DIt causes respiratory depression after a few days

Which finding most favours serotonin syndrome over neuroleptic malignant syndrome?

1. ARapid onset with hyperreflexia and clonus
2. BSlow onset over days with lead-pipe rigidity
3. CRecent start of an antipsychotic drug
4. DA very high creatine kinase

İndapamid gibi tiyazid veya tiyazid benzeri diüretiklere hangi yan etki grubu tipiktir?

1. AYüksek potasyum ve sodyum, düşük ürik asit ve düşük kan şekeri
2. BKuru öksürük, tat bozukluğu ve dudaklarda şişlik
3. CYüksek sodyum ve magnezyum, düşük kan şekeri
4. DDüşük potasyum ve sodyum, yüksek ürik asit ve yüksek glukoz

Twelve hours after a coronary stent, a patient has sudden severe chest pain again with new ST elevation in the same leads. What is the most likely cause?

1. APericarditis from the catheter
2. BAcute stent thrombosis
3. CIndigestion from the hospital meal
4. DNormal pain from the procedure site

For which patient would the nurse question an order for pioglitazone?

1. AA patient with an allergy to latex
2. BA patient with heart failure
3. CA patient with asthma
4. DA patient with hypothyroidism

A haemodialysis patient missed their last two sessions. They are breathless, with crackles, and the potassium is 6,9 mmol/L. What is the priority?

1. ALarge IV fluid boluses to improve the circulation
2. BA routine dialysis session at the next planned slot
3. CUrgent dialysis, with cardiac monitoring meanwhile
4. DOral potassium supplements and rest

Which infection control measure is correct for a patient with C. difficile diarrhoea?

1. AA shared bay, as long as alcohol gel is used after every contact
2. BNo special measures once antibiotics have started
3. CA face mask for the patient and visitors only
4. DA single room with its own toilet, and soap-and-water handwashing

After signing the consent form, a patient tells the nurse, "I don't really understand what they are going to do." What should the nurse do?

1. AExplain the surgical risks in detail without involving the surgeon
2. BIgnore the comment because the form is already signed
3. CReassure the patient that the surgeon knows best
4. DInform the surgeon so that the procedure can be explained again

A woman is 5 days after birth. She cries often, sleeps poorly when the baby sleeps and feels she is a bad mother. What should the nurse do?

1. AAdvise her to stop breastfeeding to rest
2. BTell her this is the baby blues and will pass
3. CTell her partner to take over all baby care
4. DScreen further for depression and self-harm

A newborn has cyanosis that improves when crying and worsens during feeding. Which condition should be suspected?

1. ACleft lip only
2. BOesophageal atresia
3. CChoanal atresia
4. DCongenital hip dysplasia

A child receiving chemotherapy has painful mouth ulcers (mucositis). Which mouth care is best?

1. AMouthwash containing alcohol several times a day
2. BA hard toothbrush and lemon–glycerine swabs to clean the ulcers
3. CSpicy and acidic foods to stimulate saliva flow
4. DA soft toothbrush or sponge, bland rinses and soft, cool foods

A 9-year-old is being treated for an acute asthma attack. Which finding shows that treatment is working?

1. AThe heart rate has risen further after each dose of salbutamol
2. BSlower breathing, easier speech and less use of the neck and chest muscles
3. CThe wheeze has disappeared and the child is now very drowsy
4. DThe child is now sitting bolt upright, leaning on the arms

A patient who started lithium 2 weeks ago has a fine tremor of the hands and is passing more urine than usual. Her level is within the therapeutic range. How should the nurse interpret this?

1. AThese are definite signs of severe lithium toxicity, so emergency dialysis is needed straight away
2. BThese are common side effects that are not by themselves signs of toxicity, but they should be reported and monitored
3. CThese symptoms mean that the lithium is not working, so the dose should be stopped and a new drug chosen
4. DThese are signs of an allergic reaction, so she should never take lithium again

A patient with depression answers every question with one or two words and looks at the floor. Which approach is most helpful?

1. AUse simple statements, allow extra time for answers and stay with the patient even in silence
2. BEnd the conversation quickly, because the patient clearly does not want to talk
3. CEncourage him to cheer up and think about the good things in his life
4. DAsk several open questions in quick succession to keep the conversation going

Alıştırma (uydurma değerler, klinik rehber değildir). Bir doz 5:00 PM saatinde kaydedilmiş. Hangi giriş 24 saatlik saatte aynı zamandır? Tıklayın.

1. 116:00
2. 218:00
3. 305:00
4. 417:00

Alıştırma (uydurma değerler, klinik rehber değildir). Bir infüzyon 5 mg/sa veriyor. Bu doz hızını D mcg/dk cinsinden ifade edin. Bir ondalık basamağa yuvarlayın.

40 kg ağırlığındaki bir çocuğa 2,5 mg/kg ilaç reçete edilmiştir. Stok çözelti 25 mg/mL içerir. Dozu çekin: hangi hacmi V verirsiniz?

Bir infüzyon 250 mL'de 20000 ünite ilaç içeriyor. Order saatte 1000 ünite. Pompayı mL/h cinsinden hangi hıza R ayarlarsınız?

20 damla/mL'lik bir setle 500 mL'yi 2 saatte verin. Damla hızı R'ü dakikada damla olarak bulun. En yakın tam sayıya yuvarlayın.

Bir torba 500 mL'de 100 mg ilaç içeriyor ve 8 mL/h hızla akıyor. Hasta saatte kaç miligram D alır?

Alıştırma (uydurma değerler, klinik rehber değildir). Kayıt, bir hastanın 12 saatlik bir vardiyadaki aldığı ve çıkardığını gösteriyor. IV infüzyon vardiya boyunca gösterilen hızla gitti. Toplam alınan I değerini mL cinsinden bulun.

Alıştırma (uydurma değerler, klinik rehber değildir). 1000 mL’lik bir torba saat 11:45’de başlatıldı ve pompayla 80 mL/h hızla gidiyor. Saat 15:15’te torbada kaç mL V kalmıştır?

Alıştırma (uydurma değerler, klinik rehber değildir). Bir alıştırma hastası Morse düşme skalasıyla değerlendiriliyor: son 3 ayda düşme öyküsü: evet; ikincil tanı: hayır; yürüme yardımcısı: yok, yatak istirahati ya da hemşire yardımı; IV tedavi ya da salin kilidi: hayır; yürüyüş: bozulmuş; mental durum: kendi sınırlarını biliyor. Morse toplamını MFS bulun.

Alıştırma (uydurma değerler, klinik rehber değildir). Bir yetişkin 130 kg ağırlığında ve 195 cm boyunda. BKİ’yi hesaplayın ve DSÖ ağırlık kategorisine tıklayın.

1. 1zayıf
2. 2normal kilolu
3. 3fazla kilolu
4. 4obezite sınıf I
5. 5obezite sınıf II
6. 6obezite sınıf III