NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

Which action helps prevent a catheter-associated urinary tract infection?

1. ADisconnecting the bag every shift to empty it
2. BKeeping the drainage bag below the level of the bladder
3. CLeaving the catheter in place longer than needed
4. DRaising the drainage bag above the bladder when walking

A child with sickle cell disease in a pain crisis develops chest pain, fever and an SpO₂ of 89%. What does this most likely mean?

1. AAn ordinary pain crisis that will improve with rest
2. BAnxiety that will settle with reassurance
3. CA minor chest infection that can safely wait until the morning round
4. DAcute chest syndrome, which needs urgent escalation and oxygen

How should a nurse handle soiled bed linen?

1. AShake it out first to check for lost items
2. BPut it on the floor until the bed is made
3. CCarry it bundled against the body to the soiled utility room down the hall
4. DHold it away from the uniform and place it straight into a linen bag

A nurse teaches parents about using an infant car seat. Which statement shows a need for further teaching?

1. A“We will make sure the harness straps are snug against the baby’s chest.”
2. B“We will use the car seat for every trip, even short ones.”
3. C“We will put the rear-facing seat in the front so we can see the baby.”
4. D“We will install the seat in the back seat, facing the rear.”

A patient receives repeated nebulized albuterol (salbutamol) for severe asthma. Which laboratory change should the nurse watch for?

1. AA rise in serum calcium
2. BA rise in serum sodium
3. CA fall in serum potassium
4. DA fall in blood glucose

A patient with schizophrenia drinks very large amounts of water each day. Sodium is 121 mEq/L, and the urine is very dilute (urine osmolality 70 mOsm/kg). Which explanation fits best?

1. AHyperosmolar hyperglycemic state
2. BCentral diabetes insipidus
3. CSyndrome of inappropriate ADH
4. DPrimary (psychogenic) polydipsia

Compared with a colostomy, a patient with an ileostomy is at greater risk of:

1. ADehydration and electrolyte loss from liquid output
2. BUrinary retention
3. CHard stools, straining and constipation from slow transit
4. DLow blood glucose after meals

A few hours after cardiac surgery, a patient has low blood pressure, a raised jugular venous pressure and quiet, muffled heart sounds. What should be suspected?

1. AHypovolaemia from dehydration
2. BCardiac tamponade
3. CHyperkalaemia
4. DPneumonia

After a prescribed IV fluid bolus for hypotension, what should the nurse do next?

1. AStart a second fluid bolus straight away without checking anything
2. BStop all monitoring if the patient says they feel better
3. CWait until the next routine observations in four hours
4. DReassess heart rate, blood pressure, urine output and lung sounds

A nurse receives handover on four patients. Which patient should be seen first?

1. AA patient on day 1 after surgery who is newly restless, RR 30/min, SpO₂ 88% on 4 L/min
2. BA patient with asthma who wants a reliever inhaler before a walk
3. CA patient with pneumonia on IV antibiotics who now has a temperature of 38,2 °C
4. DA patient with COPD on 1 L/min whose SpO₂ has been 89% and stable throughout the night

Why is good blood pressure control important in chronic kidney disease?

1. AIt lowers the blood glucose
2. BIt cures chronic kidney disease
3. CIt slows the decline in kidney function
4. DIt raises the haemoglobin level in the blood

A patient with Guillain–Barré syndrome has a blood pressure that swings between 80/50 and 190/100 mmHg and a heart rate that changes suddenly. What does this suggest?

1. AA drug reaction that means all medicines must stop
2. BAutonomic dysfunction, which needs continuous cardiac monitoring
3. CAnxiety that will settle with reassurance alone
4. DA faulty blood pressure cuff that should be replaced and the readings ignored

Why should antacids usually be taken at a different time from other medicines?

1. AThey stop the kidneys from clearing other drugs
2. BThey destroy other drugs before they are swallowed
3. CThey make all other drugs much more toxic
4. DThey can reduce the absorption of many other drugs

Bilinen prostat kanseri olan bir hasta yeni, kötüleşen bel ağrısı ve bacak güçsüzlüğü bildiriyor. En önemli eylem nedir?

1. AOlası omurilik basısı: üst basamağa bildirmek, reçete edildiği şekilde steroidler, acil MRG
2. BBel ağrısının yaygın olduğunu ve ciddi olmadığını söyleyerek hastayı rahatlatmak
3. CÖnümüzdeki ay bel ağrısı için rutin fizyoterapi ayarlamak
4. DEvde parasetamolle dinlenmeyi öğütlemek ve bir sonraki poliklinik ziyaretinde değerlendirmek