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

A patient tells the nurse about abuse and asks them to keep it a secret. What should the nurse say?

1. AThat they promise to keep it secret, so the patient keeps trusting them
2. BThat they will tell everyone on the ward so the patient is safe
3. CThat they cannot listen to this and the patient should tell a doctor
4. DThat they cannot promise secrecy if someone is at risk of harm

A patient says they have no pain, but grimaces and holds their side whenever they move. What should the nurse do?

1. ARecord "no pain" and take no further action
2. BExplore the difference gently and assess the pain further
3. CGive the strongest analgesic available straight away
4. DTell the patient they are not being honest

Why is “QD” (once daily) on The Joint Commission’s “Do Not Use” list?

1. AIt is only allowed for intravenous medicines
2. BIt means “every day at bedtime” in some hospitals
3. CIt can be misread as QID or QOD, so the drug is given too often or too rarely
4. DIt is a Latin abbreviation, and only plain English abbreviations may be used

A patient on an anticoagulant falls and hits their head but says they feel fine. What should the nurse do?

1. ANotify the provider and start neurological observations, because a brain bleed may develop
2. BGive the next anticoagulant dose early to prevent clots from forming after the fall
3. CWait until the next day to see if a headache develops
4. DHelp the patient back to bed and do nothing more if they feel fine

A drowsy patient who has just returned from surgery starts to vomit. What should the nurse do first?

1. ARaise the legs above the heart
2. BTurn the patient onto their side
3. CGive a drink of water
4. DGive an oral anti-sickness tablet

A competent adult patient refuses a blood transfusion for religious reasons. What should the nurse do?

1. ARespect the refusal, check the patient understands the risks and inform the provider
2. BAsk the family to persuade the patient until they agree
3. CTell the patient that refusing treatment is not allowed in hospital
4. DGive the transfusion while the patient is asleep, because saving their life comes first

Bilinci kapalı diyabetli bir hastanın kan şekeri 2,1 mmol/L ve damar yolu yok. Ne verilebilir?

1. AAğızdan glukoz tableti
2. BSubkutan insülin
3. CAğızdan meyve suyu
4. Dİntramüsküler glukagon

Why is morphine more likely to cause toxicity in a patient with severe kidney impairment?

1. AKidney disease makes the opioid receptors disappear
2. BThe kidneys normally activate morphine, so more of it becomes active
3. CIts active metabolites build up because the kidneys excrete them
4. DKidney failure makes the stomach absorb more morphine

A patient receiving chemotherapy has an ANC of 300/µL and a new temperature of 38,3 °C (100,9 °F). What should the nurse do first?

1. AGive acetaminophen (paracetamol) and recheck the temperature in 4 hours
2. BRemove extra blankets and offer a tepid sponge bath
3. CReport it at once so cultures and antibiotics start quickly
4. DEncourage oral fluids and record the fever in the chart

Hangi sonuç kümesi demir eksikliği anemisi için en tipiktir?

1. AYalnızca yüksek trombosit sayısıyla birlikte normal hemoglobin
2. BDüşük hemoglobin, küçük eritrositler (düşük MCV) ve düşük ferritin
3. CDüşük hemoglobin, büyük eritrositler (yüksek MCV) ve yüksek ferritin
4. DYüksek hemoglobin ve yüksek hematokrit

Which drug is used for torsades de pointes?

1. AIntravenous magnesium sulfate
2. BIntravenous adenosine (rapid push)
3. COral digoxin
4. DIntravenous verapamil

A patient who has had several courses of bleomycin develops a dry cough and worsening breathlessness. What should the nurse suspect?

1. AA normal effect that will pass in a day
2. BPulmonary fibrosis from bleomycin
3. CHeart failure from bleomycin
4. DAsthma caused by anxiety

Why must intravenous potassium chloride never be given as a rapid push or undiluted?

1. AA sudden high potassium level can cause cardiac arrest
2. BIt works only when given by mouth
3. CIt turns into solid crystals inside the vein and blocks it
4. DIt immediately lowers the blood glucose to dangerous levels

A patient with heart failure wakes extremely breathless, coughing pink frothy sputum. BP is 168/96 mmHg and SpO₂ 86%. Help has been called. What is the best initial nursing action?

1. AGive a large IV fluid bolus to support the circulation
2. BLie the patient flat with the legs raised on pillows
3. CSit the patient upright with the legs down and give oxygen
4. DEncourage the patient to walk to ease the breathing

Which side effects are common with oxybutynin for an overactive bladder?

1. ADry mouth and constipation
2. BWeight loss and a fast tremor
3. CDiarrhoea and heavy sweating
4. DA cough and a raised potassium

A patient with acromegaly snores loudly, stops breathing at times in sleep and is sleepy during the day. What is most likely?

1. ANormal snoring
2. BNarcolepsy
3. CObstructive sleep apnoea
4. DAn anxiety disorder

After a percutaneous liver biopsy, how is the patient usually positioned at first?

1. AOn the right side, to press on the puncture site
2. BOn the left side, to drain the liver
3. CProne, with the head lower than the feet
4. DSitting upright, with the legs over the edge of the bed

Just after extubation in recovery, a patient develops a high-pitched noise on breathing in, with falling SpO₂. What should the nurse do first?

1. AWait a few minutes to see if it passes
2. BGive an opioid to calm the patient's breathing and reduce anxiety
3. CCall for help, give 100% oxygen and use a jaw thrust
4. DSit the patient up and give a drink of water

Rh negatif bir kadın az önce Rh pozitif bir bebek doğurdu. Anti-D immünglobülin ne zaman verilmelidir?

1. AYalnızca bir sonraki gebelikten önce
2. BYalnızca bebekte sarılık gelişirse
3. CDoğumdan sonraki 2 hafta içinde
4. DDoğumdan sonraki 72 saat içinde

A woman with a placenta praevia at 35 weeks is waiting for a planned caesarean. Which activity should she avoid?

1. ASexual intercourse
2. BLying on her side
3. CGentle walking
4. DEating a normal diet

A child's asthma action plan shows he is in the yellow zone. What should he do?

1. AGo straight to the emergency department without using any medicine first
2. BUse the reliever as the plan says and contact the doctor if it does not help
3. CDouble the preventer dose and do nothing else
4. DStop all medicines and wait to see if the symptoms pass

A child with leukaemia and a very high white cell count starts chemotherapy. Which blood results suggest tumour lysis syndrome?

1. AHigh potassium, high phosphate, high uric acid and low calcium
2. BHigh sodium, high glucose, low albumin and low urea
3. CLow haemoglobin and low platelets with a normal potassium
4. DLow potassium, low phosphate, low uric acid and high calcium

An 86-year-old nursing home resident becomes acutely confused over two days. Which cause should be considered first?

1. AA first episode of schizophrenia caused by moving into the home
2. BAn infection such as a urinary tract infection, or a medicine side effect
3. CThe normal ageing process
4. DA sudden onset of Alzheimer's disease

Three weeks after her husband died, a woman says she sometimes briefly hears him call her name at home. She is otherwise eating, sleeping and coping. How should the nurse interpret this?

1. AIt proves she has severe major depression with psychosis
2. BBrief experiences like this can be part of normal grief
3. CIt is a sign of schizophrenia that needs antipsychotic medicine
4. DIt means she has delirium and needs urgent tests

Alıştırma (uydurma değerler, klinik rehber değildir). Bir damla hızı hesaplaması 95,677 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 infüzyon 20:55 saatinde başlıyor ve ertesi sabah 08:40 saatinde bitiyor (24 saatlik saat). t kaç saat sürdü? Cevabı saat cinsinden, iki ondalık basamağa yuvarlanmış ondalık sayı olarak verin.

Bir flakon 1 g toz içeriyor. Etikette şöyle yazıyor: toplam 5 mL hacim elde etmek için 4,2 mL enjeksiyonluk su ekleyin. İstem 240 mg. Sulandırılmış çözeltiden hangi hacmi V verirsiniz?

Bir hasta 134,2 lb ağırlığında. İstem tek doz olarak 15 mg/kg ve stok 1 mL’de 100 mg içeriyor. 1 kg = 2,2 lb kullanarak hangi hacmi V verirsiniz? Bir ondalık basamağa yuvarlayın.

Bir damla infüzyonu 20 gtt/mL’lik bir setle 35 gtt/min hızla akıyor. Hasta 3 saatte kaç mililitre V alır?

Bir torba 250 mL içinde 2 g ilaç içeriyor. İstem dakikada 3 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 108 kg. Ortalama idrar çıkışı U değerini mL/kg/h cinsinden bulun. İki ondalık basamağa yuvarlayın.

Alıştırma (uydurma değerler, klinik rehber değildir). 500 mL’lik bir infüzyon saat 17:30’de 80 mL/h hızla başlıyor. 2 saat sonra hız 60 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). Kafa travması geçirmiş bir alıştırma hastası gözlerini yalnızca basıya (ağrılı uyarana) açıyor, uygunsuz, rastgele sözcükler söylüyor ve en iyi motor yanıt olarak şunu gösteriyor: ekstremiteyi basıdan çekiyor (normal fleksiyon). GCS’yi hesaplayın ve kafa travmasını ona göre sınıflandırın. Cevabınıza tıklayın.

1. 1hafif
2. 2orta
3. 3ağır

Alıştırma (uydurma değerler, klinik rehber değildir). Bir alıştırma hastası Braden skalasıyla değerlendiriliyor: duyusal algı: bozukluk yok; nemlilik: sürekli nemli; aktivite: koltuğa bağımlı; hareketlilik: tamamen hareketsiz; beslenme: çok yetersiz; sürtünme ve makaslama: belirgin sorun yok. 19–23 risk yok, 15–18 hafif, 13–14 orta, 10–12 yüksek ve 9 ve altı çok yüksek bantlarını kullanın. Risk düzeyine tıklayın.

1. 1risk yok
2. 2hafif risk
3. 3orta risk
4. 4yüksek risk
5. 5çok yüksek risk