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

A student nurse is asked to carry out a procedure they have not been trained to do. What should they do?

1. AAsk the patient to talk them through it
2. BWatch a video and then do it alone
3. CDo it anyway, carefully, to avoid upsetting the team or delaying care
4. DExplain that they have not been trained and ask for supervision

The family of a patient with terminal cancer worries that morphine will make the patient addicted. What is the best response?

1. AExplain that addiction is uncommon when morphine is used for pain
2. BSuggest giving the morphine only once a day
3. CTell them that addiction does not matter at this stage
4. DAgree that the morphine should be stopped to protect the patient

Which practice makes shift handoff safer?

1. ALeaving written notes only, without a chance for questions
2. BGiving handoff from memory without any structure
3. CUsing a standard format such as SBAR or I-PASS, with time for questions
4. DGiving handoff in a busy corridor so that the outgoing nurse can leave on time

A patient has a rash, and both smallpox and chickenpox are considered. Which finding suggests smallpox?

1. AA rash that is very itchy and starts on the trunk
2. BSmall crops of new lesions appearing over several days in a row
3. CLesions all at the same stage, most dense on the face and limbs
4. DLesions at different stages, most dense on the trunk

A patient’s urinary catheter has drained no urine for two hours, and the lower abdomen is swollen. What should the nurse do first?

1. AEncourage the patient to drink more water
2. BRemove the catheter and wait for the patient to void
3. CCheck the tubing for kinks or obstruction
4. DGive a prescribed diuretic straight away

A toddler with tetralogy of Fallot becomes very blue and breathless while crying. What should the nurse do first?

1. APlace the child in a knee-to-chest position
2. BGive a large drink of water to calm the child
3. CLay the child flat on their back
4. DEncourage the child to keep crying to open the lungs

Which equipment must always be kept at the bedside of a patient with a tracheostomy?

1. AA blood glucose meter and a spare urinary catheter of the same size
2. BA peak flow meter and a nebuliser
3. CA blood pressure cuff and a spare nasal cannula and oxygen mask only
4. DSpare tracheostomy tubes, including one a size smaller, and working suction

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

1. ACapillary blood glucose
2. BUrine output for the last day
3. CSerum cholesterol
4. DBody mass index

Şüpheli sepsisi olan bir hastada kan kültürleri ne zaman alınmalıdır?

1. AAntibiyotiklerin ilk üç dozundan sonra
2. Bİlk antibiyotik dozundan önce, onu çok geciktirmeden
3. CAntibiyotikler sonucu etkilemediği için herhangi bir zamanda
4. DYalnızca ateş üç günden uzun sürerse

IV insülin infüzyonundaki bir hastanın kan glikozu 65 mg/dL'dir (3,6 mmol/L). En iyi eylem nedir?

1. AAynı hızda devam etmek ve dört saat sonra yeniden kontrol etmek
2. BDüşük glikoz protokolünü izlemek ve sağlık profesyonelini bilgilendirmek
3. Cİnfüzyonu durdurmak ve glikoz kontrolünü sabaha bırakmak
4. DKalbi korumak için oral potasyum vermek

Heparin antikoagülan etkisini nasıl oluşturur?

1. AMevcut pıhtılardaki fibrini parçalar
2. BKaraciğerde pıhtılaşma faktörlerinin K vitaminine bağımlı sentezini engeller
3. CTrombini ve faktör Xa'yı inaktive eden antitrombini güçlendirir
4. DTrombosit COX-1'ini geri dönüşümsüz inhibe eder

A patient with myasthenia gravis took extra pyridostigmine doses. She now has increasing weakness, heavy salivation, sweating, small pupils and diarrhoea. What is the most likely cause?

1. ACholinergic crisis from too much anticholinesterase drug
2. BAn allergic reaction to pyridostigmine
3. CA stroke unrelated to the medication
4. DMyasthenic crisis from too little anticholinesterase drug

Basit yüz maskesi neden yaklaşık 5 L/dk'nın altındaki oksijen akışıyla kullanılmamalıdır?

1. AMaske düşük akışlarda çok fazla oksijen verir
2. BElastik bant düşük akışlarda çok gevşektir
3. CVerilen CO₂ maskede birikip tekrar solunabilir
4. DOksijen düşük akışlarda nemlendirilemez

An older patient's varicose vein bursts at the ankle and bleeds heavily. What is the most effective first aid?

1. AApply a hot compress to the leg to help the vein close up
2. BKeep the leg hanging down over the bed
3. CLie the patient down, raise the leg and press firmly on the site
4. DStand the patient up so the blood flows away and clots faster

A patient taking a GLP-1 receptor agonist has severe, constant upper abdominal pain spreading to the back, with vomiting. What should the nurse suspect?

1. ANormal nausea from the drug
2. BLow blood glucose
3. CAcute pancreatitis
4. DA simple urinary tract infection

A day after a total thyroidectomy, a patient has tingling lips, a positive Chvostek's sign and a corrected calcium of 1,85 mmol/L (about 7,4 mg/dL). What does the nurse expect?

1. AIV calcium gluconate and monitoring for laryngospasm
2. BIV potassium chloride and a fluid restriction
3. CA loop diuretic to remove the extra calcium
4. DOral levothyroxine, with a recheck of the calcium in a month

Why are many patients screened for MRSA before planned surgery?

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

A patient arrives in the anaesthetic room without an identity band. What should the nurse do?

1. AStop and confirm identity, then apply a band
2. BProceed and add a band once in recovery
3. CProceed because the patient can say their name
4. DUse the spare identity band from the front of the patient's notes folder

A newborn at 42 weeks has dry, cracked, peeling skin, long nails and little vernix. How is this baby best described?

1. APost-term (postmature)
2. BLarge for gestational age
3. CSmall for gestational age only
4. DPreterm

A woman has had a large postpartum haemorrhage and is receiving several units of blood. Which other complication should the nurse watch for?

1. AHypoglycaemia from the transfused blood
2. BHypertension caused by the volume of blood lost
3. CCoagulopathy from loss of clotting factors
4. DPostpartum depression within the hour

Which instruction about a child's new plaster cast is correct?

1. AKeep the limb raised and report increasing pain, numbness or pale or blue fingers
2. BKeep the cast covered with a plastic bag at all times while it dries, to keep it clean
3. CPush a knitting needle inside the cast to scratch an itch
4. DLet the child walk on a leg cast as soon as it is applied

A family with a 2-year-old has a swimming pool in the garden. Which measure gives the most protection against drowning?

1. ASwimming lessons from age 2, so that close supervision is no longer needed
2. BA four-sided fence with a self-closing, self-latching gate, plus constant supervision
3. CExplaining to the child that the pool is dangerous
4. DArm floats whenever the child is near the pool

How should a patient take sublingual buprenorphine-naloxone tablets?

1. ASwallow the tablet whole with a large glass of water
2. BLet the tablet dissolve completely under the tongue without chewing or swallowing it
3. CCrush the tablet and mix it with a spoonful of soft food such as yoghurt
4. DChew the tablet quickly and then swallow it with juice so that it reaches the stomach faster

A patient who takes fluoxetine in the evening says he has had trouble falling asleep since starting it. What should the nurse suggest?

1. ATake a double dose at night to make him sleepy
2. BDrink a small glass of wine or beer before bed to help him fall asleep
3. CDiscuss with the prescriber whether he can take it in the morning instead
4. DStop the fluoxetine at once and tell the prescriber at his next appointment

Alıştırma (uydurma değerler, klinik rehber değildir). Bir damla hızı hesaplaması 48,015 gtt/dk veriyor. Bu alıştırmadaki kural şudur: damla hızları en yakın tam damlaya yuvarlanır. Hangi değeri x kaydedersiniz?

Alıştırma (uydurma değerler, klinik rehber değildir). Bir reçetede 14 gün boyunca 12 saatte bir oral süspansiyondan 1½ tsp yazıyor. Süspansiyon 50 mL’lik şişelerde geliyor. 1 tsp = 5 mL kullanarak kürün tamamlanması için kaç tam şişe N verilmelidir?

14 kg ağırlığındaki bir çocuğa 5 mg/kg ilaç reçete edilmiştir. Stok çözelti 50 mg/mL içerir. Dozu çekin: hangi hacmi V verirsiniz?

Bir infüzyon 1000 mL'de 40000 ünite ilaç içeriyor. Order saatte 2000 ünite. Pompayı mL/h cinsinden hangi hıza R ayarlarsınız?

6 saatte 500 mL istenmişti. 4 saat sonra torbada hâlâ 190 mL olduğunu görüyorsunuz ve istem yine zamanında bitmelidir. Pompa hangi hıza R (mL/h) yeniden ayarlanmalıdır?

Bir torba 250 mL içinde 2 g ilaç içeriyor. İstem dakikada 2 mg. Pompayı hangi hıza R (mL/h) ayarlarsınız?

Alıştırma (uydurma değerler, klinik rehber değildir). Kayıt, bir hastanın 12 saatlik bir vardiyadaki aldığı ve çıkardığını gösteriyor. Hasta 95 kg. Ortalama idrar çıkışı U değerini mL/kg/h cinsinden bulun. İki ondalık basamağa yuvarlayın.

Alıştırma (uydurma değerler, klinik rehber değildir). 1000 mL’lik bir infüzyon saat 11:00’de 150 mL/h hızla başlıyor. 4 saat sonra hız 125 mL/h’ye değiştiriliyor ve bir daha değiştirilmiyor. Başlangıçtan kaç saat t sonra torba boşalır? Bir ondalık basamağa yuvarlayın.

Alıştırma (uydurma değerler, klinik rehber değildir). Bir hastanın nabzı 132/dk ve kan basıncı 88/53 mmHg. Şok indeksini SI = KH/SKB ile bulun. İki ondalık basamağa yuvarlayın.

Alıştırma (uydurma değerler, klinik rehber değildir). Bu gözlemler için NEWS2 çizelgesini (SpO₂ skala 1) kullanın: solunum sayısı 16/dk, SpO₂ %93 oda havasında, kan basıncı 78/46 mmHg, nabız 64/dk, uyanık, vücut sıcaklığı 38,8 °C. Hasta hangi klinik risk grubuna girer? Tıklayın.

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