NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A patient with heart failure gained 2 kg (about 4 lb) since yesterday and is more breathless when lying down. What should the nurse do first?

1. ALay the patient flat to help them breathe more easily
2. BRecord the weight on the chart and recheck it at the next weekly weigh-in
3. CAssess the lungs, oxygen saturation and swelling, then inform the provider
4. DEncourage extra fluids to correct the weight change

After a vaginal birth, the uterus is firm and central, but bright red blood keeps trickling steadily. What should the nurse suspect?

1. AUterine atony that needs more massage
2. BNormal lochia for the first hour
3. CA full bladder pushing the uterus aside
4. DA tear in the birth canal or cervix

When should a nurse call the rapid response team?

1. AOnly after a patient has had a cardiac or respiratory arrest on the ward
2. BWhen a patient shows an acute decline, such as new confusion or a sharp change in vital signs
3. COnly when the patient’s family makes a complaint
4. DOnly when the provider has written an order for a rapid response call in the chart

A nurse has raised a safety concern about an order with the prescriber, who dismissed it without addressing it. What should the nurse do next?

1. ACarry out the order as written, because the prescriber has heard the concern
2. BDiscuss the concern with the patient and let them decide
3. CRefuse to care for the patient for the rest of the shift until the prescriber apologizes
4. DState the concern clearly a second time and, if still unresolved, use the chain of command

Kronik böbrek hastalığında yüksek serum fosfatına genellikle kalsiyumda hangi değişiklik eşlik eder?

1. AYüksek serum kalsiyumu
2. BKalsiyum değişikliği olmadan yalnızca yüksek serum potasyumu
3. CKalsiyumda değişiklik yok
4. DDüşük serum kalsiyumu

A patient's results: sodium 140 mEq/L, chloride 100 mEq/L, bicarbonate 12 mEq/L. What is the anion gap, and what does it suggest?

1. A28 mEq/L, a high anion gap
2. B40 mEq/L, a high anion gap
3. C52 mEq/L, a very high anion gap
4. D12 mEq/L, a normal anion gap

A dying patient can no longer drink and has a dry mouth. What is the most appropriate nursing care?

1. ALeaving the mouth alone to avoid disturbing them
2. BStarting a fast intravenous infusion to correct the dryness
3. CInserting a nasogastric tube for fluids
4. DFrequent mouth care that keeps the lips and mouth moist

Why is morphine more likely to cause toxicity in a patient with severe kidney impairment?

1. AKidney failure makes the stomach absorb more morphine
2. BIts active metabolites build up because the kidneys excrete them
3. CThe kidneys normally activate morphine, so more of it becomes active
4. DKidney disease makes the opioid receptors disappear

A patient on furosemide has a serum potassium of 3,0 mmol/L (3,0 mEq/L). Which symptoms may this cause?

1. AMuscle weakness, cramps and an irregular pulse
2. BTingling around the lips and painful spasm of the hands
3. CSevere headache and a stiff neck
4. DFacial flushing, fever and a skin rash

A nurse teaches a patient who has a new permanent pacemaker. Which statement shows a need for further teaching?

1. A"I will keep my mobile phone in my shirt pocket over the device."
2. B"I will keep my follow-up appointments for device checks."
3. C"I will carry my pacemaker identification card with me at all times."
4. D"I will tell staff about the device before any MRI scan."

What is the dexamethasone suppression test used for?

1. ATo measure kidney function
2. BTo check thyroid function
3. CTo help diagnose Cushing's syndrome
4. DTo diagnose diabetes insipidus

Bir hemodiyaliz hastası seanslar arasında sıvının neden sınırlandırılması gerektiğini soruyor. Hangi açıklama doğrudur?

1. AFazla sıvı birikir, KB'yi yükseltir ve diyalizde nefes darlığı ile kramplara yol açar
2. BSu içmek diyalizin kandan çok fazla potasyum çekmesine yol açar
3. CSıvı kısıtlaması esas olarak makinede geçirilen süreyi kısaltmak içindir
4. DFazla sıvı fistül duvarını zayıflatır ve patlama olasılığını artırır

Which statement about corticosteroids in inflammatory bowel disease is correct?

1. AThey are the best long-term maintenance treatment
2. BThey cure the disease after one course
3. CThey are used to induce remission, not for maintenance
4. DThey are given only as a one-off injection

70 kg ağırlığında bir erişkinde toplam vücut yüzey alanının %40'ı yanıktır. Parkland formülüyle ilk 24 saatlik kristaloid genellikle nasıl bölünür?

1. AYarısı yanık anından itibaren ilk 8 saatte, yarısı sonraki 16 saatte
2. BHastaneye varıştan itibaren sayılan 24 saat boyunca saatlik eşit miktarlar
3. CDörtte biri varıştan sonraki ilk 8 saatte, geri kalanı 16 saatte
4. DHepsi ilk saatte, sonra günün geri kalanında yalnızca oral sıvılar