NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

One day after surgery, a patient walked safely with the RN this morning. The RN now asks a nursing assistant to walk her again. Which instruction is most important?

1. A“Make sure she wears her own slippers if she has them.”
2. B“Stop and call me at once if she feels dizzy or short of breath.”
3. C“Try to finish the walk before the lunch trays arrive.”
4. D“Walk her to the end of the corridor and back twice before lunch.”

A patient with untreated hyperthyroidism has surgery and develops a temperature of 40 °C, a heart rate of 160/min and severe agitation. What is most likely happening?

1. AA normal reaction to pain
2. BThyroid storm
3. CMyxedema coma
4. DOpioid withdrawal

Bir hemşire iki hasta için ilaç hazırlıyor. En güvenli yaklaşım hangisidir?

1. AZaman kazanmak için iki hastanın ilaçlarını birlikte hazırlamak
2. Bİlaçları her seferinde yalnızca bir hasta için hazırlayıp vermek
3. CBir hastadan ilaçları diğerine iletmesini istemek
4. Dİki hastanın ilaçlarını tek bir kaba koyup yatak başında ayırmak

Hangi hasta düşme önlemlerine en çok gereksinim duyar?

1. AYeni gelişen konfüzyonu olan, sedatif kullanan, yürüyüşü dengesiz yaşlı bir hasta
2. BParmağı kırık, yardımsız sağlam ve güvenli yürüyen genç bir yetişkin
3. CYatak istirahatinde olan, talimatlara uyan uyanık bir hasta
4. DTaburcu olmayı bekleyen, bağımsız yürüyen bir hasta

A patient receiving chemotherapy has an ANC of 300/µL and a new temperature of 38,3 °C (100,9 °F). What should the nurse do first?

1. AGive acetaminophen (paracetamol) and recheck the temperature in 4 hours
2. BEncourage oral fluids and record the fever in the chart
3. CRemove extra blankets and offer a tepid sponge bath
4. DReport it at once so cultures and antibiotics start quickly

Ameliyat sonrası akşam, bir hastanın hemoglobini 12,5 g/dL'den 8,1 g/dL'ye (125'ten 81 g/L'ye) düşmüştür ve kalp hızı 118/dk'dır. En olası sorun nedir?

1. ADehidratasyon
2. BDüzelmekte olan bir durum
3. CKanama
4. DAmeliyat sonrası normal seyrelme olup işlem gerektirmez

Which of these is one of the "4 Hs", the reversible causes of cardiac arrest?

1. AHypertension
2. BHyperventilation
3. CHyperthyroidism
4. DHypoxia

A nurse teaches a patient with heart failure about self-care. Which statement shows a need for further teaching?

1. A"I only need to weigh myself once a month."
2. B"I will report it if I need more pillows to sleep."
3. C"I will weigh myself each morning after passing urine."
4. D"I will take my water tablet in the morning."

A patient on theophylline develops nausea, vomiting, a fast heart rate and restlessness. What should the nurse suspect?

1. AHypoglycaemia caused by the drug
2. BTheophylline toxicity
3. CA theophylline allergy causing a rash
4. DAn expected sign that the drug is working

After an anaphylactic reaction to a bee sting that responded to adrenaline (epinephrine), a patient asks to go home immediately. Which advice is most appropriate?

1. AStay in hospital for at least two weeks on daily intravenous antihistamines
2. BStay for observation, then go home with an adrenaline auto-injector and teaching
3. CGo home and take antihistamines only if the throat swells
4. DGo home straight away, because anaphylaxis never recurs once adrenaline has worked

Why can a patient with an insulin pump develop DKA within hours if the pump stops working?

1. AThe pump gives long-acting insulin, which builds up and stops working all at once
2. BThe pump gives only rapid-acting insulin, so there is no long-acting reserve
3. CThe battery in the pump releases chemicals into the blood
4. DThe body becomes allergic to insulin when the pump stops

A patient with AKI has a low urine sodium and concentrated urine. What does this suggest?

1. ADiabetes insipidus, with too little ADH
2. BAcute tubular necrosis, with damaged and leaking tubules
3. CA pre-renal cause, with kidneys holding salt and water
4. DA post-renal blockage, with urine backed up

Why is IV hydration given with cisplatin?

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

İnce bağırsak tıkanıklığı olan bir hastanın nazogastrik tüpünden günde 2 L drenaj oluyor. En önemli hemşirelik odağı hangisidir?

1. AMide sıvısını korumak için tüpü uzun süre klemplemek
2. BTüpün çıkardığını yerine koymak için oral sıvıları serbestçe vermek
3. CKayıpları önlemek için 1 L drene olunca tüpü çıkarmak
4. DIV replasmanla birlikte doğru sıvı dengesi ve elektrolit kontrolleri