NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A patient has a serum potassium of 6,8 mEq/L. Which action comes first?

1. AEncourage foods high in potassium
2. BGive the patient’s scheduled potassium supplement
3. CRecheck the level next week
4. DPlace the patient on a cardiac monitor

Which patient is the most appropriate to assign to an LPN/LVN?

1. AA patient with a long-standing tracheostomy who needs routine suctioning and care
2. BA patient with a tracheostomy placed this morning who is coughing up blood
3. CA patient who has just arrived from the emergency department with pneumonia and confusion
4. DA patient on a new IV medication that needs frequent titration

A patient is on seizure precautions. Which equipment should be ready at the bedside?

1. AWorking suction and oxygen equipment
2. BRestraints ready for all four limbs
3. CAn ice pack to place on the forehead
4. DA tongue blade to put between the teeth

A patient refuses to wear an identification wristband. What should the nurse do?

1. AExplain why it is needed, use other ID methods per policy and document
2. BForce the band onto the patient’s wrist
3. CStop giving the patient any care until they agree to wear the band
4. DAccept the refusal and identify the patient by room number and bed space instead

A trauma patient receives 2 L of IV crystalloid. The hemoglobin falls from 13,0 to 11,4 g/dL (130 to 114 g/L), and the vital signs are now stable. Which explanation is most likely?

1. AA laboratory error in the first sample
2. BIncreased red cell production
3. CA sudden failure of the bone marrow
4. DDilution of the blood by the IV fluid

A patient on warfarin with an INR of 3,6 fell and hit their head an hour ago. They now report a worsening headache and drowsiness. What is the priority?

1. AEncourage rest in a dark room to settle the pain
2. BHold warfarin for one dose and observe at home
3. CReport urgently for imaging and possible reversal
4. DGive acetaminophen (paracetamol) and recheck the INR tomorrow

Why is continuous bladder irrigation used after a transurethral resection of the prostate (TURP)?

1. ATo give antibiotics directly into the kidneys
2. BTo stop blood clots from blocking the catheter
3. CTo stretch the bladder back to its normal size
4. DTo measure the patient's kidney function

Bağırsak rezeksiyonundan iki gün sonra bir hastada artan ağrı, ateş, taşikardi var ve yara drenindeki sıvı dışkıya benziyor. En olası durum nedir?

1. ANormal postoperatif iyileşme
2. BKabızlık
3. Cİdrar retansiyonu
4. DAnastomoz kaçağı

Bir hastada B tipi natriüretik peptit (BNP veya NT-proBNP) yüksektir. Bu esas olarak neyi yansıtır?

1. ADüşme sonrası iskelet kası hasarı
2. BKalp kasının iskemik hasarı
3. CVentriküllerin gerilmesi ve basınç yüklenmesi
4. DKonjesyona bağlı karaciğer inflamasyonu

A patient with a confirmed type A aortic dissection is hypertensive and tachycardic while awaiting surgery. Which drug class is usually given first to lower the heart rate and blood pressure?

1. AAn intravenous thrombolytic
2. BAn intravenous fluid bolus
3. COral aspirin
4. DAn intravenous beta-blocker

A man starts tamsulosin for BPH. Which teaching point is most important?

1. AStand up slowly, because it can make you dizzy
2. BExpect the drug to shrink the prostate within a day
3. CStop it if the urine stream improves
4. DTake it with grapefruit juice to make it work better

Ventilatöre bağlı bir hastada travmatik beyin hasarı vardır. Herniasyon yakın olmadıkça genellikle hangi PaCO₂ hedeflenir?

1. AUzamış hiperventilasyona bağlı düşük PaCO₂
2. BNormal PaCO₂ (normokapni)
3. CSerebral damarları açmak için yüksek PaCO₂
4. DKİB'i etkilemediği için herhangi bir PaCO₂

After a spinal anaesthetic, which nursing check is particularly important?

1. APupil reaction every five minutes for the next full day
2. BBlood glucose every 15 minutes overnight
3. CReturn of leg sensation and movement, and passing urine
4. DPeak flow before and after each meal

Which patient has the highest risk of postoperative nausea and vomiting?

1. AA man with no history of nausea having local anaesthetic only
2. BA smoker who has never had nausea after surgery
3. CA male smoker having a short procedure without opioids
4. DA non-smoking woman with motion sickness who will need opioids