NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A patient has a nasogastric tube on suction. Which task can the nurse delegate to a nursing assistant?

1. AGiving mouth care
2. BChecking the tube’s position
3. CIrrigating the tube when it blocks
4. DAssessing the drainage for blood

A trauma patient has an open leg fracture, absent breath sounds on one side, a trachea shifted to the other side and a falling blood pressure. Which problem is the priority?

1. AThe pain from the fracture
2. BThe open fracture of the leg
3. CThe risk of wound infection
4. DThe suspected tension pneumothorax

A portable x-ray is taken at the bedside. Which action protects the nurse?

1. AStay close to the patient to keep them still without protection
2. BLook directly at the x-ray tube during the exposure to check its position
3. CStep away from the patient or wear a lead apron during the exposure
4. DStand next to the patient and hold the film without protection

Bilek kısıtlayıcılı konfüze bir hastanın bir elinde parmaklar soğuk ve soluk, aynı tarafta radiyal nabız zayıftır. Hemşire önce ne yapmalıdır?

1. AHasta çekiştirmesin diye diğer kısıtlayıcıyı sıkılaştırmalıdır
2. BO kısıtlayıcıyı gevşetip elin dolaşımını değerlendirmelidir
3. CKısıtlayıcıyı olduğu gibi bırakıp eli yastık üzerinde yükseltmelidir
4. DBulguları dikkatle belgeleyip iki saat sonra yeniden kontrol etmelidir

A test has very high sensitivity for a disease. What does a negative result mean?

1. AThe disease is unlikely, so it helps rule it out
2. BThe disease is certain, so treatment should begin
3. CThe patient must have a different disease instead
4. DThe result cannot be used, because sensitivity is high

A middle-aged man has fatigue, joint pain, a raised ALT and new diabetes. His ferritin is very high and his transferrin saturation is above 60%. Which condition is most likely?

1. AAcute viral hepatitis A
2. BHereditary hemochromatosis
3. CAnemia of chronic disease
4. DIron-deficiency anemia

Why must a patient with a new coronary stent not stop their antiplatelet medicines without specialist advice?

1. AThe stent will dissolve if the drugs are stopped before the course ends
2. BStopping causes immediate kidney failure
3. CStopping early greatly increases the risk of a clot forming in the stent
4. DStopping causes severe low blood pressure

Which statement about oxygen in a patient with suspected acute coronary syndrome is correct?

1. AOxygen must never be given in chest pain
2. BOxygen replaces the need for an ECG
3. COxygen is given if the SpO₂ is below the target range
4. DHigh-flow oxygen should always be given, whatever the SpO₂

Why is aspirin chewed rather than swallowed whole in a suspected acute coronary syndrome?

1. AChewing stops the aspirin from irritating the lining of the stomach
2. BChewing speeds absorption, giving a faster antiplatelet effect
3. CWhole aspirin tablets cannot be absorbed at all from the gut
4. DChewing changes aspirin into an anticoagulant

On day 2 after a surgical tracheostomy, the tube falls out. The patient is breathing but distressed. What should the nurse do first?

1. ACall for expert help and give oxygen to both the face and the stoma
2. BForce the tube back through the stoma immediately with firm pressure
3. CCover the stoma completely with a sealed dressing and wait for help
4. DLeave the patient alone while fetching a new tube

Before surgery for a phaeochromocytoma, why is an alpha-blocker started before any beta-blocker?

1. AAlpha-blockers lower the blood glucose before surgery
2. BBeta-blockers given first would make the tumour grow faster
3. CA beta-blocker alone can cause a dangerous rise in BP
4. DThe order of the two drugs makes no difference

Ağır kafa travmalı bir hasta gözlerini açmıyor ve ağrıya yanıt olarak kolları uzanıp içe dönüyor, bacaklar uzanıyor. Bu neyi gösterir?

1. ATedavisiz duracak fokal bir nöbet
2. BEkstansör (deserebre) postürleme: ağır beyin sapı yaralanması
3. CAğrılı uyarana normal çekilme yanıtı
4. DFleksör (dekortike) postürleme, hafif kortikal yaralanma bulgusu

Why is IV hydration given with cisplatin?

1. ATo prevent hair loss
2. BTo make the drug less effective
3. CTo protect the kidneys from damage
4. DTo raise the blood pressure during treatment

Six hours after surgery, a patient has not passed urine, has lower abdominal discomfort and a bladder scan shows 750 mL. What should the nurse do?

1. ARestrict fluids until the urge returns
2. BCatheterise as per protocol or prescription
3. CGive a diuretic to increase urine flow
4. DWait another twelve hours before acting