NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

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

1. A“I will weigh myself every morning after I use the toilet.”
2. B“I will call if my weight goes up quickly over a day or two.”
3. C“I will take my water tablet in the morning.”
4. D“I add extra salt to my food so it tastes better.”

A nurse sees a colleague put a vial of an opioid into their own pocket instead of returning it. What should the nurse do?

1. ATell the patients to watch the colleague carefully
2. BAsk the colleague to share the vial with them
3. CSay nothing, because it is not their business
4. DReport it to the nurse manager according to policy

An older adult has trouble getting in and out of the bath. Which measures make bathing safer?

1. ALocking the bathroom door for privacy
2. BBath oil to help the person slide in and out
3. CA shower chair, grab bars and a non-slip mat
4. DA loose rug beside the tub to stand on

In US nursing practice, which task should the RN not assign to an LPN/LVN?

1. AThe initial admission assessment of a new patient with suspected sepsis
2. BReinforcing hand hygiene teaching that the RN has already given
3. CA dressing change on a healing surgical wound that has no signs of infection
4. DGiving scheduled oral antibiotics to a stable patient

A patient on levothyroxine has palpitations, weight loss and a TSH of 0,05 mIU/L. What is the most likely explanation?

1. AThe levothyroxine dose is too high
2. BThe patient has stopped the drug
3. CThe thyroid is now completely normal
4. DThe levothyroxine dose is too low

A patient with a stable INR on warfarin starts rifampin (rifampicin) for tuberculosis. Two weeks later the INR is 1,3. What is the most likely explanation?

1. ARifampin contains a lot of vitamin K
2. BRifampin speeds up warfarin metabolism
3. CTuberculosis causes the INR to fall
4. DRifampin raises the INR, so it is wrong

Why can a very low serum albumin contribute to oedema?

1. AIt raises the blood pressure in the capillaries and pushes fluid out
2. BIt increases the number of red cells
3. CIt makes the kidneys retain potassium
4. DIt lowers the oncotic pressure that holds fluid in the blood vessels

Uzun süreli steroid kullanan bir hasta kusma ve atlanan dozlardan sonra hipotansiyon ve konfüzyonla akut olarak kötüleşiyor. Hangi acil durum düşünülmelidir?

1. ATiroid fırtınası
2. BHiperkalsemi
3. CDiabetes insipidus
4. DAdrenal kriz

A patient with COPD uses an inhaled corticosteroid combination inhaler. Which risk should the nurse be aware of?

1. AAn increased risk of high blood pressure crises
2. BHearing loss after every dose
3. CA sharp drop in potassium after each dose
4. DAn increased risk of pneumonia

A patient with an inferior myocardial infarction develops complete heart block with a heart rate of 38/min. What is the most likely reason?

1. AThe right coronary artery usually supplies the AV node
2. BThe left anterior descending artery supplies the SA node only
3. CHeart block is caused by the thrombolytic drug
4. DInferior infarcts always destroy the bundle of His permanently

Bir inme hastası söylenenleri anlıyor ancak sözcük bulmakta zorlanıyor ve kısa, zorlu tümcelerle konuşuyor. Bu hangi tür afazidir?

1. AZayıf yüz kaslarına bağlı dizartri
2. BHiç anlamanın olmadığı global afazi
3. CReseptif (Wernicke) afazi
4. DEkspresif (Broca) afazi

A patient with known back pain says they now cannot feel the skin between their legs and have not passed urine for 12 hours. What should happen?

1. AAdvice to rest at home and take stronger painkillers
2. BUrgent MRI and referral to the spinal surgeons
3. CA routine physiotherapy appointment next week
4. DA laxative and review in the clinic in a month

Birçok kemoterapi ilacından sonra vücut sıvıları için özel önlemler çoğu zaman ne kadar süreyle alınır?

1. AHiçbir zaman gerekmez
2. BTam bir yıl boyunca
3. CYalnızca infüzyon sırasında
4. DGenellikle yaklaşık 48 saat

After two days of large volumes of IV 5% glucose, a postoperative patient becomes confused with a headache. Sodium is 124 mmol/L. What is the likely cause?

1. AHypernatraemia from too much salt
2. BNormal confusion after any anaesthetic
3. CHyponatraemia from hypotonic fluids
4. DHypoglycaemia from the glucose