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

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

1. ALie flat on their back with arms by their sides
2. BAvoid coughing completely until the stitches have been removed
3. CHold a pillow firmly against the wound while coughing
4. DCough while bending forward with no support

A dehydrated patient is receiving IV fluids. Which finding best shows the treatment is working?

1. AThe patient feels more thirsty than before the fluids started
2. BThe urine becomes darker and more concentrated
3. CThe heart rate rises and the skin becomes cooler
4. DUrine output rises and the heart rate falls towards normal

A patient needs to be moved up in bed and cannot help much. Which approach is safest?

1. AAsk the patient to push up with their heels alone
2. BHave one nurse pull the patient up by the arms
3. CRaise the head of the bed fully and lift the patient up by the shoulders
4. DUse a friction-reducing sheet with enough staff, with the bed flat if tolerated

A nurse cannot find a confused patient who was in their room 15 minutes ago. What should the nurse do first?

1. AWait an hour in case the patient comes back
2. BCall the family to ask whether the patient has gone home on their own
3. CAlert staff and security at once, following the missing-patient procedure
4. DDocument the absence at the end of the shift

A nurse has called the rapid response team for a deteriorating patient. What should the nurse do while waiting for the team?

1. AGive a dose of every as-needed medication on the chart
2. BStay with the patient, give oxygen as prescribed and have recent vital signs ready
3. CLeave the patient for a few minutes to find the relatives and explain what is happening
4. DGo to the station to finish documentation for other patients

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

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

A nurse finds a patient lying on the floor beside the bed. What should be done first?

1. AComplete the incident report form
2. BLift the patient straight back into bed so they are comfortable
3. CCheck the patient for injuries before moving them
4. DPhone the patient's family

Why might a patient with diabetes who takes a beta-blocker not notice hypoglycaemia early?

1. ABeta-blockers make the patient sleep through the night
2. BBeta-blockers raise blood glucose, so true hypoglycaemia cannot happen at all
3. CBeta-blockers stop the liver from responding to insulin
4. DBeta-blockers can mask warning signs such as tremor and a fast heart rate

A patient with type 2 diabetes starts prednisone each morning. When is the glucose most likely to be highest?

1. AIn the early morning, before the dose
2. BAt midnight only
3. CIn the afternoon and evening
4. DThe glucose will not change

Ameliyat sonrası akşam, bir hastanın hemoglobini 12,5 g/dL'den 8,1 g/dL'ye (125'ten 81 g/L'ye) düşmüştür ve kalp hızı 118/dk'dır. En olası sorun nedir?

1. AAmeliyat sonrası normal seyrelme olup işlem gerektirmez
2. BDüzelmekte olan bir durum
3. CDehidratasyon
4. DKanama

Which drug is used for torsades de pointes?

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

A patient on long-term prednisolone has been vomiting for two days and could not take her tablets. She is now hypotensive and confused, with low sodium and high potassium. What is the most urgent treatment?

1. AOral prednisolone with a glass of water
2. BIV insulin with glucose only
3. CIV hydrocortisone and IV fluids
4. DIV furosemide

A patient arrives with suspected cardiac chest pain. How soon should a 12-lead ECG be recorded?

1. AWithin about 10 minutes of arrival
2. BOnly after the troponin result is available
3. CThe following morning
4. DWithin 2 hours of arrival

Toplum kökenli pnömonisi olan 82 yaşındaki bir hastada yeni konfüzyon, solunum hızı 32/dk, KB 88/52 mmHg ve üre 9 mmol/L'dir. Bu neyi gösterir?

1. ACURB-65 skoru 3: yalnızca genel servise rutin yatış
2. BYaşlı bir erişkinde enfeksiyona normal yanıt
3. CCURB-65 skoru 5: acil kıdemli hekim değerlendirmesi gerektiren yüksek risk
4. DCURB-65 skoru 1: evde oral antibiyotiğe uygun

Which nursing care is most important for a patient with diabetes insipidus?

1. AWeighing the patient once a month
2. BGiving a loop diuretic to clear extra fluid
3. CStrict fluid balance, daily weight and free access to water
4. DA strict fluid restriction to reduce the amount of urine passed

The nurse has four patients with diabetes. Which one needs to be seen first?

1. AA patient with a glucose of 2,8 mmol/L (50 mg/dL) who is sweaty and confused
2. BA patient with a glucose of 14 mmol/L (252 mg/dL) who feels well and is eating
3. CA patient waiting for a routine HbA1c test
4. DA newly diagnosed patient asking about which foods to eat

Birçok kemoterapi ilacından sonra vücut sıvıları için özel önlemler çoğu zaman ne kadar süreyle alınır?

1. AHiçbir zaman gerekmez
2. BYalnızca infüzyon sırasında
3. CTam bir yıl boyunca
4. DGenellikle yaklaşık 48 saat

Which history should most alert the nurse to a possible latex allergy before surgery?

1. AFeeling sick after eating shellfish once
2. BItching with bananas, avocado and kiwi, and many operations
3. CHay fever every spring since childhood
4. DA rash after taking amoxicillin as a child, with a family history of asthma

In which order do the final cardinal movements of labour occur after extension?

1. AExpulsion, restitution, external rotation
2. BExternal rotation, flexion, expulsion
3. CInternal rotation, descent, expulsion
4. DRestitution, external rotation, expulsion

A labouring woman refuses a recommended caesarean for fetal distress after a full explanation. She has decision-making capacity. What should the nurse do?

1. ARespect her decision, document it and inform the team
2. BPrepare her for surgery anyway because the baby is at risk
3. CAsk her partner to consent instead
4. DStop caring for her because she refused advice

How should a parent respond to a 2-year-old's temper tantrum in a safe place?

1. AGive the child the sweet he wants so the tantrum stops
2. BShout loudly at the child to make the tantrum stop sooner
3. CStay calm, keep the child safe and do not give in to the demand
4. DSmack the child to show that tantrums are not allowed

In England, a 15-year-old asks a nurse for contraception and does not want her parents told. Which principle applies?

1. AThe nurse must inform her parents and her school straight away
2. BContraception may only be given once she reaches the age of 18
3. CShe may consent herself if judged competent (Gillick and Fraser)
4. DShe can never receive contraception without written consent from a parent

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

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

A woman with a severe intellectual disability and limited speech has started hitting her face and refusing food. What should the nurse consider first?

1. AThat she is trying to manipulate the staff
2. BA physical cause such as dental pain, an ear infection or constipation
3. CThat the behaviour is part of her disability and needs no assessment
4. DThat she needs an antipsychotic to control her behaviour

Alıştırma (uydurma değerler, klinik rehber değildir). Bir doz 1:10 PM saatinde kaydedilmiş. Hangi giriş 24 saatlik saatte aynı zamandır? Tıklayın.

1. 101:10
2. 213:10
3. 312:10
4. 414:10

Alıştırma (uydurma değerler, klinik rehber değildir). Bir istem 104 kg ağırlığındaki hasta için 0,5 mcg/kg/dk şeklinde yazılmış. Doz hızını D mg/sa cinsinden ifade edin. İki ondalık basamağa yuvarlayın.

Bir adrenalin (epinefrin) ampulünün etiketinde 1:1000 (1 mg/mL) yazıyor. Anafilaksi için istem 0,3 mg IM. Hangi hacmi V çekersiniz?

12 kg ağırlığındaki bir çocuğa, 1 mL’de 40 mg içeren oral süspansiyondan doz başına 12,5 mg/kg istenmiştir. Hangi hacmi V verirsiniz? Bir ondalık basamağa yuvarlayın.

Bir damla infüzyonu 15 gtt/mL’lik bir setle 25 gtt/min hızla akıyor. Hasta 4 saatte kaç mililitre V alır?

Bir torba 100 mL'de 100 mg ilaç içeriyor ve 20 mL/h hızla akıyor. Hasta saatte kaç miligram D alır?

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 15:00’de 120 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). Bir alıştırma hastası Morse düşme skalasıyla değerlendiriliyor: son 3 ayda düşme öyküsü: evet; ikincil tanı: evet; yürüme yardımcısı: mobilyalara tutunuyor; IV tedavi ya da salin kilidi: evet; yürüyüş: bozulmuş; mental durum: sınırlarını olduğundan fazla görüyor ya da unutuyor. Morse toplamını MFS bulun.

Alıştırma (uydurma değerler, klinik rehber değildir). Bir alıştırma hastası Braden skalasıyla değerlendiriliyor: duyusal algı: bozukluk yok; nemlilik: sürekli nemli; aktivite: ara sıra yürüyor; hareketlilik: kısıtlılık yok; beslenme: çok yetersiz; sürtünme ve makaslama: sorun var. 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