NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

START triyajı sırasında yürüyemeyen bir erişkin dakikada 36 kez soluyor. Kurbana hangi kategori verilir?

1. ASiyah (beklenen ölüm)
2. BYeşil (hafif)
3. CKırmızı (acil)
4. DSarı (ertelenebilir)

A patient is going home on a new oral anticoagulant. There is only a short time for teaching. Which topic is most important?

1. AHow to cook low-fat meals
2. BHow to choose comfortable walking shoes
3. CWhich television programs help with relaxation
4. DSigns of bleeding and when to seek help

A patient on nasal cannula oxygen has dry lips. Which product should the nurse offer?

1. APetroleum jelly
2. BA scented petroleum ointment
3. CA water-based lip lubricant
4. DAn oil-based lip balm

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

After surgery for colon cancer, a patient's CEA had fallen to normal, but it has been rising over the last two checks. What does this most likely suggest?

1. AA sure sign that the cancer has been fully cured
2. BPossible recurrence that needs further assessment
3. CA normal change after surgery that needs no follow-up
4. DA sign of iron deficiency from the earlier bleeding

IV insülin infüzyonundaki bir hastanın kan glikozu 65 mg/dL'dir (3,6 mmol/L). En iyi eylem nedir?

1. AAynı hızda devam etmek ve dört saat sonra yeniden kontrol etmek
2. Bİnfüzyonu durdurmak ve glikoz kontrolünü sabaha bırakmak
3. CDüşük glikoz protokolünü izlemek ve sağlık profesyonelini bilgilendirmek
4. DKalbi korumak için oral potasyum vermek

Which advice is important for a patient on long-term oral corticosteroids?

1. ADouble the dose if a dose is missed
2. BTake them on an empty stomach at night
3. CTake them only when symptoms flare
4. DDo not stop them suddenly

A patient with hyperkalaemia is given IV insulin with glucose. What is the purpose, and what must be monitored?

1. ATo treat hidden diabetes; HbA1c must be checked daily
2. BTo remove potassium from the body; urine output must be stopped for a time
3. CTo shift potassium into cells; blood glucose must be monitored for hypoglycaemia
4. DTo protect the heart muscle directly; the patient must be kept nil by mouth

During an episode of chest pain, a patient's ECG shows new horizontal ST depression. What does this most likely indicate?

1. APericarditis
2. BMyocardial ischaemia
3. CA normal finding during pain
4. DHyperkalaemia

An older ex-smoker has a dry cough and worsening breathlessness over a year, finger clubbing and fine "Velcro-like" crackles at both bases at the end of inspiration. Which condition is most likely?

1. ACommunity-acquired pneumonia
2. BIdiopathic pulmonary fibrosis
3. CSpontaneous pneumothorax
4. DAn acute asthma attack

How does bladder training help urge incontinence?

1. AThe patient goes to the toilet every 15 minutes
2. BThe patient drinks as little as possible
3. CA catheter is used every night
4. DThe time between voids is slowly increased

A 74-year-old falls forward and hits their chin. Their arms are much weaker than their legs, and they have burning pain in the hands. Which injury is most likely?

1. ABrown-Séquard syndrome
2. BCauda equina syndrome
3. CA complete lumbar cord injury
4. DCentral cord syndrome

Which advice is appropriate for a patient with a very low platelet count?

1. ATake aspirin regularly for headaches
2. BFloss hard every day to prevent gum disease
3. CUse a razor blade for shaving every day
4. DUse a soft toothbrush and an electric razor

A patient has an implanted port for chemotherapy. Which needle is used to access it?

1. AAn intramuscular injection needle
2. BA non-coring (Huber) needle
3. CA standard hollow needle used for venepuncture
4. DA wide-bore cannula with a steel stylet