NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A patient with schizophrenia says voices are telling him to hurt his roommate. What is the priority?

1. AIgnore the comment, because voices are part of his illness
2. BAsk the roommate to stay in the room with him and help calm him down
3. CKeep everyone safe and tell the team, as the risk of harm is high
4. DTell him the voices are not real and leave him alone

Yeni bir yatışa yer açmak için yoğun bakımdan hangi hastayı taşımak en iyi seçimdir?

1. ASolunum yetmezliği nedeniyle 1 saat önce entübe edilmiş, hâlâ sedatize
2. B2 gün önce ekstübe edilmiş, 2 L/dk nazal oksijenle stabil, vazoaktif infüzyon yok
3. CDozu bu sabah artırılan norepinefrin infüzyonu alan
4. DGece GİS kanamasıyla yatırılmış ve hâlâ kan alan

Bir hastanın göğüs bölgesinin bir alanında zona (herpes zoster) var, bağışıklığı normal ve lezyonlar tamamen örtülebiliyor. Genellikle hangi önlemler gerekir?

1. APozitif basınçlı koruyucu ortam
2. BNegatif basınçlı odada havayolu önlemleri
3. CYalnızca damlacık önlemleri
4. DLezyonlar örtülerek standart önlemler

A patient on long-term high-dose corticosteroids asks for the nasal spray influenza vaccine. What should the nurse explain?

1. AEither type is fine, as long as it is given in the morning
2. BThe nasal spray is a live vaccine, so the injected inactivated vaccine is used instead
3. CPeople on steroids should never have any influenza vaccine
4. DThe nasal spray is the best choice for people on steroids, because it is not injected

For most hospitalized adults with diabetes who are critically ill, which glucose target range is commonly recommended?

1. AAbout 140–180 mg/dL (7,8–10 mmol/L)
2. BAbout 250–300 mg/dL (13,9–16,7 mmol/L)
3. CAbout 300–350 mg/dL (16,7–19,4 mmol/L)
4. DAbout 60–80 mg/dL (3,3–4,4 mmol/L)

Hemşire hangi hastanın sonucunu önce bildirmelidir?

1. AHedefin biraz üzerinde total kolesterol
2. BTip 2 diyabetli bir hastada HbA1c %7,4 (57 mmol/mol)
3. CTerleyen ve konfüze bir hastada glikoz 42 mg/dL (2,3 mmol/L)
4. DBilinen stabil KBH'li bir hastada kreatinin 1,6 mg/dL (141 µmol/L)

Anafilakside ilk basamak ilaç tedavisi nedir?

1. Aİnhale steroid
2. BDamar içi parasetamol
3. CKas içi adrenalin
4. DSetirizin gibi ağızdan antihistaminik

A nurse phones a doctor about a deteriorating patient using SBAR. Which statement belongs in the "R" section?

1. A"He was admitted three days ago with pneumonia."
2. B"I am calling about Mr Smith, who is breathless."
3. C"His blood pressure is 85/50 and he is confused."
4. D"Please review him within the next 15 minutes."

Before the first treatment dose of a low-molecular-weight heparin for a PE, what does the nurse need to make sure of?

1. AA chest drain is in place
2. BThe patient's blood glucose is above 10 mmol/L (180 mg/dL)
3. CThe patient has fasted for 12 hours
4. DAn accurate, recent body weight is recorded

Miyokard enfarktüsünden üç hafta sonra bir hastada ateş, öne eğilince azalan plöretik göğüs ağrısı ve perikardiyal sürtünme sesi vardır. En olası durum hangisidir?

1. AAkut sol ventrikül yetmezliği
2. BBaşka bir arterde yeni STEMI
3. CMI sonrası (Dressler) sendromu
4. DAkut aort diseksiyonu

Which statement about giving IV potassium is correct?

1. AIt can be given quickly as a push to correct the level fast
2. BIt is safest given through a small vein in the hand at a fast rate
3. CIt needs no monitoring at all once the infusion is running
4. DIt is diluted and given through an infusion pump, never as a bolus

A patient on haemodialysis is on a medical ward. Which task can the registered nurse delegate to a healthcare assistant (nursing assistant)?

1. AAssessing the thrill and bruit of the fistula
2. BWeighing the patient before they go to dialysis
3. CDeciding which morning medicines to hold
4. DTeaching the patient about fluid restriction

Which statement about moist wound healing is correct?

1. AA wet wound bed always prevents infection
2. BWounds heal fastest when left to dry out and form a scab
3. CWounds should be soaked in water for hours every day
4. DA moist, not wet, wound bed helps cells move and heal faster

A patient with a sacral pressure ulcer keeps sliding down the bed when the head is raised high. Which advice best reduces shear?

1. ARaise the head of the bed to 90° and pull the patient up the bed by the arms
2. BKeep the head of the bed at or below 30° if possible; use slide sheets
3. CUse a dry sheet and drag the patient up the bed
4. DSit the patient upright without any support for the feet