NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A parent of a child with influenza talks with the nurse. Which statement shows a need for further teaching?

1. A“I will keep my child home from school and away from others while unwell.”
2. B“I will call if my child has trouble breathing.”
3. C“I will give my child plenty of fluids.”
4. D“I will give my child aspirin to bring the fever down.”

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

Which measure reduces errors caused by interruptions during medication preparation?

1. APreparing medications for all patients at once
2. BPreparing medications at the busiest place on the ward
3. CA quiet “no interruption” zone or signal while preparing medications
4. DAnswering phone calls and pages while counting tablets, to save time

A nurse asks a colleague to “just glance” at an insulin infusion before starting it. What makes a check truly independent?

1. AThe second nurse checks the order, drug, dose and pump settings separately without being told the answer
2. BThe second nurse looks at the bag label from the doorway
3. CThe second nurse signs the record after the infusion has already been started by the first
4. DThe first nurse reads the details aloud and the second agrees

The heparin infusion rate was changed according to protocol. When is the aPTT usually rechecked?

1. AOnly after the infusion is stopped
2. BAbout 3 days after the change
3. CAbout 30 minutes after the change
4. DAbout 6 hours after the change

A patient taking an SGLT2 inhibitor has nausea and fast breathing. Glucose 190 mg/dL (10,5 mmol/L), pH 7,15, bicarbonate 10 mEq/L, blood ketones high. What is the most likely diagnosis?

1. AHyperosmolar hyperglycemic state
2. BSimple fasting ketosis only
3. CRespiratory acidosis from COPD
4. DEuglycemic diabetic ketoacidosis

A patient has a continuous stream of bubbles in the water seal chamber of their chest drain. What does this most likely indicate?

1. AThe drain is blocked
2. BThe drain is working normally for a fluid collection only
3. CThe lung has fully re-expanded
4. DAn air leak, from the lung or from the drainage system

A patient who used sildenafil the day before develops chest pain. Why is glyceryl trinitrate (GTN, nitroglycerin) normally avoided?

1. AGTN makes sildenafil toxic to the liver
2. BSildenafil stops GTN from being absorbed under the tongue at all
3. CThe combination can cause a severe, dangerous fall in blood pressure
4. DThe combination causes severe hyperkalaemia

How does varenicline help people stop smoking?

1. AIt partly stimulates and partly blocks nicotine receptors
2. BIt replaces nicotine through the skin, like a nicotine patch
3. CIt speeds the clearance of nicotine by the liver
4. DIt makes cigarettes taste of metal so smoking feels unpleasant

A patient with a valid, documented do-not-attempt-CPR decision (DNACPR in the UK, DNR or DNAR in the US) is found in cardiac arrest. What should the nurse do?

1. ANot start CPR, call for support, and provide dignity and comfort
2. BCall the arrest team and let them decide whether to resuscitate
3. CStart CPR but use only chest compressions
4. DStart full CPR because the patient's family is not present

Why is levodopa combined with carbidopa (or benserazide)?

1. ATo stop levodopa being converted to dopamine outside the brain
2. BTo add a separate effect that reduces the resting tremor directly
3. CTo prevent tolerance from developing to levodopa over time
4. DTo make levodopa cross into the brain more slowly and evenly

T4 omurilik yaralanması olan bir hastada zonklayıcı baş ağrısı, KB 210/110 mmHg, yaralanmanın üzerinde kızarık terli cilt ve 50/dk nabız vardır. Hasta oturtulduktan sonra bir sonraki öncelik nedir?

1. AHastayı yeniden düz yatırıp bacakları yastıklarla yükseltmek
2. BTetikleyiciyi bulmak ve ortadan kaldırmak, mesaneden başlayarak
3. CDolaşımı desteklemek için hızlı IV sıvı bolusu vermek
4. DSedatif verip kan basıncını bir saat sonra yeniden kontrol etmek

Which instruction is important during bowel preparation for colonoscopy?

1. ADrink plenty of clear fluids while taking the preparation
2. BEat a high-fibre meal the evening before the test
3. CTake the preparation only if the bowels have not opened
4. DAvoid all fluids for 24 hours before the test

Four patients from a house fire arrive in the emergency department. Which should the nurse assess first?

1. APartial-thickness burns to both legs, with pain rated 8/10
2. BA blistered forearm burn and a small cut on the knee
3. CCircumferential chest burns, with breathing becoming shallow and laboured
4. DRedness on the backs of both hands, and very anxious