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

According to Erikson, what is the main developmental task of older adulthood?

1. AIdentity versus role confusion
2. BTrust versus mistrust
3. CIntegrity versus despair
4. DIndustry versus inferiority

Which newly started medication most increases an older patient's risk of falling?

1. AAn emollient cream for dry skin
2. BA vitamin D supplement
3. CA night-time sedative such as a benzodiazepine
4. DRegular paracetamol (acetaminophen) for back pain

Havayolu önlemleri uygulanan bir hastaya bakım verildikten sonra N95 solunum maskesi ne zaman çıkarılmalıdır?

1. AAsla; vardiyanın geri kalanında takılı kalır
2. BOdaya girer girmez
3. COdadan çıkıp kapıyı kapattıktan sonra
4. DOdanın içinde, eldivenleri çıkarmadan önce

Only one airborne infection isolation room (negative pressure) is free. Which newly admitted patient should be placed in it?

1. AA patient with an MRSA wound infection
2. BA patient with suspected active pulmonary tuberculosis
3. CA patient with C. difficile diarrhea
4. DA patient with confirmed seasonal influenza and a cough

START triyajı sırasında yürüyemeyen bir erişkin dakikada 36 kez soluyor. Kurbana hangi kategori verilir?

1. AKırmızı (acil)
2. BSiyah (beklenen ölüm)
3. CYeşil (hafif)
4. DSarı (ertelenebilir)

A child is admitted with a suspected Wilms tumor (nephroblastoma). Which instruction is most important for all staff?

1. ADo not palpate the abdomen
2. BEncourage the child to play contact sports
3. CGive a warm bath with abdominal massage
4. DMeasure abdominal girth by pressing firmly

Why are patients asked to fast before a general anaesthetic?

1. ATo reduce the risk of aspirating stomach contents
2. BTo prevent postoperative constipation and abdominal bloating
3. CTo make the surgery shorter
4. DTo lower the blood glucose before surgery

A patient with severe ulcerative colitis develops abdominal distension, fever and tachycardia, and the number of stools falls. What complication should be suspected?

1. AToxic megacolon
2. BRecovery from the colitis
3. CCoeliac disease
4. DConstipation from dehydration

A patient taking empagliflozin (an SGLT2 inhibitor) has glucose in the urine but a normal blood glucose. What is the best interpretation?

1. AA sign of kidney failure
2. BAn expected effect of the drug
3. CA urinary tract infection
4. DUncontrolled diabetes needing insulin

A patient has painless jaundice, itching, dark urine and pale stools. ALP is markedly raised, conjugated (direct) bilirubin is high and ALT is only mildly raised. What is the most likely cause?

1. AGilbert syndrome, a harmless inherited bilirubin disorder
2. BIncreased breakdown of red blood cells (hemolytic anemia)
3. CBlockage of bile flow, for example by a tumor in the bile duct
4. DAcute viral hepatitis with widespread liver cell damage

Which patient should usually not receive a live vaccine?

1. AA patient receiving chemotherapy for leukaemia
2. BA patient with mild seasonal allergies
3. CA healthy adult nurse who works on a children's ward
4. DA healthy 1-year-old child

Romatoid artrit için metotreksat haftada bir kez alınır. Bir hasta yanlışlıkla aynı dozu her gün alıyor. Temel tehlike nedir?

1. AMetotreksat toksisitesine bağlı kemik iliği baskılanması ve mukozit
2. Bİlaç toleransı nedeniyle artritin kötüleşmesi
3. CSıvı tutulumuna bağlı ağır hipertansiyon
4. DMetotreksat insülin salınımını güçlü biçimde uyardığı için hipoglisemi

Why is pyridoxine (vitamin B6) often given with isoniazid?

1. ATo prevent loss of colour vision
2. BTo prevent gout attacks
3. CTo prevent orange discolouration of urine
4. DTo prevent peripheral neuropathy

A hypotensive patient has a temperature of 39,2 °C, warm flushed skin, a bounding pulse and a fast heart rate. Which type of shock is most likely?

1. AHypovolaemic shock from bleeding
2. BObstructive shock from tamponade
3. CCardiogenic shock
4. DEarly septic (distributive) shock

Before checking a capillary glucose, why should the patient wash their hands with soap and water?

1. ASoap makes the blood flow faster from the finger
2. BWashing prevents all infection from the lancet
3. CWashing lowers the glucose in the blood
4. DSugar on the skin can give a falsely high reading

A patient with Guillain–Barré syndrome has a blood pressure that swings between 80/50 and 190/100 mmHg and a heart rate that changes suddenly. What does this suggest?

1. AAutonomic dysfunction, which needs continuous cardiac monitoring
2. BA faulty blood pressure cuff that should be replaced and the readings ignored
3. CA drug reaction that means all medicines must stop
4. DAnxiety that will settle with reassurance alone

Which infection control measure is correct for a patient with C. difficile diarrhoea?

1. AA face mask for the patient and visitors only
2. BA single room with its own toilet, and soap-and-water handwashing
3. CNo special measures once antibiotics have started
4. DA shared bay, as long as alcohol gel is used after every contact

On day 2 of nasogastric feeding, a severely malnourished patient becomes weak and breathless with ankle swelling. Phosphate is 0,4 mmol/L. What is most likely?

1. AAn allergy to the feed formula
2. BNormal adjustment to the new feed
3. CRefeeding syndrome
4. DToo little calorie intake

A woman in late pregnancy has numbness and tingling in her thumb and first fingers, worse at night. What is the most likely cause?

1. ACarpal tunnel syndrome
2. BA stroke caused by pre-eclampsia
3. CLow blood calcium
4. DVitamin K deficiency

At 4 hours, a newborn's temperature is 37,9 °C (100,2 °F). He is wrapped in three blankets under a heater. What should the nurse do first?

1. APlace him in a cold bath
2. BStart antibiotics without further assessment
3. CGive an antipyretic medicine immediately
4. DRemove extra layers and recheck

Which diet is usually recommended for a child with cystic fibrosis?

1. AA high-energy, high-fat diet with fat-soluble vitamin supplements
2. BA low-protein diet to reduce the work of the pancreas
3. CA low-salt diet to protect the heart and kidneys from damage later in life
4. DA low-fat diet to reduce greasy stools and abdominal pain

A 3-month-old has large, flat, blue-grey patches over the lower back and buttocks. The parents say they have been there since birth. What is the best action?

1. AReport them straight away to the safeguarding team as suspected physical abuse
2. BDocument them with size and location as congenital dermal melanocytosis (Mongolian spots)
3. CRequest urgent clotting tests and a full blood count to look for a bleeding disorder
4. DApply cold packs several times a day to reduce the discoloration

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. BTell her that her beliefs are not real
3. CAvoid asking about it, because culture is not relevant to mental health
4. DExplore the experience in her cultural context before calling it a symptom

Three weeks after her husband died, a woman says she sometimes briefly hears him call her name at home. She is otherwise eating, sleeping and coping. How should the nurse interpret this?

1. ABrief experiences like this can be part of normal grief
2. BIt is a sign of schizophrenia that needs antipsychotic medicine
3. CIt proves she has severe major depression with psychosis
4. DIt means she has delirium and needs urgent tests

Alıştırma (uydurma değerler, klinik rehber değildir). Bir hastanın vücut sıcaklığı 101,6 °F. °C = (°F − 32) × 5/9 formülüyle T değerini santigrat dereceye çevirin. Bir ondalık basamağa yuvarlayın.

Alıştırma (uydurma değerler, klinik rehber değildir). Bir serum kreatinin sonucu 1,6 mg/dL. Kreatinin için 1 mg/dL = 88,4 µmol/L kullanarak c değerini en yakın tam sayıyla µmol/L cinsinden bulun.

Bir hasta 45 kg ve tek doz olarak 10 mg/kg order edilmiş. Dozu D mg cinsinden bulun.

%25 (a/h) stok çözeltiden 200 mL %2 (a/h) çözelti hazırlamanız gerekiyor. Stoka ne kadar su W eklenmelidir?

20 damla/mL'lik bir setle 1500 mL'yi 5 saatte verin. Damla hızı R'ü dakikada damla olarak bulun.

Bir torba 250 mL'de 1000 mg ilaç içeriyor ve 15 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. Hasta 57 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 infüzyon saat 14:00’de 100 mL/h hızla başlıyor. 4 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). Kafa travması geçirmiş bir alıştırma hastası kendisine seslenildiğinde gözlerini açıyor, yalnızca inleme gibi anlaşılmaz sesler çıkarıyor ve en iyi motor yanıt olarak şunu gösteriyor: ekstremiteyi basıdan çekiyor (normal fleksiyon). 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: yok, yatak istirahati ya da hemşire yardımı; IV tedavi ya da salin kilidi: hayır; yürüyüş: zayıf; mental durum: kendi sınırlarını biliyor. 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