NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

One day after surgery, a patient walked safely with the RN this morning. The RN now asks a nursing assistant to walk her again. Which instruction is most important?

1. A“Stop and call me at once if she feels dizzy or short of breath.”
2. B“Walk her to the end of the corridor and back twice before lunch.”
3. C“Try to finish the walk before the lunch trays arrive.”
4. D“Make sure she wears her own slippers if she has them.”

After a head injury, a patient has clear fluid dripping from the nose. Which action should the nurse avoid?

1. AInserting a tube or suction catheter through the nose
2. BInforming the provider about the drainage
3. CChecking the fluid for glucose or a halo sign on gauze
4. DPlacing a loose gauze under the nose

How should a portable oxygen cylinder be kept in a patient’s room?

1. ALying loose on the floor beside the bed
2. BLaid on the bed next to the patient
3. CPlaced next to a heater to keep it warm
4. DSecured upright in a stand or holder

A woman in late pregnancy is choking and cannot speak or cough. Which technique should the rescuer use?

1. ABlind finger sweeps
2. BBack blows only
3. CAbdominal thrusts
4. DChest thrusts

A healthy woman at 28 weeks of pregnancy has a mildly lower hemoglobin than before pregnancy, with a normal MCV and ferritin. What is the most likely explanation?

1. APlasma volume rises more than red cell mass, diluting the blood
2. BPregnancy hormones stop the bone marrow from making red cells
3. CThe fetus is destroying the mother's red cells in the circulation
4. DIron is being lost through the kidneys during the pregnancy

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

How does ulcerative colitis differ from Crohn's disease?

1. AUlcerative colitis can affect any part of the gut from mouth to anus
2. BUlcerative colitis affects only the colon, continuously from the rectum
3. CUlcerative colitis typically causes patchy "skip" lesions
4. DUlcerative colitis always affects the full thickness of the bowel wall

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

1. ADiabetes insipidus
2. BTiroid fırtınası
3. CAdrenal kriz
4. DHiperkalsemi

A patient with chest pain has a first troponin result within the normal range one hour after the pain started. Why is a repeat test arranged?

1. AThe first sample is always contaminated
2. BThe repeat test is only needed for patients over 80
3. CTroponin falls during an MI, so a lower value confirms it
4. DTroponin may take a few hours to rise after muscle damage

During a cardiac arrest, the monitor shows an organised rhythm, but there is no pulse. What should the team do?

1. ADeliver an unsynchronised shock at once and then check the pulse
2. BStop CPR, because an organised rhythm on the monitor means recovery
3. CGive adenosine to slow the rhythm down
4. DContinue CPR and give adrenaline (epinephrine), as the rhythm is non-shockable

A patient has had a calcium oxalate kidney stone. Which advice best helps prevent another?

1. ACut all calcium out of the diet
2. BDrink only a little to avoid diluting the urine
3. CDrink plenty of fluid so the urine stays pale
4. DTake extra vitamin C supplements

A patient with SIADH needs IV fluid. Which fluid is most likely to worsen the hyponatraemia?

1. A8,4% sodium bicarbonate
2. B5% glucose (dextrose, D5W)
3. C20% human albumin
4. D3% saline

Which advice helps prevent dumping syndrome after gastrectomy?

1. AA high-sugar diet with fruit juice to keep energy levels up
2. BThree large meals a day with plenty of sweet drinks with each meal
3. CSmall, frequent meals low in simple sugars, with fluids between meals
4. DSit upright and walk briskly straight after every meal

A patient with long-standing chronic pancreatitis now has weight loss, thirst and passing large volumes of urine. What should the nurse check first?

1. ACapillary blood glucose
2. BAbdominal girth
3. CSerum amylase level
4. DPeak expiratory flow