NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

During an IV vancomycin infusion, a patient develops flushing and itching of the face and neck. What should the nurse do first?

1. ASpeed up the infusion to finish it quickly
2. BStop or slow the infusion and inform the provider
3. CIgnore it, because flushing is always harmless and passes
4. DApply a warm compress to the face and neck

Bir kardiyoloji biriminde hemşire hangi hastayı önce görmelidir?

1. ADigoksin kullanan, nabzı 48/dk, bulantısı olan ve potasyumu 3,0 mEq/L olan hasta
2. BKalp hızı daha önce olduğu gibi 88/dk ve düzensiz olan atriyal fibrilasyonlu hasta
3. CYarınki tetkik öncesi aç kalması istenen hasta
4. DKalp yetmezliği olan ve dünden beri 0,3 kg alan hasta

A patient is on a ventilator. Which bed position helps to prevent ventilator-associated pneumonia?

1. AHead of the bed raised about 10 degrees
2. BTrendelenburg position
3. CLying completely flat
4. DHead of the bed raised 30 to 45 degrees

A patient arrives in the operating room for knee surgery, and the site has not been marked. What should happen?

1. AMark the site after the patient is anesthetized and draped
2. BDo not start until the site is marked and verified with the patient
3. CStart the surgery, because the consent form shows the side
4. DLet the circulating nurse mark the site from memory of the surgeon’s plan

How should a patient collect a clean-catch midstream urine sample?

1. ACollect urine from the toilet bowl after voiding into the toilet
2. BCollect the very first urine of the stream directly in the sterile cup
3. CFill the cup completely, then add tap water if there is not enough
4. DClean the area, start voiding into the toilet, then catch the middle part

Bir hasta 24 saat önce büyük miktarda asetaminofen (parasetamol) aşırı dozu aldı. En çok hangi laboratuvar değişiklikleri beklenir?

1. AÇok yüksek ALT ve AST ile yükselen bir INR
2. BNormal karaciğer testleriyle düşük bir beyaz hücre sayısı
3. CNormal ALT ile yüksek bir troponin
4. DDüşük ALT ve AST ile düşük bir INR

Which of these is one of the "4 Hs", the reversible causes of cardiac arrest?

1. AHypoxia
2. BHyperventilation
3. CHyperthyroidism
4. DHypertension

After a viral illness, a patient has sharp chest pain that is worse lying flat and eased by sitting forward. What is the most likely cause?

1. AStable angina
2. BPulmonary oedema
3. CAortic dissection
4. DPericarditis

How should a patient with asthma record their peak flow at home?

1. ATake the average of ten blows after exercise
2. BTake one gentle blow once a week, at any time of day
3. CTake the best of three blows, ideally morning and evening
4. DBlow only during an asthma attack, never when well

During a thrombolytic infusion for an MI, the patient develops a sudden severe headache, vomiting and new confusion. What should the nurse do first?

1. AGive a second dose to finish the treatment
2. BContinue the infusion, as headache is a common side effect
3. CStop the infusion and call for urgent medical help
4. DSlow the infusion and give an antiemetic

Which picture fits Brown-Séquard syndrome?

1. AWeakness of both arms with normal strength in the legs
2. BLoss of all feeling but normal movement on both sides
3. CWeakness on the same side and loss of pain on the opposite side
4. DParalysis of both legs, with normal sensation everywhere in the body

The nurse has four renal patients. Which one needs to be seen first?

1. AA patient with a potassium of 6,8 mmol/L who reports palpitations
2. BA patient with CKD asking about their phosphate binder
3. CA patient with a creatinine slightly above their usual level
4. DA patient with mild itching from uraemia who wants a cream

Eksudası fazla olan bir yara için genellikle hangi pansuman uygundur?

1. AHidrojel tabaka
2. Bİnce şeffaf film
3. CHaftalık değiştirilen kuru gazlı bez
4. DAljinat veya köpük

A patient with a platelet count of 8 × 10⁹/L (8,000/µL) develops a sudden severe headache and confusion. What should the nurse suspect?

1. AA tension headache from stress
2. BNormal effects of chemotherapy
3. CDehydration from poor intake
4. DIntracranial bleeding