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

A goal states: "The patient will report pain of 3/10 or less within one hour of analgesia." After one hour the patient reports 6/10. What should the nurse do?

1. ARecord the goal as met, as the pain has gone down
2. BWait until the next day to evaluate again
3. CChange the goal to 6/10 or less so that it counts as met
4. DRecord the goal as not met and review the plan

During tracheal suction a patient's SpO₂ falls from 95% to 85% and the heart rate drops. What should the nurse do?

1. AStop suctioning and give oxygen until the patient recovers
2. BIncrease the suction pressure to finish faster
3. CInsert the catheter further into the airway
4. DContinue until all the secretions have been removed from the airway

When is it appropriate to use the override function on an automated dispensing cabinet to take a drug before pharmacist review?

1. AOnly in an urgent situation where delay would harm the patient, per policy
2. BWhenever the nurse is sure of the dose
3. CAt the start of each shift to save time later
4. DWhenever the pharmacist is slow to review new orders and the patient is waiting

A patient rescued from a house fire has a headache and confusion, but the pulse oximeter reads 99%. Why might this reading be misleading?

1. AConfusion and headache make pulse oximetry readings inaccurate in every patient
2. BPulse oximetry cannot tell carbon monoxide-bound hemoglobin from oxygen-bound hemoglobin
3. CPulse oximeters always read falsely low after any kind of smoke exposure
4. DThe reading is accurate, so carbon monoxide poisoning is ruled out

A woman calls to say her husband suddenly has a drooping face and slurred speech. What should the nurse advise?

1. ACall emergency services now and note the time it started
2. BBook an appointment with his doctor next week
3. CLet him lie down and see if it improves
4. DDrive him to the hospital yourself after he has eaten dinner

Using ESI, a stable adult with abdominal pain will need blood tests and a CT scan, but has a heart rate of 130/min. Which statement is correct?

1. AThe patient is level 4 because the blood tests and the scan count as one resource
2. BThe nurse should consider level 2 because of the danger-zone vital sign
3. CVital signs never change the ESI level
4. DThe patient is level 5 because the pain is not severe

A patient has a fentanyl patch for chronic pain. Which advice is correct?

1. ACut the patch in half if the pain improves, to lower the dose
2. BKeep using the old patch with the new one
3. CApply the patch to broken skin for faster effect
4. DAvoid heat sources such as hot water bottles over the patch

Which task is most appropriate for a registered nurse to delegate to a trained healthcare assistant (unlicensed assistive personnel)?

1. AAssessing a patient who has just reported new chest pain
2. BMeasuring and recording vital signs on a stable patient
3. CTeaching a patient to inject insulin for the first time
4. DGiving a dose of intravenous antibiotic

Bir hastanın mutlak nötrofil sayısı 0,4 × 10³/µL'dir. Hangi önlem uygundur?

1. AHastanın moralini yükseltmek için odaya taze çiçek getirmek
2. BÖlçümler daha doğru olduğu için ateşi rektal yoldan ölçmek
3. CPnömoni tedavisi gören başka bir hastayla aynı odada kalmak
4. DSıkı el hijyeni, ateş kontrolleri ve enfeksiyonu olan ziyaretçi kabul edilmemesi

A healthy woman at 10 weeks of pregnancy has a slightly low TSH with a normal free T₄ and no symptoms. What is the most likely explanation?

1. AhCG stimulates the thyroid in early pregnancy
2. BShe has developed Graves disease in pregnancy
3. CShe has pituitary failure from the pregnancy
4. DThe result shows severe primary hypothyroidism

Which adverse effect of ciprofloxacin should a patient report at once?

1. ADarker stools than usual
2. BPain or swelling in a tendon, such as the Achilles tendon
3. CMild tiredness in the first few days
4. DA slightly bitter or metallic taste for a while after each dose

Which regimen is standard for eradicating Helicobacter pylori?

1. AAn H2 blocker taken only when pain occurs
2. BAcid suppression plus at least two antibiotics, often with bismuth, for 14 days
3. CAn antacid alone, taken after meals and at bedtime for six months
4. DA single dose of an antibiotic given intravenously

How can a patient reduce wound pain when coughing after abdominal surgery?

1. AHold a pillow firmly against the wound while coughing
2. BAvoid coughing completely until all the stitches are removed
3. CHold the breath for as long as possible
4. DLie flat on the back with the legs straight

A ventilated patient with severe ARDS is to be turned prone. What is the main reason, and the key nursing risk?

1. AIt lowers the blood pressure; the main risk is rebound hypertension
2. BIt improves digestion and gut motility; the main risk is constipation
3. CIt improves oxygenation; risks are pressure injury and tube displacement
4. DIt treats infection; the risk is fever

How do DPP-4 inhibitors such as sitagliptin work?

1. AThey block glucose reabsorption in the kidney
2. BThey prolong the action of gut incretin hormones
3. CThey replace insulin that the pancreas cannot make
4. DThey stop the gut from absorbing fat

A patient with a subarachnoid haemorrhage develops a low sodium. Why is fluid restriction usually avoided in this patient?

1. ALow sodium in this condition always corrects itself
2. BFluid restriction would cause the aneurysm to re-bleed
3. CLow blood volume can worsen vasospasm and brain ischaemia
4. DFluid restriction raises the risk of seizures

What is the most important safety point about misoprostol?

1. AIt strongly raises blood glucose in people with diabetes
2. BIt can cause miscarriage and must not be used in pregnancy
3. CIt causes severe constipation in most patients
4. DIt must be given only by deep intramuscular injection

A patient's platelet count is 18 × 10⁹/L (18,000/µL). Which order should the nurse question?

1. AA soft diet with mouthwashes
2. BAn intramuscular injection
3. CDaily full blood count
4. DOral paracetamol for headache

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

1. ASmall for gestational age only
2. BLarge for gestational age
3. CPreterm
4. DPost-term (postmature)

A woman with gestational diabetes on insulin asks about her baby after birth. Which statement by the nurse is accurate?

1. AThe baby must not be breastfed in the first week
2. BThe baby's glucose will be checked for hypoglycaemia
3. CThe baby will be born with diabetes
4. DThe baby will need insulin for the first days

How is a child's weight status (for example overweight) assessed?

1. ABMI compared with the adult cut-off points
2. BWaist size compared with the parents' waist size
3. CWeight alone, compared with the average weight of children in the same class
4. DBMI plotted on an age- and sex-specific centile chart

A child with extensive burns is receiving IV fluid resuscitation. Which finding best shows that fluid replacement is adequate?

1. AThe blood pressure is in the high range
2. BThe child is asking for a drink
3. CThe burned skin looks less red and the blisters are smaller
4. DA urine output of about 1 mL/kg per hour

Which measurement should be monitored regularly in a patient taking venlafaxine?

1. APeak expiratory flow
2. BSerum lithium level
3. CVisual acuity
4. DBlood pressure

A 10-year-old eats only a few foods and refuses others because he fears choking after a frightening episode. He is losing weight but has no concerns about body shape. Which diagnosis fits best?

1. ABulimia nervosa
2. BAnorexia nervosa
3. CBinge-eating disorder with secret eating
4. DAvoidant/restrictive food intake disorder (ARFID)

Alıştırma (uydurma değerler, klinik rehber değildir). Bir yenidoğan 7 lb 1 oz ağırlığında. 1 lb = 16 oz ve 1 kg = 2,2 lb kullanarak m değerini kilogram cinsinden bulun. İki ondalık basamağa yuvarlayın.

Alıştırma (uydurma değerler, klinik rehber değildir). Bir infüzyon 23:30 saatinde başlıyor ve ertesi sabah 08:45 saatinde bitiyor (24 saatlik saat). t kaç dakika sürdü?

Bir hasta 45 kg ve tek doz olarak 7,5 mg/kg order edilmiş. Dozu D mg cinsinden bulun.

8 kg ağırlığındaki bir çocuğa, 5 mL’de 125 mg içeren oral süspansiyondan doz başına 10 mg/kg istenmiştir. Hangi hacmi V verirsiniz?

Bir infüzyon 150 mL/h olarak istenmiş, ancak pompa yok. 10 gtt/mL’lik bir infüzyon setiyle yerçekimiyle veriliyor. Damla hızı R değerini dakikadaki damla olarak bulun.

10 saatte 1500 mL istenmişti. 6 saat sonra torbada hâlâ 770 mL olduğunu görüyorsunuz ve istem yine zamanında bitmelidir. Başlangıçtaki pompa hızı yüzde kaç Δ artırılmalıdır?

Alıştırma (uydurma değerler, klinik rehber değildir). Kayıt, bir hastanın 12 saatlik bir vardiyadaki aldığı ve çıkardığını gösteriyor. Hasta 86 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 pompayla 75 mL/h hızla gidiyor. Saat 15:30’de 650 mL zaten verilmiş. Torba kaç saat t sonra boşalır? Bir ondalık basamağa yuvarlayın.

Alıştırma (uydurma değerler, klinik rehber değildir). Kafa travması geçirmiş bir alıştırma hastası gözlerini yalnızca basıya (ağrılı uyarana) açıyor, hiç ses çıkarmıyor ve en iyi motor yanıt olarak şunu gösteriyor: hiç hareket yok. 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 Morse düşme skalasıyla değerlendiriliyor: son 3 ayda düşme öyküsü: hayır; ikincil tanı: hayır; yürüme yardımcısı: koltuk değneği, baston ya da yürüteç; IV tedavi ya da salin kilidi: hayır; yürüyüş: normal, yatak istirahati ya da tekerlekli sandalye; mental durum: sınırlarını olduğundan fazla görüyor ya da unutuyor. 0–24 düşük, 25–44 orta ve 45 ve üzeri yüksek kesme değerlerini kullanarak düşme riski düzeyine tıklayın.

1. 1düşük risk
2. 2orta risk
3. 3yüksek risk