NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

Hangi bulgu beklenmedik bir bulgudur ve hızlı takip gerektirir?

1. AHeparin infüzyonundaki bir hastada yeni siyah, katran gibi dışkı
2. BUzun süredir KOAH’ı olan hastada fıçı göğüs
3. CBilinen sirozu olan bir hastada değişmemiş sarı cilt
4. DLaparoskopik safra kesesi ameliyatından bir gün sonra sağ omuz ağrısı olan hasta

A patient has a wrist restraint. The nurse finds the fingers on that hand pale, cool and tingling. What should the nurse do first?

1. ADocument the finding and continue with the medication round
2. BTighten the restraint so the patient moves less
3. CLoosen the restraint and assess the circulation
4. DRaise the arm on a pillow and check again in two hours

Which part of a sterile surgical gown is considered sterile once it is on?

1. AThe front from the neck down to the knees
2. BThe whole gown, including the back, the collar and the area below the waist
3. COnly the back of the gown, which nobody touches
4. DThe front from chest to the level of the sterile field, and the sleeves

A nurse has a needlestick from a patient with hepatitis B. The nurse finished the vaccine series and has a documented protective antibody level. Which statement is correct?

1. AThe nurse must stop all patient care for six months
2. BNo hepatitis B treatment is needed, but the injury is still reported and followed up
3. CHepatitis B immune globulin and a complete new vaccine series are both needed at once
4. DNo reporting is needed because the nurse is immune

Digoksin kullanan bir hastanın düzeyi 2,8 ng/mL ve kalp hızı 52/dk'dır. Hemşirenin en iyi eylemi nedir?

1. ADozu tutmak ve reçeteyi yazan kişiyi bilgilendirmek
2. BKalp hızı 50/dk'nın üzerinde olduğu için dozu vermek
3. CDozu vermek ve düzeyi bir ay sonra yeniden kontrol etmek
4. DRitmi düzeltmek için çift doz vermek

Four drug levels are reported. Which patient should the nurse assess first?

1. ALithium 1,8 mEq/L with a new coarse tremor
2. BDigoxin 1,0 ng/mL with a pulse of 72/min
3. CValproate 75 mcg/mL with no symptoms
4. DPhenytoin 15 mcg/mL with no symptoms

A patient has a fentanyl patch for chronic pain. Which advice is correct?

1. AKeep using the old patch with the new one
2. BCut the patch in half if the pain improves, to lower the dose
3. CAvoid heat sources such as hot water bottles over the patch
4. DApply the patch to broken skin for faster effect

Which patient should the nurse assess first?

1. AA patient with diabetes whose glucose is 11 mmol/L (198 mg/dL) before lunch
2. BA patient with COPD whose SpO₂ is 89% and within their target range
3. CA patient with asthma who can only speak in single words
4. DA postoperative patient who rates their pain as 6/10

A patient has pneumonia in the right lung only. In which side-lying position will oxygenation usually be best?

1. ALying on the left side, with the healthy lung down
2. BFlat on the back with no pillows
3. CLying on the right side, with the affected lung down
4. DProne with the head down

An older ex-smoker has a dry cough and worsening breathlessness over a year, finger clubbing and fine "Velcro-like" crackles at both bases at the end of inspiration. Which condition is most likely?

1. AAn acute asthma attack
2. BCommunity-acquired pneumonia
3. CIdiopathic pulmonary fibrosis
4. DSpontaneous pneumothorax

Bir nöbet beş dakikadır sürüyor ve devam ediyor. Olağan birinci basamak ilaç tedavisi nedir?

1. AIV lorazepam veya bukkal midazolam gibi bir benzodiazepin
2. BHer hastada IV %50 glukoz, sonra yeniden değerlendirme
3. CHer şeyden önce IV fenitoin yükleme dozu
4. DDış uyluğa IM adrenalin

A patient with SIADH is taught about a fluid restriction. Which statement shows a need for further teaching?

1. A"I will count all drinks, including soup, in my daily total."
2. B"I will report any headaches or confusion."
3. C"If I feel thirsty, I can drink as much water as I like."
4. D"I will weigh myself every morning."

Which is a common side effect of opioids, especially when given by epidural or spinal route?

1. AItching
2. BRinging in the ears
3. CHair growth
4. DIncreased hunger

A patient with advanced cancer who has capacity decides to stop chemotherapy. The family insists that treatment must continue. What should the nurse do?

1. ASupport the patient's decision and help the team talk with the family
2. BAsk the family to sign a new consent form
3. CContinue treatment because the family has asked for it
4. DTell the patient that stopping is not allowed