NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A nurse teaches a patient who uses home oxygen. Which statement shows a need for further teaching?

1. A“I will put up no-smoking signs at the front door and in my room.”
2. B“I will keep the oxygen away from the gas stove.”
3. C“My husband can smoke in my room if the window is open.”
4. D“I will not use oil-based creams on my face.”

A patient with diabetic ketoacidosis is about to start an IV insulin infusion. The serum potassium is 3,0 mEq/L. What should the nurse do?

1. AStart the insulin at once, because the glucose is the bigger problem
2. BIgnore the result, since potassium is always high in this condition and will correct itself
3. CGive the insulin as a fast bolus to bring the potassium up
4. DReport the result before starting, because insulin will push potassium even lower

A patient wants to use their own electric hair dryer in the hospital. What is correct?

1. AIt can be used straight away if it looks new
2. BIt is checked for electrical safety according to hospital policy before use
3. CIt can be plugged into an extension lead under the bed
4. DIt can be used in the bathroom near the sink if the patient is careful

A child with fever, cough, red eyes and a spreading rash is in a clinic waiting room. Measles is suspected. What should the nurse do first?

1. ASend the child home to rest without an assessment
2. BAsk the family to wait in the main waiting room until the child is called in
3. CGive the child an antipyretic and continue triage
4. DPut a mask on the child and move them into an airborne isolation room

How should a blood sample for serum ammonia be handled?

1. AKept warm and sent with the next routine batch
2. BPlaced on ice and sent to the laboratory at once
3. CLeft at room temperature for several hours first
4. DShaken firmly to mix it before it is sent away

Which patient's result should the nurse act on first?

1. AFerritin 15 ng/mL in a well patient with known iron-deficiency anemia on oral iron
2. BHemoglobin 6,4 g/dL (64 g/L) with new chest pain and a pulse of 124/min
3. CPlatelets 140 × 10³/µL in a patient with mild chronic liver disease
4. DHemoglobin 9,6 g/dL (96 g/L) in a patient with stable chronic kidney disease

Which mask is required for staff during an aerosol-generating procedure on a patient with a respiratory infection spread by aerosols?

1. AA standard fluid-repellent surgical mask with a visor
2. BA fit-tested respirator mask (such as FFP3 or N95)
3. CA cloth face covering
4. DNo mask, as long as gloves are worn

Trakeostomili bir hasta aniden nefes alamıyor ve kanül tıkanmış görünüyor. İlk yapılacak nedir?

1. Aİç kanülü çıkarıp tıkalı olup olmadığını kontrol etmek
2. BKafı söndürüp hastayı bırakmak
3. CYalnızca ağızdan oksijen vermek
4. DBir şey yapmadan önce hekimi beklemek

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

1. AHold the breath for as long as possible
2. BAvoid coughing completely until all the stitches are removed
3. CLie flat on the back with the legs straight
4. DHold a pillow firmly against the wound while coughing

A 28-year-old woman taking the combined pill comes in breathless and anxious. RR is 30/min, heart rate 118/min and SpO₂ 90% on air. A colleague says it is a panic attack. What should the nurse conclude?

1. ABreathing into a paper bag is the best first treatment for her
2. BLow oxygen saturation is not explained by anxiety; PE must be excluded
3. CShe should be sent home after a sedative
4. DThe saturation is normal for an anxious person who is breathing fast

Why is all urine strained in a patient with suspected kidney stones?

1. ATo stop the stone from blocking the toilet
2. BTo remove blood clots before testing
3. CTo catch the stone so it can be analysed
4. DTo measure the urine volume more accurately

Which task for a patient with a urinary catheter can the nurse delegate to a healthcare assistant (nursing assistant)?

1. AEmptying the drainage bag and recording the volume
2. BAssessing a patient whose irrigation is not draining
3. CTeaching self-catheterisation for the first time
4. DDeciding whether the catheter can be removed

Which nursing care helps a new skin graft take?

1. AMassaging the graft firmly several times a day
2. BEncouraging the patient to exercise the area straight away
3. CKeeping the area still and avoiding shearing forces
4. DRemoving the dressing every hour to look at it

A nurse teaches a patient going home between chemotherapy cycles. Which statement shows a need for further teaching?

1. A"I'll wash my hands often and avoid people with infections."
2. B"I'll keep the emergency number and call if I feel shivery."
3. C"I'll check my temperature whenever I feel hot, shivery or unwell."
4. D"If I get a fever, I'll take paracetamol and see if it settles."