NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

One hour after a vaginal birth, the nurse finds a soft, boggy uterus and heavy bleeding. What is the first action?

1. AEncourage the patient to rest quietly
2. BApply an ice pack to the perineum
3. COffer a meal and fluids
4. DMassage the fundus

Before surgery, a nurse is asked to witness a patient’s consent. The patient was given a sedative 30 minutes ago. What should the nurse do?

1. AWitness it quickly before the sedative takes full effect
2. BWitness it and write “sedated” beside the signature
3. CNot witness the consent and inform the surgeon
4. DAsk a family member to sign on the patient’s behalf

Bir serviste norovirüs salgını sırasında personel hasta bakımından sonra hangi el hijyeni yöntemini kullanmalıdır?

1. AYalnızca alkollü el antiseptiği
2. BYalnızca ellerini kâğıt havluya silmek
3. CEldiven giyildiyse el hijyeni yapmamak
4. DSu ve sabunla yıkamak

A nurse notices that the pharmacy has sent the wrong dose and corrects it before giving it. Should the event be reported?

1. AOnly if the same error happens three times
2. BNo, because the patient was not harmed
3. CNo, because reporting near misses only blames the pharmacy staff for nothing
4. DYes, near misses are reported so system weaknesses can be fixed

Hipofiz ameliyatından sonra bir hasta saatte yaklaşık 400 mL soluk renkli, özgül ağırlığı 1,002 olan idrar yapıyor ve sodyum 149 mEq/L'ye yükseldi. En olası durum hangisidir?

1. AKetoasidozlu hiperglisemi
2. BDiabetes insipidus
3. CSIADH
4. DOligürili akut böbrek hasarı

Uzun süredir akciğer hastalığı olan bir hastanın serum bikarbonatı 32 mEq/L, arteriyel PaCO₂'si sürekli yüksek ve pH'ı 7,36'dır. Hangi durum en iyi uyar?

1. AAğır dehidratasyon ve kusmayla birlikte akut diyabetik ketoasidoz
2. BHızlı solunumla birlikte akut aspirin aşırı dozu
3. CKronik CO₂ retansiyonu ve metabolik kompanzasyonu olan KOAH
4. DBüyük bikarbonat kayıplarıyla birlikte akut ağır ishal

Which advice should be given to a patient with a new permanent pacemaker?

1. ANever raise the arm on that side again
2. BStop all heart medicines straight away
3. CAvoid using all household electrical appliances such as kettles
4. DTell staff about the pacemaker before any MRI scan or procedure

Why should "units" never be abbreviated to "U" or "IU" on an insulin prescription?

1. AThe letters can be misread as a zero, causing a tenfold overdose
2. BThe abbreviation is only allowed on prescriptions for children
3. CPharmacists cannot dispense insulin written that way
4. DIt changes the type of insulin given

A woman had lymph nodes removed from her left armpit for breast cancer. Which advice helps reduce the risk of lymphoedema?

1. AAvoid BP cuffs and injections on the left arm where possible
2. BKeep the left arm hanging down and as still as possible all day
3. CApply tight jewellery to the left wrist
4. DUse only the left arm for heavy lifting to build up its muscles

A smoker has severe shoulder and arm pain, a drooping eyelid, a small pupil and reduced sweating on the same side of the face. What should be suspected?

1. AA frozen shoulder with referred pain to the face
2. BA simple migraine
3. CA stroke affecting the brainstem on the opposite side
4. DA tumour at the apex of the lung (Pancoast tumour)

A patient with advanced CKD asks how to manage indigestion. Which option should they avoid?

1. AEating smaller, more frequent meals
2. BMagnesium-containing antacids
3. CRaising the head of the bed at night
4. DAvoiding large meals late in the evening

A patient with SIADH needs IV fluid. Which fluid is most likely to worsen the hyponatraemia?

1. A3% saline
2. B8,4% sodium bicarbonate
3. C5% glucose (dextrose, D5W)
4. D20% human albumin

Why are antiemetics usually given before chemotherapy starts?

1. APreventing nausea works better than treating it later
2. BAntiemetics make the chemotherapy work better
3. CThey stop the chemotherapy from causing hair loss and mouth sores
4. DThey cannot be given once nausea has started

Kronik böbrek hastalığı olan 74 yaşındaki bir hastada ameliyat sonrası şiddetli ağrı vardır. Hangi opioid sorunu en önemlidir?

1. ABöbrek fonksiyonunun opioidlerin işlenmesi üzerinde etkisi yoktur
2. BAğrı ne olursa olsun yaşlılarda opioidler asla kullanılmamalıdır
3. CMorfin metabolitleri birikir, bu nedenle daha düşük doz veya başka bir opioid gerekebilir
4. DMorfin böbrek yetmezliğinde en güvenli opioiddir, bu nedenle dozlar serbestçe artırılabilir