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

A patient arrives back on the ward after surgery. What does the nurse assess first?

1. AThe wound dressing
2. BPain score
3. CAirway and breathing
4. DFluid balance chart

Which statement about the use of physical restraint is correct?

1. AIt can be used whenever a patient is confused, without further assessment
2. BIt is a last resort, uses the least restrictive option and needs regular checks
3. CIt is the best way to stop older patients from falling
4. DIt never needs to be documented if it is used only overnight

A patient is receiving opioids for pain. Which sign usually comes before opioid-induced respiratory depression?

1. AIncreasing sedation
2. BDilated pupils
3. CDiarrhea
4. DRising blood pressure

A nurse teaches a patient with neutropenia about preventing infection at home. Which statement shows a need for further teaching?

1. A“I will wash my hands often and ask visitors to do the same.”
2. B“I will avoid crowds and people who have colds.”
3. C“I can clean the cat’s litter box if I wear a face mask.”
4. D“I will check my temperature and call if I have a fever.”

Stabil bir erişkinde karın ağrısı ve normal yaşam bulguları var. Kan testlerine ve BT taramasına ihtiyacı olacak. Hangi ESI seviyesi uygundur?

1. ASeviye 4
2. BSeviye 1
3. CSeviye 5
4. DSeviye 3

An infant is choking and cannot cry or breathe. Which technique is correct?

1. ABack blows and chest thrusts
2. BA blind finger sweep of the mouth
3. CHolding the infant upside down by the feet
4. DAbdominal thrusts, as in adults

What should a patient be told before using sublingual glyceryl trinitrate (GTN, nitroglycerin) spray for angina?

1. ATake it with a large glass of milk to protect the stomach lining
2. BUse it only after the pain has lasted over an hour, with the patient lying flat
3. CSwallow the spray rather than leaving it under the tongue
4. DSit down before using it, as it can cause dizziness and low blood pressure

Kafa travmalı bir hastada kan basıncı yükseliyor, kalp hızı düşüyor ve solunum düzensizleşiyor. Bu neyi düşündürür?

1. APanik atak
2. BSepsis
3. CGizli iç kanamaya bağlı hipovolemik şok
4. DArtmış kafa içi basıncı (Cushing triadı)

How often is the INR usually checked when warfarin is first started?

1. AEvery hour, during the first week
2. BEvery few days, until it is stable
3. COnly if bleeding occurs at home
4. DOnce a year, at a routine visit

A patient without symptoms has a finger-stick glucose of 340 mg/dL (18,9 mmol/L). The previous values were normal, and the patient has just peeled an orange. What should the nurse do first?

1. AReport the result as a new diagnosis of diabetes mellitus
2. BHave the patient wash and dry their hands, then repeat the test
3. CGive a correction dose of insulin for a glucose of 340 mg/dL
4. DAsk the laboratory to measure HbA1c from the same drop of blood

A woman taking the combined pill should seek care urgently for which symptom?

1. ALight spotting between periods early on
2. BA painful, swollen calf or sudden chest pain
3. CSlight nausea in the first few weeks
4. DMild breast tenderness in the first month

A patient on rifampicin, isoniazid, pyrazinamide and ethambutol develops a painful swollen big toe. Which drug is most likely responsible?

1. AEthambutol
2. BPyrazinamide
3. CIsoniazid
4. DRifampicin

A patient on ramipril is to start sacubitril/valsartan for heart failure. What is the key safety point?

1. AThe ACE inhibitor dose should be doubled during the change
2. BThe ACE inhibitor must be stopped first, with a gap before starting
3. CBoth drugs should be taken together each day for the best effect
4. DSacubitril/valsartan is safe to start on the same morning

A patient has been on continuous NIV via a full-face mask for two days. Which nursing measure helps prevent the most common complication?

1. AUse the same mask size for every patient
2. BRemove the mask for an hour each time the alarm sounds
3. CCheck mask fit and protect the bridge of the nose
4. DTighten the straps as far as they will go to stop any leak

What is the main purpose of continuous bladder irrigation after a transurethral resection of the prostate (TURP)?

1. ATo give the patient extra fluids
2. BTo measure the size of the bladder
3. CTo treat a urinary infection after the operation
4. DTo stop blood clots from blocking the catheter

A large pituitary tumour presses on the optic chiasm. Which visual field defect is most typical?

1. ALoss of the inner half of the field in both eyes
2. BComplete blindness in one eye only
3. CLoss of central vision in both eyes
4. DLoss of the outer half of the field in both eyes

What does "neoadjuvant" treatment mean?

1. ATreatment given only for pain relief
2. BTreatment before the main treatment, often to shrink the tumour
3. CTreatment that is given only after the cancer has already spread
4. DTreatment that is given instead of any surgery

On the morning of elective hip surgery, a patient says she took her usual warfarin last night despite being told to stop. What should the nurse do?

1. ATell her the surgery must be cancelled for a month
2. BProceed with the usual checklist and say nothing
3. CInform the surgical and anaesthetic teams, who will check the INR
4. DGive a double dose of vitamin K by mouth without waiting for a prescription

When performing the first Leopold manoeuvre, what is the nurse trying to identify?

1. AThe amount of amniotic fluid
2. BWhich fetal part lies in the fundus
3. CWhether the head has entered the pelvis
4. DWhich side the fetal back lies on

A newborn has excessive frothy saliva and chokes and turns blue with the first feed. What is the priority?

1. AStop feeding and report it urgently
2. BContinue feeding more slowly
3. CPlace the baby on its back to sleep
4. DGive the baby water instead of milk

Which daily monitoring is most useful for a child with nephrotic syndrome?

1. AWeight and urine dipstick for protein
2. BPeak flow and oxygen saturation every morning
3. CHead circumference and fontanelle tension
4. DBlood glucose before and after every meal

An 8-year-old tells the nurse that her uncle touches her in a way she does not like and asks the nurse to keep it secret. What is the best response?

1. APromise to keep the secret, so that she keeps trusting the nurse and tells more later
2. BAsk detailed, leading questions to find out exactly what happened
3. CPhone the uncle straight away to ask for his side of the story before reporting anything
4. DListen calmly, praise her for telling, explain it must be shared, and follow safeguarding

A patient from a culture in which communication with ancestors is common says she sometimes hears her late grandmother giving advice. What is the most appropriate nursing approach?

1. ARecord it immediately as a command hallucination
2. BAvoid asking about it, because culture is not relevant to mental health
3. CExplore the experience in her cultural context before calling it a symptom
4. DTell her that her beliefs are not real

A new nurse asks why the therapeutic relationship is different from a social relationship. Which statement is correct?

1. AIt has no fixed end, and it can continue as a friendship after discharge if both the nurse and the patient want it to
2. BIt is goal-directed and focused on the patient's needs, with the nurse responsible for keeping boundaries
3. CThe patient is responsible for setting the boundaries of the relationship
4. DBoth people share their needs equally, as in any friendship

Alıştırma (uydurma değerler, klinik rehber değildir). Bir doz 11:30 saatinde kaydedilmiş (24 saatlik saat). Hangi giriş 12 saatlik saatte aynı zamandır? Tıklayın.

1. 110:30 AM
2. 211:30 PM
3. 311:30 AM
4. 41:30 AM

Alıştırma (uydurma değerler, klinik rehber değildir). Bir hemoglobin sonucu 11,7 g/dL. Bunu Hb g/L cinsinden ifade edin.

18 kg ağırlığındaki bir hastanın vücut yüzey alanı 0,72 m². İstem 75 mg/m². Dozu D mg cinsinden bulun.

Reçete 4000 ünitedir; ilaç 10000 ünite/mL olarak gelir. Dozu 1 mL’lik şırıngaya çekin: hangi hacmi V verirsiniz?

10 damla/mL'lik bir setle 250 mL'yi 3 saatte verin. Damla hızı R'ü dakikada damla olarak bulun. En yakın tam sayıya yuvarlayın.

6 saatte 1000 mL istenmişti. 4 saat sonra torbada hâlâ 370 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. IV infüzyon vardiya boyunca gösterilen hızla gitti. Toplam alınan I değerini mL cinsinden bulun. Buz parçalarını hacimlerinin yarısı olarak sayın.

Alıştırma (uydurma değerler, klinik rehber değildir). 1000 mL’lik bir torba pompayla 120 mL/h hızla gidiyor. Saat 16:00’de 300 mL zaten verilmiş. Torba kaç saat t sonra boşalır? Bir ondalık basamağa yuvarlayın.

Alıştırma (uydurma değerler, klinik rehber değildir). Bu gözlemler için NEWS2 çizelgesini (SpO₂ skala 1) kullanın: solunum sayısı 20/dk, SpO₂ %93 ek oksijen altında, kan basıncı 84/50 mmHg, nabız 82/dk, uyanık, vücut sıcaklığı 35,8 °C. NEWS2 toplam skoru nedir?

Alıştırma (uydurma değerler, klinik rehber değildir). Bir alıştırma hastası Braden skalasıyla değerlendiriliyor: duyusal algı: hafif kısıtlı; nemlilik: ara sıra nemli; aktivite: ara sıra yürüyor; hareketlilik: hafif kısıtlı; beslenme: mükemmel; 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