NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

Which two patients can most safely share a room?

1. ATwo patients who both have C. difficile infection
2. BA patient with chickenpox and a patient on chemotherapy
3. CA patient with influenza and a patient with COPD
4. DA patient with MRSA in a wound and a patient after surgery

An infant is choking and cannot cry or breathe. Which technique is correct?

1. AHolding the infant upside down by the feet
2. BA blind finger sweep of the mouth
3. CBack blows and chest thrusts
4. DAbdominal thrusts, as in adults

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 cannot find a confused patient who was in their room 15 minutes ago. What should the nurse do first?

1. AAlert staff and security at once, following the missing-patient procedure
2. BCall the family to ask whether the patient has gone home on their own
3. CWait an hour in case the patient comes back
4. DDocument the absence at the end of the shift

When several samples are drawn at the same venipuncture, which tubes or bottles are filled first?

1. ABlood culture bottles
2. BEDTA (complete blood count) tubes
3. CCoagulation (citrate) tubes
4. DFluoride (glucose) tubes

The nurse teaches a patient about the HbA1c test. Which statement shows a need for further teaching?

1. A"A lower result means less risk of damage to my eyes and kidneys"
2. B"My daily finger-stick readings still matter between the tests"
3. C"The test shows my average glucose over the past few months"
4. D"I must not eat anything for 12 hours before the HbA1c test"

A spontaneously breathing patient is critically ill and hypoxic. Which oxygen delivery gives the highest concentration?

1. ASimple face mask at 5 L/min with the patient sitting up
2. BVenturi mask set to 24%
3. CNasal cannula at 2 L/min
4. DNon-rebreathe mask with reservoir bag at 15 L/min

A patient with a small leg wound has severe pain out of proportion to the skin changes, rapidly spreading redness and signs of sepsis. What should be suspected?

1. AAn allergic reaction to the dressing
2. BSimple cellulitis that will settle with oral antibiotics
3. CA superficial bruise
4. DNecrotising fasciitis

How should a patient with asthma record their peak flow at home?

1. ATake the average of ten blows after exercise
2. BBlow only during an asthma attack, never when well
3. CTake one gentle blow once a week, at any time of day
4. DTake the best of three blows, ideally morning and evening

A patient with severe aortic stenosis is prescribed glyceryl trinitrate (nitroglycerin) for chest pain. Why should the nurse use particular caution?

1. AVasodilators can cause a severe fall in BP with a fixed outflow obstruction
2. BGTN makes the narrowed aortic valve tighten further within a few minutes
3. CThere is no reason for caution, because GTN acts only on the coronary arteries
4. DGTN raises the blood pressure dangerously in aortic stenosis

Which side effects are common with oxybutynin for an overactive bladder?

1. AA cough and a raised potassium
2. BDry mouth and constipation
3. CDiarrhoea and heavy sweating
4. DWeight loss and a fast tremor

A patient with Addison's disease has been vomiting for a day. They are confused, with BP 78/40 mmHg, sodium 126 mmol/L and potassium 6,0 mmol/L. What is the priority?

1. AIV potassium to correct the electrolytes
2. BA fluid restriction for the low sodium
3. CIV hydrocortisone straight away, plus IV fluids
4. DOral hydrocortisone and an antiemetic by mouth

Which wound drain observation should be reported immediately?

1. AA sudden large volume of fresh red blood
2. BA little dried blood around the drain site
3. CDrainage slowly falling each day
4. DSmall amounts of pink serous fluid

Bir hastaya negatif basınçlı yara tedavisi (NPWT) uygulanıyor. Pompa alarm veriyor ve pansumanın sızdırmazlığı kaybolmuş. En uygun eylem nedir?

1. AKöpüğün üzerine kuru gazlı bez koyup sıkıca bantlamak
2. BKöpüğü, değerlendirmeye kadar günlerce emişsiz yarada bırakmak
3. CSızdırmazlığı yeniden sağlamak; zamanında başarısız olursa nemli bir pansumana geçmek
4. DSızdırmazlığı geri çekmek için emişi azami ayara çıkarmak