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

An older patient is found to be mildly hypothermic. Which care is most appropriate?

1. AGradual rewarming with blankets and warm surroundings
2. BPutting the patient in a very hot bath straight away
3. CGiving an alcoholic drink to warm them up
4. DPlacing hot water bottles directly on the skin

A patient has a platelet count of 40 × 10⁹/L (40,000/mm³). Which nursing measure is appropriate?

1. AUse a soft toothbrush and avoid IM injections where possible
2. BEncourage contact sports to raise the count
3. CGive aspirin for any headaches
4. DUse a firm toothbrush and floss hard to keep the gums healthy

Bilek kısıtlayıcısı ne kadar sıkı olmalıdır?

1. AKısıtlayıcı ile cilt arasına iki parmak sığacak kadar gevşek
2. BHasta kolunu hareket ettiremesin diye olabildiğince sıkı
3. CBilekteki nabzı yavaşlatacak kadar sıkı
4. DHastanın eli kayıp çıkabilecek kadar gevşek

The laboratory reports that a blood sample labeled with one patient’s name has a blood group different from that patient’s previous result. What is the most likely problem and response?

1. AThe previous result was wrong, so it is deleted
2. BA laboratory machine fault, so no action is needed
3. CA wrong-patient sample, so the test is repeated and the event reported
4. DA normal change in the patient’s blood group over the years since the last test

The day after a total thyroidectomy, a patient reports tingling around the mouth and in the fingers. What should the nurse do first?

1. AReassure the patient that this is normal after neck surgery
2. BCheck for signs of low calcium and inform the provider
3. CEncourage deep breaths into a paper bag until it passes
4. DGive the patient’s routine oral iron supplement early

Which patient finding after a total knee replacement needs the nurse’s action first?

1. AAsks for an ice pack to help with swelling around the knee
2. BPain of 4/10 when the physiotherapist bends the knee during the morning session
3. CA small amount of dried blood on the dressing
4. DSudden calf pain and swelling in the operated leg, with new breathlessness

Which features suggest Cushing's syndrome?

1. AWeight loss, heat intolerance, tremor and protruding eyes
2. BCoarse facial features and very large hands and feet
3. CWeight gain around the trunk, a rounded face and thin, easily bruised skin
4. DDark skin, low blood pressure, salt craving and a low blood sodium level

A patient with new fast atrial fibrillation has chest pain, a blood pressure of 75/40 mmHg and is confused. What does this indicate?

1. AA stable rhythm that can safely be reviewed at the next routine ward round
2. BA normal response to atrial fibrillation needing no action
3. CHaemodynamic instability needing urgent treatment, possibly electrical cardioversion
4. DAnxiety about the new diagnosis that will settle with reassurance and rest alone

A patient on warfarin has an INR of 7,8 and a nosebleed. Which medication would the nurse expect the provider to prescribe?

1. AProtamine sulfate
2. BVitamin K (phytonadione)
3. CNaloxone hydrochloride
4. DAcetylcysteine

A patient with thalassemia major has received regular red cell transfusions for years. The ferritin is now very high. What does this most likely show, and what treatment is used?

1. ALiver failure, treated with a liver transplant at once
2. BIron deficiency, treated with IV iron supplements
3. CAcute infection, treated with broad-spectrum antibiotics
4. DIron overload, treated with iron chelation therapy

A patient is starting lisinopril. Which rare but serious adverse effect should the nurse teach the patient to report immediately?

1. AAn increase in appetite in the evening
2. BDarker skin after exposure to sunlight
3. CSwelling of the lips, tongue or face
4. DA harmless rash on the palms of the hands

Carboprost is a prostaglandin used for postpartum haemorrhage. In which woman should it be avoided?

1. AA woman who had a vaginal birth
2. BA woman who is breastfeeding
3. CA woman with asthma
4. DA woman with iron deficiency anaemia

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

1. AAn unusually strong cardiac output
2. BReduced peripheral perfusion
3. CNormal peripheral perfusion
4. DA high haemoglobin level

During a cardiac arrest, the monitor shows an organised rhythm, but there is no pulse. What should the team do?

1. AContinue CPR and give adrenaline (epinephrine), as the rhythm is non-shockable
2. BGive adenosine to slow the rhythm down
3. CStop CPR, because an organised rhythm on the monitor means recovery
4. DDeliver an unsynchronised shock at once and then check the pulse

Bir nöbet beş dakikadır sürüyor ve devam ediyor. Olağan birinci basamak ilaç tedavisi nedir?

1. AIV lorazepam veya bukkal midazolam gibi bir benzodiazepin
2. BDış uyluğa IM adrenalin
3. CHer şeyden önce IV fenitoin yükleme dozu
4. DHer hastada IV %50 glukoz, sonra yeniden değerlendirme

İnme için alteplaz infüzyonu sırasında hastada şiddetli baş ağrısı, kusma ve düşen GKS gelişiyor. Hemşire önce ne yapmalıdır?

1. AHastayı yatıştırmak için sedatif verip devam etmelidir
2. Bİnfüzyonu durdurmalı ve inme ekibini acilen çağırmalıdır
3. CDaha erken bitsin diye infüzyonu hızlandırmalıdır
4. DBir antiemetik verip GKS'yi bir saat sonra yeniden kontrol etmelidir

Sirozlu bir hasta hepatik ensefalopati için laktüloz alıyor. Olağan hedef nedir?

1. ABirkaç gün boyunca bağırsak hareketi olmaması
2. BGünde on veya daha fazla sulu dışkı
3. CGünde iki ila üç yumuşak dışkı
4. DHaftada bir sert dışkı

A patient with a PICC line develops swelling and aching of the same arm and prominent veins on the chest. What should the nurse suspect?

1. AA catheter-related deep vein thrombosis
2. BLymphoedema from a previous operation
3. CAn allergy to the dressing
4. DNormal swelling after line insertion

A woman at 37 weeks had a placental abruption. Which laboratory finding suggests she is developing disseminated intravascular coagulation (DIC)?

1. AA low fibrinogen level and low platelets
2. BA low white cell count only
3. CA raised haemoglobin level
4. DA high fibrinogen level and high platelets

A newborn male has a urethral opening on the underside of the penis. What should the nurse tell the parents?

1. ACircumcision should be done straight away
2. BIt will correct itself by school age
3. CIt is a normal variation that needs no follow-up
4. DCircumcision should wait for specialist review

Which instruction about giving oral liquid iron to a child is correct?

1. AGive it with a syringe or straw towards the back of the mouth; dark stools are expected
2. BGive it together with an antacid to protect the stomach
3. CGive it mixed in a full bottle of milk to reduce stomach upset
4. DStop the iron straight away if the stools turn dark green or black, as this means bleeding

On day 5 of chickenpox, a child has a fever again, and one area of skin around some spots has become red, hot, swollen and very painful. What should the nurse suspect?

1. AA second attack of chickenpox caused by a different strain
2. BAn allergy to calamine lotion
3. CNormal healing of chickenpox spots
4. DA secondary bacterial skin infection

In a therapy group, one member talks constantly and interrupts others. What should the group leader do?

1. ACriticise the member in front of the whole group so that she learns to stay quiet
2. BAsk the member to leave the group permanently so that others can speak
3. CAcknowledge the member's contribution and invite others to share their views
4. DLet the member continue, because she has a lot to say

A nurse suspects that a patient is hiding his tablets in his cheek and later spitting them out. What is the best approach?

1. AAccuse him in front of other patients so that he is embarrassed and stops
2. BStop giving him his medicine at all, because he is not taking it anyway, and record that he refused
3. CCheck his mouth after each dose, as policy allows, and explore why he does not want it
4. DCrush all his tablets into his food without telling him

Alıştırma (uydurma değerler, klinik rehber değildir). Bir ağırlık dönüşümü 41,2882 kg veriyor. Bu alıştırmadaki kural şudur: ağırlıklar en yakın kilogramın onda birine yuvarlanır. Hangi değeri x kaydedersiniz?

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 hasta 30 kg. Order edilen doz günde 5 mg/kg, 3 eşit dozda veriliyor. Doz başına kaç miligram D verilir?

Reçete 1000 ünitedir; ilaç 5000 ünite/mL olarak gelir. Dozu 1 mL’lik şırıngaya çekin: hangi hacmi V verirsiniz?

Bir damla infüzyonu 15 gtt/mL’lik bir setle 40 gtt/min hızla akıyor. Hasta 6 saatte kaç mililitre V alır?

Bir torba 1000 mL içinde 4 g ilaç içeriyor. İstem dakikada 0,5 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. Sıvı dengesi B = alınan − çıkarılan değerini mL cinsinden bulun (negatif cevap net kayıp demektir). Buz parçalarını hacimlerinin yarısı olarak sayın.

Alıştırma (uydurma değerler, klinik rehber değildir). 1000 mL’lik bir torba saat 11:30’de başlatıldı ve pompayla 60 mL/h hızla gidiyor. Saat 19:00’te torbada kaç mL V kalmıştır?

Alıştırma (uydurma değerler, klinik rehber değildir). Bir alıştırma çizelgesinde GCS 14, E3 ve V5 kayıtlı. Hangi motor skoru M kaydedilmiştir ve hangi yanıtı tanımlar? Sayıyı verin.

Alıştırma (uydurma değerler, klinik rehber değildir). Doğumdan 1 dakika sonra alıştırma yenidoğanında her yerde mavi ya da soluk cilt, kalp atımı yok, uyarana yanıt yok, kas tonusu olmayan gevşek ekstremiteler ve solunum yok var. APGAR’ı puanlayın ve skorun nasıl yorumlandığına tıklayın.

1. 1güven verici
2. 2orta düzeyde anormal
3. 3düşük