NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A patient with angina is taught to use sublingual nitroglycerin (GTN). Which statement shows a need for further teaching?

1. A“I will sit or lie down when I take a tablet.”
2. B“If the pain has not eased as my action plan says, I will call emergency services.”
3. C“I will take five tablets one after the other before I call for help.”
4. D“I will carry the tablets with me when I go out.”

During surgery under general anesthesia, a patient develops rising end-tidal carbon dioxide, muscle rigidity and a rapidly increasing temperature. Which drug should the nurse anticipate?

1. AAtropine
2. BNaloxone
3. CDantrolene
4. DFlumazenil

A patient with a severe latex allergy is booked for surgery. Which measure is commonly used?

1. AUse latex gloves only for short procedures
2. BUse latex-free supplies and schedule the patient as the first case of the day
3. CGive the patient antihistamines before surgery and then use the normal supplies
4. DWrap latex items in plastic before use

A competent adult patient with pneumonia wants to leave the hospital against medical advice. What should the nurse do?

1. AExplain the risks, notify the provider and follow the policy for leaving against advice
2. BHide the patient’s clothes and belongings so that they cannot leave the ward
3. CApply wrist restraints until the provider arrives to speak with the patient
4. DLock the doors so the patient cannot leave

A patient with central diabetes insipidus starts desmopressin. Which laboratory result is most important to monitor for an adverse effect?

1. ASerum calcium, which may rise too high
2. BSerum sodium, which may fall too low
3. CSerum potassium, which may rise too high
4. DSerum glucose, which may rise very high

A patient with diabetes and chronic kidney disease had a CT scan with IV contrast. Two days later, the creatinine has risen from 1,4 to 2,0 mg/dL (124 to 177 µmol/L). Which action is most appropriate?

1. AGive extra metformin, because the glucose rises after contrast
2. BIgnore it, because contrast never affects kidney function
3. CReport it, monitor urine output and hold metformin until reviewed
4. DRestrict all fluids to protect the kidneys from more contrast

Ameliyat sonrası bir hastanın kalp hızı 125/dk, kan basıncı 88/50 mmHg ve pansumanı kanla ıslanmış. Ne oluyor?

1. AYalnızca kaygı
2. BKanamaya bağlı hipovolemik şok
3. CNormal ağrı tepkisi
4. Dİdrar yolu enfeksiyonuna bağlı septik şok

A nurse teaches a patient with reflux disease. Which statement shows a need for further teaching?

1. A"I will raise the head of my bed with blocks."
2. B"I will try to lose some weight over the next months."
3. C"I will cut down on alcohol."
4. D"A big meal just before bed is fine if I take my tablet."

Why should a long-acting beta-2 agonist (LABA) never be used alone in asthma?

1. AIt always causes immediate severe bronchospasm when used on its own
2. BWithout an inhaled steroid, it is linked with severe and fatal attacks
3. CIt cannot be inhaled without a nebuliser
4. DIt works only when it is taken together with a course of antibiotics

Why is the cuff pressure of an endotracheal or tracheostomy tube checked regularly?

1. AToo high a pressure damages the trachea; too low allows aspiration
2. BThe cuff pressure sets the ventilator's breathing rate
3. CThe cuff must be kept fully deflated in every ventilated patient
4. DThe cuff pressure directly controls the patient's oxygen saturation

A kidney transplant recipient asks about travel vaccines. Which statement is correct?

1. AVaccines will cause the kidney to be rejected
2. BLive vaccines are usually avoided
3. COnly live vaccines are effective after a transplant
4. DAll vaccines are completely safe after a transplant

A patient with Parkinson's disease is nil by mouth after abdominal surgery. Their levodopa is due. What is the best action?

1. AContact the prescriber or pharmacist about another route
2. BGive the tablets with a sip of water anyway
3. COmit the dose until the patient can swallow again
4. DGive double the dose once eating restarts

Opioid alan bir hastanın daha fazla sedatize olması neden önemlidir?

1. ASedasyon, ağrının artık tamamen ve güvenle kontrol edildiği anlamına gelir
2. BSedasyon tüm opioidlerin zararsız ve beklenen bir etkisidir
3. CArtan sedasyon genellikle solunum depresyonundan önce gelir
4. DSedasyon, artık daha yüksek doza gereksinim olduğu anlamına gelir

On the morning of elective hip surgery, a patient says she took her usual warfarin last night despite being told to stop. What should the nurse do?

1. AGive a double dose of vitamin K by mouth without waiting for a prescription
2. BTell her the surgery must be cancelled for a month
3. CInform the surgical and anaesthetic teams, who will check the INR
4. DProceed with the usual checklist and say nothing