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

Why should insulin injection sites be rotated?

1. ATo prevent lumpy fatty swelling that affects absorption
2. BTo make the insulin work more quickly with each injection
3. CBecause each site can only be used once
4. DTo stop the patient getting used to the needle

A patient with dementia keeps getting out of bed at night. What is the best first nursing approach?

1. ALook for an unmet need such as toileting, pain, hunger or thirst
2. BTie a sheet across the bed to keep the patient in
3. CAsk the doctor to prescribe a sedative so the patient sleeps through the night
4. DRaise the bed rails and leave the patient alone

A nurse wants to set up a sterile field in the morning for a procedure that will take place after lunch. What is correct?

1. ASet it up in the morning and leave it uncovered in an empty room
2. BSet it up just before the procedure, because a waiting field may become contaminated
3. CSet it up in the morning and cover it with a clean towel until the procedure starts
4. DSet it up in the morning and ask a colleague to check it once

Kök hücre naklinden sonra ciddi immünsüpresyonu olan bir hasta koruyucu ortamdadır. Hangi öğe odaya getirilmemelidir?

1. ATaze çiçekler veya saksı bitkileri
2. BSilinerek temizlenmiş çerçeveli bir aile fotoğrafı
3. CHastanın kendi temiz kıyafetleri
4. DTemiz, dezenfekte edilmiş bir tablet bilgisayar

A patient has a tonic-clonic seizure in bed. What should the nurse do first?

1. AProtect the head and turn the patient on their side when possible
2. BHold the arms and legs down firmly to stop the jerking movements quickly
3. CPlace a tongue depressor between the teeth
4. DGive a drink of water to help the patient wake

A patient has central chest pain that started 30 minutes ago at rest and has not eased with rest or nitroglycerin. What does this suggest?

1. AA possible myocardial infarction that needs urgent action
2. BStable angina that will pass without treatment
3. CIndigestion that is best treated with an antacid and a glass of milk
4. DMuscle strain that needs a warm compress

A patient says they are "allergic" to codeine because it made them constipated. How should this be recorded?

1. AIt should not be recorded at all
2. BAs a side effect or intolerance, not a true allergy
3. CAs a severe anaphylactic allergy to all opioids
4. DAs an allergy to all painkillers

Which route and site are recommended for the first dose of adrenaline (epinephrine) in anaphylaxis on a ward?

1. AIntravenous bolus given by the nurse without monitoring
2. BOral tablet dissolved under the tongue
3. CIntramuscular injection into the anterolateral thigh
4. DSubcutaneous injection into the upper arm

A nurse has a needlestick injury from a patient with unknown HIV status. Which test is usually done for the nurse as soon as possible?

1. AA sweat chloride test
2. BA baseline HIV test
3. CA thyroid panel test
4. DA serum lipase test

Which set of results best shows that diabetic ketoacidosis is resolving?

1. AA closing anion gap with a rising bicarbonate and pH
2. BA rising potassium with a falling bicarbonate
3. CA falling glucose with a still widening anion gap
4. DA falling glucose with a falling serum bicarbonate

Which assessments are most important during a magnesium sulfate infusion?

1. ABlood glucose, pupil size and pupil reaction to light
2. BDeep tendon reflexes, respiratory rate and urine output
3. CTemperature and skin colour only
4. DBowel sounds and appetite

A patient taking long-term hydroxychloroquine for lupus is advised to have regular eye examinations. Why?

1. AThe drug causes cataracts within a few weeks of starting
2. BThe drug stains the cornea blue
3. CThe drug raises pressure inside the eye
4. DThe drug can cause retinal toxicity that may be permanent

A patient's capillary refill time at the fingertip is 4 seconds. What does this suggest?

1. ANormal peripheral perfusion
2. BA high haemoglobin level
3. CReduced peripheral perfusion
4. DAn unusually strong cardiac output

A patient with lung cancer develops swelling of the face and arms, distended neck and chest veins and breathlessness that is worse when bending forward. What is the most likely cause?

1. AAn allergic reaction to chemotherapy
2. BRight-sided heart failure
3. CSuperior vena cava obstruction
4. DA deep vein thrombosis in the leg

Hangi idrar bulgusu diabetes insipidusu SIADH'den en iyi ayırır?

1. ADI'de konsantre idrar, SIADH'de seyrelmiş idrar vardır
2. BDI'de seyrelmiş idrar, SIADH'de konsantre idrar vardır
3. CDI'de idrarda glukoz, SIADH'de protein vardır
4. DHer iki durumda da çok konsantre idrar vardır

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

1. AHypoparathyroidism after neck surgery
2. BToo much vitamin D from supplements
3. CSecondary hyperparathyroidism from CKD
4. DPrimary hyperparathyroidism from a tumour

Sirozlu hastalar neden artmış kanama riski taşır?

1. ASkarlaşmış karaciğer kana heparin gibi antikoagülan maddeler salar
2. BSirozda yüksek arter basıncı damarların patlamasına yol açar
3. CSiroz trombosit sayısını artırır, bu da trombositleri zayıflatır
4. DDaha az pıhtılaşma faktörü, düşük trombositler ve portal hipertansiyona bağlı varisler

Four patients are on a gastroenterology ward. Which should the nurse see first?

1. AA patient with stable ulcerative colitis asking about diet
2. BA patient with GORD who wants an antacid
3. CA patient with cirrhosis who is newly confused and drowsy
4. DA patient with an ileostomy waiting to change the pouch

Bir kadın gebedir. Daha önce 35. haftada ikiz doğum yapmış (ikisi de sağ) ve 10. haftada bir düşük yapmıştır. GTPAL değeri nedir?

1. AG4 T0 P2 A1 L2
2. BG3 T0 P1 A1 L2
3. CG3 T1 P0 A1 L2
4. DG2 T0 P1 A1 L2

A newborn has a deep dimple with a tuft of hair over the lower spine. What is the significance?

1. AIt means the baby will have hip dysplasia
2. BIt may be a sign of an underlying spinal defect
3. CIt is a sign of congenital heart disease
4. DIt is an expected birthmark with no meaning

Which diet is usually advised for a child with nephrotic syndrome while there is oedema?

1. AA carbohydrate-free diet to reduce fluid retention
2. BA high-salt diet to replace losses in the urine
3. CNo added salt
4. DA protein-free diet to rest the kidneys completely

A child with a head injury now has rising blood pressure, a falling heart rate and irregular breathing. What does this indicate?

1. ADehydration that needs more fluids
2. BA late sign of raised intracranial pressure; an emergency
3. CNormal recovery after a head injury
4. DPain from the injury that needs stronger, regular analgesia

Which criteria are needed for a diagnosis of intellectual disability?

1. AAn IQ score alone, measured at any time in adult life
2. BProblems with reading only, with normal everyday functioning
3. CLimits in both intellectual and adaptive functioning, starting in childhood
4. DMemory loss and confusion that start for the first time after the age of 65

On the day after hip surgery, a 58-year-old patient has a new tremor, sweating, anxiety and a fast pulse. He did not report any alcohol use on admission. What should the nurse do?

1. ATell him that his symptoms are normal after hip surgery
2. BAsk him and his family about his alcohol use and the time of his last drink, and report the findings
3. CWait until the next day to see if the symptoms go away on their own once his pain is better controlled
4. DAssume he has post-operative pain and give extra analgesia only

Alıştırma (uydurma değerler, klinik rehber değildir). Bir doz 20:10 saatinde kaydedilmiş (24 saatlik saat). Hangi giriş 12 saatlik saatte aynı zamandır? Tıklayın.

1. 110:10 PM
2. 28:10 PM
3. 37:10 PM
4. 48:10 AM

Alıştırma (uydurma değerler, klinik rehber değildir). Bir infüzyon 19:45 saatinde başlıyor ve ertesi sabah 06:00 saatinde bitiyor (24 saatlik saat). t kaç dakika sürdü?

Bir hasta 15 kg ve tek doz olarak 7,5 mg/kg order edilmiş. Dozu D mg cinsinden bulun.

Bir hasta 156 cm boyunda ve 66 kg ağırlığında. İstem 75 mg/m². Mosteller formülü VYA = √(boy (cm) × kilo (kg)/3600) ile dozu D mg cinsinden bulun.

Bir infüzyon 150 mL/h olarak istenmiş, ancak pompa yok. 60 gtt/mL’lik bir infüzyon setiyle yerçekimiyle veriliyor. Damla hızı R değerini dakikadaki damla olarak bulun.

Bir serum 20 damla/mL'lik setten 32 damla/dk hızla akıyor. Torbada 300 mL kaldı. Kaç saat t sonra boşalır? Bir ondalık basamağa yuvarlayın.

Alıştırma (uydurma değerler, klinik rehber değildir). Kayıt, bir hastanın 8 saatlik bir vardiyadaki aldığı ve çıkardığını gösteriyor. Hasta 77 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 torba saat 06:30’de başlatıldı ve pompayla 120 mL/h hızla gidiyor. Saat 10:30’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: sınırlarını olduğundan fazla görüyor ya da unutuyor. Morse toplamını MFS bulun.

Alıştırma (uydurma değerler, klinik rehber değildir). Bir yetişkin 126 kg ağırlığında ve 196 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