NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

On day 3 after hip surgery, a patient suddenly becomes short of breath with sharp chest pain and an SpO₂ of 88%. What should the nurse do first?

1. ARaise the head of the bed, give oxygen and call for urgent help
2. BMassage the patient’s calves to ease any muscle cramp
3. CEncourage the patient to walk to improve the circulation
4. DGive the next dose of oral analgesia and reassess the patient in an hour

Bir hemşire yeni bir hemşire yardımcısını gözetiyor. Hemşire yardımcının işini ne zaman en yakından kontrol etmelidir?

1. AYalnızca yardımcı zor bulduğu bir görevde yardım istediğinde
2. BYardımcı görevde yeniyken veya hasta daha az stabilken
3. CHiçbir zaman; çünkü yardımcının rol için sertifikası var
4. DYalnızca belgelemenin gözden geçirildiği vardiya sonunda

A newly hired nurse had BCG vaccine as a child. Which TB screening test is usually preferred?

1. AA tuberculin skin test, which is read 24 hours after it is placed
2. BNo screening, because BCG prevents all TB
3. CAn interferon-gamma release assay (IGRA) blood test
4. DA chest x-ray every month for the first year

Üriner kateter açıkça gerekli olduğunda, kateterle ilişkili idrar yolu enfeksiyonunu en iyi hangi yaklaşım önler?

1. ADaha kolay boşaltmak için torbayı düzenli olarak ayırmak
2. BAseptik takma, kapalı sistem ve gereksinimin günlük gözden geçirilmesi
3. CTemiz ve kabuksuz kalması için kateteri her gün değiştirmek
4. DTorbayı yatağın üzerinde, mesane seviyesinde tutmak

In countries that screen all pregnant women (such as the US), a vaginal-rectal swab is taken at about 36–37 weeks. Which organism is it screening for?

1. AStaphylococcus aureus
2. BCandida albicans
3. CGroup B Streptococcus
4. DHepatitis B virus

A patient has a hematocrit of 60% and a raised red cell mass. Which result suggests polycythemia vera rather than secondary polycythemia from chronic hypoxia?

1. AA high erythropoietin level
2. BA high carboxyhemoglobin
3. CA low oxygen saturation
4. DA low erythropoietin level

Why are patients encouraged to use an incentive spirometer after abdominal surgery?

1. ATo encourage deep breaths that prevent atelectasis and chest infection
2. BTo strengthen the abdominal muscles around the wound
3. CTo measure their lung function so the result can go in the discharge letter
4. DTo lower their heart rate before mobilising

A patient starting a DOAC is taught about missed doses. Which statement shows a need for further teaching?

1. A"I will report any blood in my urine."
2. B"I will take it at the same time each day."
3. C"If I forget a dose, I'll take two the next day to catch up."
4. D"I will tell other doctors and my dentist I take an anticoagulant."

Bir hastada merkezi göğüs ağrısı ve EKG'de STEMI vardır. Bu genellikle neyi gerektirir?

1. AOral beta bloker ve ağrı geçerse taburculuk
2. BYatış ve ertesi sabah tekrar EKG
3. CHerhangi bir tedavi kararı verilmeden önce troponin sonucu
4. DTercihen primer PKG ile acil reperfüzyon

Twelve hours after a coronary stent, a patient has sudden severe chest pain again with new ST elevation in the same leads. What is the most likely cause?

1. APericarditis from the catheter
2. BIndigestion from the hospital meal
3. CNormal pain from the procedure site
4. DAcute stent thrombosis

A patient who has had type 1 diabetes for 30 years says they no longer feel the warning signs of a hypo. What is this called?

1. AThe dawn phenomenon
2. BDiabetic ketoacidosis
3. CInsulin resistance
4. DHypoglycaemia unawareness

An older man was found on the floor after lying there for many hours. His urine is dark brown, and his creatine kinase is very high. What is the main kidney risk and the key treatment?

1. AHypothermia, treated with a fluid restriction
2. BA kidney stone, treated with strong pain relief
3. CAKI from rhabdomyolysis, treated with generous IV fluids
4. DA urinary infection, treated with oral antibiotics only

Which rule about the sterile field is correct?

1. AThe area below a gowned person's waist is sterile
2. BSterile items can be passed across a non-sterile area freely
3. CA sterile pack stays sterile even when it is wet
4. DIf sterility is in doubt, the item is treated as contaminated

Two days after surgery, a patient on regular ibuprofen has a low urine output and a rising creatinine, and intake has been poor. What should the nurse do?

1. AGive the next dose with extra food
2. BChange to a higher-strength NSAID tablet
3. CIncrease the dose to treat the pain better and encourage fluids
4. DWithhold the next dose and report to the prescriber