NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A conscious patient with hypoglycemia drank juice 15 minutes ago. The glucose is now 62 mg/dL (3,4 mmol/L). What should the nurse do next?

1. AGive another serving of fast-acting carbohydrate and recheck in 15 minutes
2. BWait another hour, because juice can take a long time to work
3. CRecord the result and recheck the glucose at the usual time before the evening meal
4. DGive the next scheduled dose of rapid-acting insulin with the meal

After a head injury, a patient passes large amounts of very dilute urine, is thirsty and has a rising serum sodium. Which condition is most likely?

1. AAcute kidney injury with oliguria
2. BDiabetic ketoacidosis
3. CSIADH
4. DDiabetes insipidus

A patient has a very low platelet count. Which safety measure is appropriate?

1. AUse a soft toothbrush and an electric razor
2. BUse a firm toothbrush and a safety razor
3. CTake rectal temperatures for accuracy
4. DFloss hard each day to keep the gums healthy

Havayolu önlemleri uygulanan bir hastanın acil bilgisayarlı tomografi çektirmesi gerekiyor. Hangi plan doğrudur?

1. AHasta maskeli, BT önceden uyarılmış, personel solunum maskesiyle
2. BTetkik, hasta bulaştırıcı olmaktan çıkana kadar ertelenir
3. CHasta N95 solunum maskesi takar, bu yüzden personelin korunmasına gerek yoktur
4. DHasta maskesiz gider, BT odası ertesi gün temizlenir

Why is a baseline platelet count taken before starting heparin therapy?

1. ASo a later fall from heparin-induced thrombocytopenia is detected
2. BSo that the INR can be calculated from the platelet count later
3. CBecause heparin is given at a dose based on the platelet count
4. DBecause heparin increases the platelet count to dangerous levels

A patient has painless jaundice, itching, dark urine and pale stools. ALP is markedly raised, conjugated (direct) bilirubin is high and ALT is only mildly raised. What is the most likely cause?

1. AAcute viral hepatitis with widespread liver cell damage
2. BIncreased breakdown of red blood cells (hemolytic anemia)
3. CGilbert syndrome, a harmless inherited bilirubin disorder
4. DBlockage of bile flow, for example by a tumor in the bile duct

Bir hastanın NEWS2 skoru 7'ye yükseldi. Uygun yanıt nedir?

1. ASedatif verip daha sonra yeniden kontrol etmek
2. BGözlemleri 12 saatte bir sürdürmek
3. CKritik bakım becerilerine sahip bir klinik ekip tarafından acil değerlendirme
4. DSkoru kaydedip gözlemleri sıklaştırmak ve sabah vizitini beklemek

A patient has a swollen, warm, tender calf on one side. Which action should the nurse avoid?

1. AChecking whether VTE prophylaxis was given
2. BMeasuring and comparing calf circumference
3. CMassaging the calf
4. DReporting the findings to the doctor

How should a patient breathe in when using a pressurised metered-dose inhaler without a spacer?

1. AIn short gasps through the nose while pressing the canister
2. BSlowly and deeply while pressing the canister, then hold the breath
3. CAs hard and fast as possible, then press the canister afterwards
4. DNormally, while breathing out through the mouthpiece

A patient with both COPD and heart disease is more breathless, with bilateral basal crackles, raised JVP, ankle swelling and a markedly raised NT-proBNP. Which problem is most likely driving this episode?

1. ADecompensated heart failure
2. BHyperventilation from anxiety
3. CAn asthma attack
4. DA primary spontaneous pneumothorax

An older patient with a long-term catheter has bacteria in the urine but no symptoms. What is usually appropriate?

1. ANo antibiotics, as long as there are no symptoms
2. BAntibiotics for life to keep the urine sterile
3. CA full course of antibiotics straight away
4. DRemove the catheter permanently at once

The nurse has four endocrine patients. Which one needs to be seen first?

1. AA patient with Graves' disease asking about radioactive iodine
2. BA patient with hypothyroidism who has been constipated for three days
3. CA patient with hyperthyroidism who is confused, with a temperature of 39,5 °C (103,1 °F)
4. DA patient after thyroidectomy with mild pain on swallowing

PCA pompasındaki kilitleme aralığının (lockout interval) amacı nedir?

1. APompayı kilitleyerek enjektörün değiştirilmesini önler
2. BHastanın geceleri hiçbir doz almasını engeller
3. CBüyük dozlar arasında hastayı bir gün bekletir
4. DBir önceki doz etki etmeden yeni dozu engeller

A patient with a PICC line develops swelling and aching of the same arm and prominent veins on the chest. What should the nurse suspect?

1. ALymphoedema from a previous operation
2. BNormal swelling after line insertion
3. CAn allergy to the dressing
4. DA catheter-related deep vein thrombosis