NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A patient taking lisinopril develops swelling of the lips and tongue. What should the nurse do first?

1. ATell the patient this is a common, harmless effect
2. BGive the next dose of lisinopril with water
3. CApply a cold pack and recheck in an hour
4. DAssess the airway and call for urgent help

A patient at 34 weeks of pregnancy has painless, bright red vaginal bleeding. Which action should the nurse avoid?

1. AMonitoring the fetal heart rate
2. BWeighing the pads to estimate blood loss
3. CMeasuring the blood pressure and pulse
4. DA vaginal examination

A visitor with a cold wants to see a patient who has severe neutropenia. What should the nurse advise?

1. AVisit but avoid touching the patient’s bed
2. BVisit as usual after washing the hands
3. CVisit only if the cold started more than a day ago
4. DPostpone the visit until the visitor is well

A nurse has weeping dermatitis on both hands. What is the most appropriate action?

1. AContinue care as usual and wear one pair of gloves
2. BCover the lesions with a waterproof bandage and keep working with patients as usual
3. CAvoid direct patient care and handling of equipment until it heals, and see occupational health
4. DUse extra alcohol hand rub on the lesions

Vankomisin dip düzeyi hedef aralığın üzerindedir. Başlıca endişe hangi advers etkidir?

1. ABöbrek hasarı (nefrotoksisite)
2. BDüşük kan glikozu (hipoglisemi)
3. CKabızlık ve şişkinlik
4. DYüksek trombosit sayısı (trombositoz)

A patient who had pituitary surgery has fatigue and cold intolerance. The free T₄ is low and the TSH is low. What does this pattern suggest?

1. ANormal thyroid function with a laboratory error in T₄
2. BHyperthyroidism from overactivity of the thyroid gland
3. CSecondary (central) hypothyroidism from pituitary failure
4. DPrimary hypothyroidism from failure of the thyroid gland

İlk dakikalarda hangi belirtiler transfüzyon reaksiyonunu düşündürür?

1. AErtesi gün boyunca hemoglobinde yavaş, düzenli artış
2. BDaha iyi renk ve daha fazla enerji
3. CHafif açlık
4. DAteş, titreme, sırt ağrısı ve düşük kan basıncı

Which route and site are recommended for the first dose of adrenaline (epinephrine) in anaphylaxis on a ward?

1. ASubcutaneous injection into the upper arm
2. BOral tablet dissolved under the tongue
3. CIntramuscular injection into the anterolateral thigh
4. DIntravenous bolus given by the nurse without monitoring

How is a patient usually positioned for a thoracentesis?

1. ALying on the affected side with the head down
2. BProne with the arms by the sides
3. CSitting upright and leaning forward over a table
4. DFlat on the back with the legs raised

A nurse teaches a patient with heart failure who takes ramipril and spironolactone. Which statement shows a need for further teaching?

1. A"I will avoid ibuprofen for my joint pain."
2. B"I will call if I gain weight quickly or get more breathless."
3. C"I will weigh myself every morning after I go to the toilet."
4. D"I will use a salt substitute instead of ordinary salt."

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

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

A patient has frothy urine and marked leg swelling. Serum albumin is 18 g/L (1,8 g/dL), and BP is normal. The urine shows heavy protein but little blood. What is most likely?

1. ANephritic syndrome
2. BA urethral stricture
3. CNephrotic syndrome
4. DAcute pyelonephritis

Why is IV hydration given with cisplatin?

1. ATo prevent hair loss
2. BTo raise the blood pressure during treatment
3. CTo protect the kidneys from damage
4. DTo make the drug less effective

A worker has a hydrofluoric acid burn on the hand and severe pain. After irrigation with water, which specific treatment is commonly applied?

1. ASilver sulfadiazine cream
2. BCalcium gluconate gel
3. CIce cubes wrapped in a cloth
4. DSodium bicarbonate paste