NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A patient with a spinal cord injury at T4 suddenly has a severe headache, flushing above the injury and a blood pressure of 200/110 mmHg. What does the nurse do first?

1. AGive a warm drink and recheck the blood pressure in an hour
2. BLay the patient flat with the legs raised
3. CSit the patient upright with the legs lowered
4. DApply extra blankets to keep the patient warm and calm

During birth, the baby’s head delivers but the shoulders do not follow. What should the nurse do first?

1. APush firmly on the top of the uterus (fundal pressure)
2. BPull hard on the baby’s head and neck to free the trapped shoulders quickly
3. CAsk the mother to stop pushing and wait an hour
4. DHelp with the McRoberts position and give suprapubic pressure as directed

After teaching a patient about a new medication, how does the nurse best check understanding?

1. AGive a printed leaflet about the drug and assume the patient will read it at home
2. BAsk “Do you understand?” and accept a yes
3. CAsk the patient to explain in their own words how and when to take it
4. DAsk the family whether they understood the teaching

A nurse teaches the daughter of a patient with moderate Alzheimer’s disease about home safety. Which statement shows a need for further teaching?

1. A“We put locks high up on the outside doors.”
2. B“I keep her medicines locked away and give each dose to her myself.”
3. C“She wears an ID bracelet in case she gets lost.”
4. D“I let Mom cook alone on the gas stove because she enjoys it.”

Fenitoin kullanan bir hastanın düzeyi 28 mcg/mL'dir (olağan aralık yaklaşık 10–20 mcg/mL). Hemşire hangi bulguları beklemelidir?

1. AAçlık ve kilo alımı
2. BYüksek, sivri T dalgaları
3. CYalnızca hiperaktif davranış ve uykusuzluk
4. DNistagmus, dengesiz yürüyüş ve peltek konuşma

A patient with a round face, central weight gain and purple stretch marks has a glucose of 210 mg/dL (11,7 mmol/L) and a potassium of 3,1 mEq/L. Which condition fits best?

1. AHypothyroidism
2. BAdrenal insufficiency
3. CDiabetes insipidus
4. DCushing syndrome

Which blood result often rises in an upper GI bleed because blood is digested in the gut?

1. ACalcium
2. BSodium
3. CGlucose
4. DUrea (blood urea nitrogen)

Which drug group is first-line for a prolonged convulsive seizure?

1. ABeta-blockers, such as bisoprolol or atenolol
2. BBenzodiazepines, such as buccal midazolam or IV lorazepam
3. CAntihistamines, such as chlorphenamine
4. DOpioids, such as morphine or diamorphine, given intravenously

A patient with heart failure is comfortable at rest but becomes breathless walking across a room. Which NYHA class fits best?

1. AClass III
2. BClass I
3. CClass II
4. DClass IV

A patient is listed for coronary angiography in the morning. Which pre-procedure result should the nurse report to the team?

1. AA blood glucose of 5,4 mmol/L (97 mg/dL)
2. BA markedly reduced eGFR
3. CA normal platelet count
4. DA haemoglobin in the normal range

A patient with Conn's syndrome starts spironolactone. Which blood test should the nurse watch most closely?

1. APotassium
2. BCalcium
3. CGlucose
4. DAmylase

Hemodiyaliz hastaları için hangi ilaç zamanlaması sorunu önemlidir?

1. ADiyaliz günlerinde hiçbir ilaç alınamaz
2. BTüm ilaçlar seanstan hemen önce verilmelidir
3. CDiyalizle uzaklaşabilen ilaçların seanstan sonra verilmesi gerekebilir
4. DDiyaliz hiçbir ilacı uzaklaştırmaz

Why should metoclopramide not be used for nausea in mechanical bowel obstruction?

1. AIt always causes severe diarrhoea
2. BIt increases gut movement against the blockage
3. CIt makes the bowel stop moving completely
4. DIt blocks the effect of all opioids

A patient with cirrhosis takes spironolactone and furosemide. Which blood result should the nurse report before the next dose?

1. APotassium 6,0 mmol/L
2. BSodium 138 mmol/L
3. CSodium 141 mmol/L
4. DPotassium 4,2 mmol/L