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

How should oxygen cylinders be stored on a ward?

1. AStacked on top of each other in a corridor
2. BSecured upright in a holder or trolley, away from heat
3. CLying loose on the floor under the bed so they cannot fall over
4. DIn a warm cupboard next to the radiator

A patient has been taught how to prevent constipation. Which statement shows a need for further teaching?

1. A"I'll go to the toilet when I first feel the urge."
2. B"I'll drink plenty of fluids during the day."
3. C"I'll take a strong laxative every day just in case."
4. D"I'll eat more fruit, vegetables and wholegrains."

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

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

In START triage at a mass-casualty incident, a casualty cannot walk, breathes 20 times a minute, has a radial pulse and follows simple commands. Which category applies?

1. AYellow (delayed)
2. BGreen (minor)
3. CBlack (expectant or dead)
4. DRed (immediate)

A nurse needs to give report on a patient to a colleague. Which information is the most important to include?

1. AThe patient’s favorite television programs and hobbies
2. BDetails of the nurse’s own break times that shift
3. CThe patient’s current condition, recent changes and pending tasks
4. DPersonal opinions about the patient’s family members and their visiting habits

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

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

In suspected sepsis, what should ideally be collected before the first dose of antibiotics, as long as it does not delay treatment?

1. AA fasting cholesterol level
2. BA stool sample for occult blood
3. CA 24-hour urine collection
4. DBlood cultures

A patient is admitted with suspected meningococcal disease. Which infection control measure is usually needed?

1. AIsolation only after the patient has gone home
2. BDroplet precautions until 24 hours of effective antibiotics have been given
3. CAirborne precautions with a negative-pressure room for the whole hospital stay
4. DNo precautions, because it is not contagious

A patient has had severe watery diarrhea for 4 days. Which laboratory pattern would the nurse expect?

1. AHigh potassium and high bicarbonate
2. BLow glucose and high magnesium
3. CHigh sodium and high calcium
4. DLow potassium and low bicarbonate

Two days after bowel surgery, a patient with nasogastric suction has a distended abdomen, absent bowel sounds and muscle weakness. The potassium is 2,8 mEq/L. Which interpretation is best?

1. AHypokalemia from gastric losses is contributing to paralytic ileus
2. BThe potassium is normal for the second day after surgery
3. CThe low potassium is due to the patient drinking too much water
4. DHyperkalemia from tissue damage is causing the bowel to stop

How should the nurse straighten the ear canal to give ear drops to a 2-year-old child?

1. ALeave the ear untouched and drop into the canal
2. BPush the pinna forward and up
3. CPull the pinna up and back
4. DPull the pinna down and back

A patient has a serum potassium of 7,0 mmol/L (mEq/L) and peaked T waves on the ECG. Which drug is given first to protect the heart?

1. AOral potassium chloride
2. BOral sodium polystyrene sulfonate
3. CIntravenous furosemide
4. DIntravenous calcium gluconate

A patient with heart failure starts dapagliflozin, an SGLT2 inhibitor. Which teaching is most relevant?

1. AAvoid drinking any fluids at all for the first week of treatment
2. BKeep the genital area clean, as fungal infections are more common
3. CExpect the urine to turn bright orange and stain underwear and clothes
4. DTake an extra dose if the ankles swell

A fit 24-year-old marathon runner has a resting heart rate of 46/min on admission for minor surgery. He has no dizziness, chest pain or breathlessness, and his BP is 118/70 mmHg. What is the appropriate response?

1. AStart chest compressions
2. BCancel the surgery and arrange a permanent pacemaker urgently
3. CGive IV atropine straight away to bring the rate above 60/min
4. DDocument and report it, as this is often normal in an athlete

Why is an ACE inhibitor often given to a patient with diabetes and albumin in the urine?

1. AIt stops the kidneys from passing so much urine at night
2. BIt lowers the blood glucose to normal
3. CIt raises potassium to protect the heart
4. DIt protects the kidneys and reduces albumin loss

A patient with stable epilepsy on phenytoin started a new medicine last week. They now have nystagmus, an unsteady gait and slurred speech. What should the nurse do?

1. AEncourage the patient to walk more to improve their balance
2. BSuspect phenytoin toxicity, hold the next dose and ask for a drug level
3. CGive the next phenytoin dose early to prevent a seizure
4. DSuspect a new stroke and give aspirin straight away before any scan

Üst GİS kanaması olan bir hastada üre neden kreatininden çok daha fazla yükselebilir?

1. AÜre kanayan mide mukozası tarafından üretilir
2. BSindirilmiş kan bir protein yüküdür ve üreyi yükseltir
3. CKanama her zaman böbrek tübüllerine doğrudan zarar verir
4. DKreatinin kusmukla vücuttan kaybedilir

Akciğer kanseri olan bir hastada yüzde şişlik, belirgin boyun venleri ve yatınca kötüleşen nefes darlığı gelişiyor. Hangi acil olasıdır?

1. AOmurilik basısı
2. BMasif pulmoner emboli
3. CSuperior vena kava obstrüksiyonu
4. DMalignitenin hiperkalsemisi

Preeklampsisi olan bir kadın şiddetli baş ağrısı ve çakan ışıklar gördüğünü bildiriyor. Bu neyi düşündürür?

1. AMagnezyum sülfatın normal etkileri
2. BEklampsi riski taşıyan, ağır özellikli preeklampsi
3. CGeç gebelikte yaygın ve zararsız olan gerilim tipi baş ağrısı
4. DDüşük kan glikozu

A woman on day 2 after a caesarean suddenly has chest pain, breathlessness, a heart rate of 120/min and an oxygen saturation of 90%. What is the priority?

1. AAsk her to walk to the bathroom
2. BCall for help, sit her up and give oxygen
3. CTell her to rest and recheck in 4 hours
4. DGive her a laxative for abdominal pressure

Why is hearing screening done in the newborn period?

1. ABecause hearing loss always causes balance problems
2. BTo diagnose ear infections before discharge
3. CEarly detection allows support that protects language development
4. DTo check whether the baby will need glasses later in childhood

A child is recovering from Kawasaki disease at home. Which finding is expected in the recovery phase?

1. APeeling skin on the fingers and toes
2. BSudden chest pain during play
3. CA new purple rash on the legs
4. DA new high fever lasting several days

Which statement about benzodiazepines in anxiety disorders is correct?

1. AThey take 4–6 weeks to have any effect on anxiety, like antidepressants
2. BThey are the preferred long-term treatment for generalised anxiety disorder
3. CThey are safe to stop suddenly after many months of daily use
4. DThey give rapid relief but are generally used only short-term because of tolerance and dependence

A 76-year-old with no history of mental illness suddenly develops paranoid ideas and hallucinations. What is the most appropriate first step?

1. ALook for medical causes, such as delirium, medicines, infection or a neurocognitive disorder
2. BAssume it is normal ageing and take no action
3. CAdmit him to a secure psychiatric ward straight away, without any physical examination or blood tests
4. DDiagnose late-onset schizophrenia and start an antipsychotic immediately

Alıştırma (uydurma değerler, klinik rehber değildir). Bir doz 8:15 AM saatinde kaydedilmiş. Hangi giriş 24 saatlik saatte aynı zamandır? Tıklayın.

1. 107:15
2. 220:15
3. 308:15
4. 409:15

Alıştırma (uydurma değerler, klinik rehber değildir). Bir infüzyon 4 mg/sa veriyor. Bu doz hızını D mcg/dk cinsinden ifade edin. Bir ondalık basamağa yuvarlayın.

Bir adrenalin (epinefrin) ampulünün etiketinde 1:1000 (1 mg/mL) yazıyor. Anafilaksi için istem 0,5 mg IM. Hangi hacmi V çekersiniz?

12 kg ağırlığındaki bir çocuğa, 5 mL’de 250 mg içeren oral süspansiyondan doz başına 20 mg/kg istenmiştir. Hangi hacmi V verirsiniz?

Bir infüzyon 30 mL/h olarak istenmiş, ancak pompa yok. 10 gtt/mL’lik bir infüzyon setiyle yerçekimiyle veriliyor. Damla hızı R değerini dakikadaki damla olarak bulun.

Bir torba 250 mL içinde 1 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. IV infüzyon vardiya boyunca gösterilen hızla gitti. Toplam alınan I değerini mL cinsinden bulun.

Alıştırma (uydurma değerler, klinik rehber değildir). 500 mL’lik bir infüzyon saat 13:00’de 150 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). Bu gözlemler için NEWS2 çizelgesini (SpO₂ skala 1) kullanın: solunum sayısı 30/dk, SpO₂ %93 ek oksijen altında, kan basıncı 136/82 mmHg, nabız 58/dk, yalnızca sese yanıt veriyor, vücut sıcaklığı 37,8 °C. NEWS2 toplam skoru nedir?

Alıştırma (uydurma değerler, klinik rehber değildir). Bir yetişkin 111 kg ağırlığında ve 163 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