NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A conscious patient with hypoglycemia drank juice 15 minutes ago. The glucose is now 62 mg/dL (3,4 mmol/L). What should the nurse do next?

1. AGive another serving of fast-acting carbohydrate and recheck in 15 minutes
2. BRecord the result and recheck the glucose at the usual time before the evening meal
3. CWait another hour, because juice can take a long time to work
4. DGive the next scheduled dose of rapid-acting insulin with the meal

A patient was knocked out briefly in a fall, then woke and talked normally. Two hours later the patient becomes drowsy and one pupil is larger. What is the most likely cause?

1. AAn epidural hematoma
2. BLow blood sugar from missing a meal
3. CNormal tiredness after a fall
4. DA mild concussion that is settling

Which type of white blood cell is most often raised in viral infections?

1. AEosinophils
2. BLymphocytes
3. CBasophils
4. DNeutrophils

A toddler has bruises of different ages and a burn, and the parent’s explanation does not fit the injuries. What should the nurse do?

1. ADocument only and say nothing to anyone
2. BWait until there is clear proof of abuse before reporting anything at all
3. CReport the concern following child-protection (safeguarding) procedures
4. DConfront the parent and ask them to admit to abuse

Which finding during a transfusion suggests transfusion-associated circulatory overload (TACO)?

1. ACrackles, hypertension and a raised BNP
2. BHives and itching without other signs
3. CBack pain with dark red urine output
4. DA low temperature and slow heart rate

A patient taking an SGLT2 inhibitor has nausea and fast breathing. Glucose 190 mg/dL (10,5 mmol/L), pH 7,15, bicarbonate 10 mEq/L, blood ketones high. What is the most likely diagnosis?

1. ARespiratory acidosis from COPD
2. BSimple fasting ketosis only
3. CEuglycemic diabetic ketoacidosis
4. DHyperosmolar hyperglycemic state

A patient has a continuous stream of bubbles in the water seal chamber of their chest drain. What does this most likely indicate?

1. AThe lung has fully re-expanded
2. BAn air leak, from the lung or from the drainage system
3. CThe drain is blocked
4. DThe drain is working normally for a fluid collection only

Trakeostomili bir hasta aniden nefes alamıyor ve kanül tıkanmış görünüyor. İlk yapılacak nedir?

1. AYalnızca ağızdan oksijen vermek
2. BBir şey yapmadan önce hekimi beklemek
3. CKafı söndürüp hastayı bırakmak
4. Dİç kanülü çıkarıp tıkalı olup olmadığını kontrol etmek

Which history is a contraindication to thrombolysis for a STEMI?

1. AMild asthma controlled with inhalers
2. BA previous appendicectomy many years ago
3. CTreated high blood pressure
4. DA previous haemorrhagic stroke

A 28-year-old woman taking the combined pill comes in breathless and anxious. RR is 30/min, heart rate 118/min and SpO₂ 90% on air. A colleague says it is a panic attack. What should the nurse conclude?

1. ALow oxygen saturation is not explained by anxiety; PE must be excluded
2. BShe should be sent home after a sedative
3. CBreathing into a paper bag is the best first treatment for her
4. DThe saturation is normal for an anxious person who is breathing fast

Omurilik yaralanması olan bir hastada otonomik disrefleksinin en sık tetikleyicisi nedir?

1. AGeceleri çok hızlı yenen büyük bir öğün
2. BDüşük kan glukoz düzeyi
3. CUzun bir uyku dönemi
4. DDolu mesane veya tıkanmış kateter

T4 omurilik yaralanması olan bir hastada zonklayıcı baş ağrısı, KB 210/110 mmHg, yaralanmanın üzerinde kızarık terli cilt ve 50/dk nabız vardır. Hasta oturtulduktan sonra bir sonraki öncelik nedir?

1. AHastayı yeniden düz yatırıp bacakları yastıklarla yükseltmek
2. BTetikleyiciyi bulmak ve ortadan kaldırmak, mesaneden başlayarak
3. CSedatif verip kan basıncını bir saat sonra yeniden kontrol etmek
4. DDolaşımı desteklemek için hızlı IV sıvı bolusu vermek

Why is an ankle-brachial pressure index (ABPI) measured before compression bandaging for a leg ulcer?

1. ATo find out how deep the ulcer is
2. BTo find the bacteria in the wound
3. CTo check for a leg bone fracture
4. DTo exclude significant arterial disease

During a nerve block, a patient reports a metallic taste and ringing in the ears, then has a seizure. Besides calling for help and supporting the airway, which specific treatment is given?

1. AIV naloxone
2. BIV dantrolene
3. CIV glucose 50%
4. DIV lipid emulsion