NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A patient receives hemodialysis this morning. Which type of medication is often held before dialysis, as prescribed?

1. ATopical skin creams
2. BAntihypertensive drugs
3. CInhaled bronchodilators
4. DEye drops for glaucoma

A patient with COPD on 2 L/min oxygen becomes drowsy and hard to wake. The SpO₂ is 93%. What is the priority?

1. AAssess breathing and escalate for a blood gas, as carbon dioxide may be rising
2. BLet the patient sleep, because the saturation is above target
3. CGive the as-needed sedative so the patient rests comfortably
4. DIncrease the oxygen to 6 L/min so that the saturation goes even higher than now

When should blood specimen tubes be labeled?

1. AAt the bedside, in front of the patient, right after collection
2. BBy the laboratory staff after the tubes arrive
3. CAt the nurses’ station before going to the patient, to save time
4. DBack at the station after all the samples are collected

Konfüze bir hasta nazogastrik sondayı sürekli çekiştiriyor. Önce hangi yaklaşım denenmelidir?

1. AHastanın gece sessizce uyuması için bir sedatif
2. BSondayı korumak için hemen bilek kısıtlayıcıları
3. CEkibe danışmadan sondayı çıkarmak
4. DYeniden oryantasyon ve refakatçi gibi daha az kısıtlayıcı önlemler

A patient who is breathless during a transfusion has hypotension, fever and bilateral lung infiltrates, with no signs of fluid overload. Which complication is most likely?

1. AA mild febrile nonhemolytic reaction
2. BTransfusion-related acute lung injury (TRALI)
3. CA simple allergic reaction with hives
4. DTransfusion-associated circulatory overload

A patient recovering from acute tubular necrosis now passes 4–5 L of urine a day. Which electrolyte changes should the nurse watch for?

1. AHigh calcium and high phosphate from bone loss
2. BNo changes, because the kidneys are now normal
3. CHigh potassium and high sodium from retention
4. DLow potassium and low sodium from urine losses

A patient with pneumonia is breathless and coughing up thick sputum. Which nursing measure helps most with breathing?

1. ADiscouraging coughing to save energy
2. BLying the patient flat so that they can rest and conserve energy
3. CSitting the patient upright and supporting them to clear secretions
4. DRestricting all oral fluids

During a blood transfusion, an older patient with heart failure becomes breathless with a rising blood pressure, raised JVP and crackles in the lungs. What is the most likely cause?

1. ATransfusion-associated circulatory overload
2. BA febrile non-haemolytic reaction
3. CAnaphylaxis
4. DTransfusion-related acute lung injury with hypotension

A patient with heart failure takes furosemide once a day. When is the best time to take it?

1. AWhenever the ankles look swollen, on those days only
2. BAt bedtime, so the effect lasts through the night
3. CIn the morning, to avoid needing the toilet at night
4. DJust before the evening meal, with a large drink

Seconds after an intramuscular injection, a patient becomes pale, sweaty and faint, with a heart rate of 48/min. There is no rash, wheeze or swelling, and they recover quickly when laid flat. What is the most likely cause?

1. AA vasovagal reaction
2. BAnaphylaxis
3. CA myocardial infarction
4. DA tension pneumothorax

For which patient with migraine would the nurse question an order for sumatriptan?

1. AA patient with an allergy to penicillin
2. BA patient who also has asthma
3. CA patient with a history of angina
4. DA patient with well-controlled hypothyroidism

On the first day after a kidney transplant, urine output suddenly falls from 200 mL/h to 10 mL/h. What should the nurse check first?

1. AThe patient's blood glucose level
2. BWhether the patient has eaten
3. CThat the catheter is not blocked or kinked
4. DThe patient's temperature and pulse

Why are patients with diabetes often placed early on the operating list?

1. ABecause their surgery always takes longer than others
2. BBecause they need to go home before midday
3. CBecause their wounds heal faster in the morning
4. DTo shorten fasting and reduce swings in blood glucose

A category (stage) 4 pressure ulcer is now healing and shallower. How should it be documented according to standard guidance?

1. AAs a healing category 4 pressure ulcer
2. BAs a category 1 pressure ulcer now
3. CAs a fully healed ulcer that can be removed from the record
4. DAs a category 2 pressure ulcer now