NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A patient is raising his voice, pacing and clenching his fists. What should the nurse do first?

1. ATurn away and ignore the behavior
2. BStand very close to him and tell him firmly and loudly to sit down and be quiet
3. CApply physical restraints at once
4. DSpeak calmly, keep a safe distance and invite him to talk about what is wrong

A patient at 32 weeks of pregnancy feels dizzy and faint while lying flat on her back. What should the nurse do first?

1. AGive her a sugary drink and keep her flat
2. BRaise her legs while she stays on her back
3. CSit her upright with her head between her knees
4. DTurn her onto her left side

Which practice reduces back strain when a nurse moves a patient or heavy object?

1. ABend at the waist and keep both knees straight
2. BKeep the load close to the body and avoid twisting
3. CStand with the feet close together for balance
4. DHold the load at arm’s length to keep it steady

Over a few hours, the emergency department sees many previously healthy people with the same unusual severe symptoms. What should the nurse do?

1. ATell only the patients’ families about the pattern
2. BTreat each patient and wait to see if more arrive next week
3. CSend the patients home quickly to avoid crowding the emergency department
4. DReport it to infection prevention and public health authorities promptly

When blood is drawn from a central venous catheter, why is a small volume of blood usually discarded first, according to policy?

1. ATo avoid diluting the sample with flush or infusion fluid
2. BTo check that the catheter tip is still in the right vein
3. CTo lower the patient's hemoglobin for a blood transfusion
4. DTo remove blood clots that form in all central lines

A patient using an insulin pump has a glucose of 300 mg/dL (16,7 mmol/L) that has not fallen 2 hours after a correction bolus through the pump. Blood ketones are 1,8 mmol/L. What is the most likely problem and action?

1. AInsulin delivery failure; inject a correction dose by pen and change the set
2. BInsulin overdose from the pump; suspend the pump and stop all insulin for a day
3. CRebound after a hypo; give fast-acting carbohydrate and recheck in 15 minutes
4. DNormal pump function; wait for the next mealtime bolus to lower the glucose

Why is lactulose given to a patient with hepatic encephalopathy?

1. ATo stop bleeding from varices
2. BTo lower the blood glucose
3. CTo increase the liver's production of albumin
4. DTo reduce the absorption of ammonia from the gut

Which task is most appropriate for a registered nurse to delegate to a trained healthcare assistant (unlicensed assistive personnel)?

1. ATeaching a patient to inject insulin for the first time
2. BMeasuring and recording vital signs on a stable patient
3. CGiving a dose of intravenous antibiotic
4. DAssessing a patient who has just reported new chest pain

A patient has exercise-induced asthma. Which advice is most appropriate?

1. AUse the reliever inhaler shortly before exercise and warm up
2. BAvoid all forms of exercise permanently to prevent attacks
3. CTake a beta-blocker before exercise
4. DExercise only in cold, dry air to toughen the airways

A nurse phones the doctor about a patient with pneumonia whose observations are worsening. Using SBAR, which statement is the clearest "recommendation"?

1. A"I am calling about the patient in bed 6."
2. B"He is 72 and was admitted yesterday with community-acquired pneumonia."
3. C"His heart rate is 124/min, his BP is 88/50 mmHg and he is confused."
4. D"I think he may have sepsis; please review him within 30 minutes."

After a kidney biopsy, which observation is most important?

1. AThe colour of the patient's skin on the face
2. BThe patient's appetite at the next meal
3. CThe temperature every four hours only
4. DSigns of bleeding, such as haematuria and a rising pulse

Which statement correctly distinguishes spinal shock from neurogenic shock?

1. ASpinal shock is lost reflexes; neurogenic shock is low BP and slow pulse
2. BNeurogenic shock is caused by blood loss; spinal shock is caused by infection
3. CSpinal shock is low blood pressure; neurogenic shock is the loss of reflexes
4. DThey are two names for exactly the same condition

Ameliyattan sonra yara ayrılması (dehisens) hangi dönemde en olasıdır?

1. Aİlk saat içinde
2. BAmeliyattan yaklaşık 5–10 gün sonra
3. CYalnızca ameliyat sırasında
4. DAmeliyattan bir yıldan fazla sonra

A 60 kg adult with 25% TBSA burns arrives 2 hours after the injury, having had no IV fluids. Using the Parkland formula, what hourly rate is needed for the rest of the first 8 hours?

1. A250 mL/h
2. B375 mL/h
3. C500 mL/h
4. D1000 mL/h