NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

Before giving a medication to a child, which check is especially important?

1. AThat the child likes the taste of the drug
2. BThat the parent agrees with the time it is given
3. CThat the medicine cup is the child’s favorite color
4. DThat the dose is correct for the child’s weight

A patient on peritoneal dialysis has cloudy fluid draining out and abdominal pain. What does this most likely mean?

1. AA normal finding at the end of each exchange
2. BToo much fluid left in the abdomen after the drain
3. CConstipation that will settle with a laxative later today or tomorrow
4. DPeritonitis, which needs prompt reporting and a fluid sample

A patient with a respiratory infection has a raised procalcitonin level. What does this most suggest?

1. AAn allergic reaction to a recent medication
2. BA purely viral illness
3. CDehydration from poor intake
4. DA bacterial rather than a viral infection

A flexible bronchoscope contacts mucous membranes but does not enter sterile tissue. Which level of processing is required at a minimum between patients?

1. AWiping with an alcohol wipe
2. BHigh-level disinfection
3. CLow-level disinfection
4. DCleaning with soap and water only

Bir hastanın sodyumu 124 mEq/L, baş ağrısı ve yeni konfüzyonu var. Hangi hemşirelik önlemi en uygundur?

1. AHastayı düz yatırmak ve nörolojik kontrolleri vardiyada bire indirmek
2. BReçete edilen tiyazid diüretiğin bir sonraki dozunu erken vermek
3. CHastayı bol bol sade su içmeye teşvik etmek
4. DNöbet önlemlerini almak ve nörolojik durumu izlemek

Yeni derin ven trombozu olan bir hasta heparin infüzyonundadır ve varfarine yeni başlanmıştır. Heparin neden birkaç gün daha sürdürülür?

1. AVarfarinin tam antikoagülan etkisine ulaşması birkaç gün alır
2. BHeparin varfarinin bağırsaktan emilimini artırır
3. CVarfarin yalnızca heparin aynı anda verildiğinde işe yarar
4. DHeparin varfarinin yan etkilerini önler

DSÖ analjezik merdiveni ne önerir?

1. AAnaljeziyi yalnızca ağrı şiddetlendiğinde vermeyi
2. BKanser ağrısında yalnızca ilaç dışı yöntemler kullanmayı
3. CTüm hastalara güçlü opioidlerle başlamayı
4. DAğrı arttıkça opioid olmayanlardan zayıf, sonra güçlü opioidlere geçmeyi

A patient with several days of vomiting and diarrhoea has low blood pressure, low urine output and a rising creatinine. Which description fits best?

1. AChronic kidney disease, treated with long-term dialysis three times a week
2. BPre-renal acute kidney injury from poor perfusion, treated by restoring fluid volume
3. CPost-renal acute kidney injury from obstruction, treated with a catheter
4. DIntrinsic kidney injury from glomerulonephritis, treated with high-dose steroids

Virchow's triad describes three factors that promote venous thrombosis. Which patient factor represents venous stasis?

1. AImmobility after major surgery
2. BTaking an oestrogen-containing pill
3. CAn inherited clotting disorder
4. DDamage to a vein during hip surgery

A ventilated patient with severe ARDS is to be turned prone. What is the main reason, and the key nursing risk?

1. AIt improves oxygenation; risks are pressure injury and tube displacement
2. BIt improves digestion and gut motility; the main risk is constipation
3. CIt treats infection; the risk is fever
4. DIt lowers the blood pressure; the main risk is rebound hypertension

A patient with diabetic neuropathy has an ulcer on the ball of the foot. Which measure is most important for healing?

1. AWalking more to improve blood flow
2. BTaking pressure off the ulcer
3. CCovering it and checking it in a month
4. DSoaking the foot in hot water daily

Total tiroidektomiden sonra bir hasta kaygılı hale geliyor; stridor ve boyunda gergin bir şişlik gelişiyor. Hemşire önce ne yapmalıdır?

1. ASesi sınamak için hastadan mümkün olduğunca çok konuşmasını istemelidir
2. BAcil yardım çağırmalı: hematom hava yolunu sıkıştırıyor olabilir
3. CAnaljezi verip şişliği bir saat sonra yeniden değerlendirmelidir
4. DBoyuna buz paketi uygulamalı ve hastayı düz yatırmalıdır

What is TENS?

1. AA pain score used for babies
2. BA type of epidural catheter inserted in theatre
3. CA device that sends mild electrical pulses through skin pads
4. DA strong opioid given through the skin as a weekly adhesive patch

Two days after surgery, a patient on regular ibuprofen has a low urine output and a rising creatinine, and intake has been poor. What should the nurse do?

1. AIncrease the dose to treat the pain better and encourage fluids
2. BGive the next dose with extra food
3. CWithhold the next dose and report to the prescriber
4. DChange to a higher-strength NSAID tablet