NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A swimmer is found unresponsive after diving into shallow water. Which method should the nurse use to open the airway?

1. AJaw thrust, keeping the head and neck in line
2. BHead-tilt, chin-lift with full neck extension
3. CTurning the head to the side to drain water
4. DRaising the chin while bending the neck forward

A patient with a severe asthma attack had a PaCO₂ of 32 mmHg (4,3 kPa) on arrival. An hour later it is 46 mmHg (6,1 kPa), and the patient seems tired. What does this suggest?

1. AA laboratory error that should be ignored
2. BThe asthma is improving, because the PaCO₂ is now near normal
3. CThe patient is hyperventilating even more than before and needs calming
4. DRespiratory muscle fatigue with possible impending respiratory failure

Why must visible dirt be removed from equipment before it is disinfected?

1. ADisinfectants only work on wet surfaces
2. BOrganic matter can shield organisms and weaken the disinfectant
3. CDirt makes the disinfectant react and work too strongly on the surface
4. DCleaning first is only needed for metal items

A patient on long-term high-dose corticosteroids asks for the nasal spray influenza vaccine. What should the nurse explain?

1. AEither type is fine, as long as it is given in the morning
2. BThe nasal spray is the best choice for people on steroids, because it is not injected
3. CThe nasal spray is a live vaccine, so the injected inactivated vaccine is used instead
4. DPeople on steroids should never have any influenza vaccine

Uygunsuz antidiüretik hormon salgılanması sendromu (SIADH) olan bir hastanın sodyumu 128 mEq/L'dir. Hemşire hangi reçete edilmiş önlemi beklemelidir?

1. ABüyük hacimlerde IV %5 glikoz
2. BDüşük sodyumlu diyet
3. CSıvı kısıtlaması
4. DFazladan su alımını teşvik etmek

A patient with suspected Cushing syndrome takes dexamethasone at night. The next morning, the cortisol is still high. What does this suggest?

1. ACortisol is being produced without normal feedback control
2. BThe patient has primary hypothyroidism instead
3. CThe result is normal, as dexamethasone raises cortisol
4. DThe adrenal glands are not able to produce enough cortisol

In suspected sepsis, what should ideally be collected before the first dose of antibiotics, as long as it does not delay treatment?

1. AA fasting cholesterol level
2. BA stool sample for occult blood
3. CBlood cultures
4. DA 24-hour urine collection

A seriously ill patient asks the nurse, "Am I dying?" What is the best initial response?

1. AGently explore what the patient understands and what has prompted the question
2. BChange the subject quickly to keep them cheerful and avoid upsetting them
3. CLeave and send the doctor without saying anything
4. DTell the patient not to think about such things and to stay positive

Why are beta-blockers often started after a myocardial infarction?

1. AThey reduce cholesterol in the blood
2. BThey lower the heart's oxygen demand and reduce arrhythmias
3. CThey raise the heart rate to improve blood flow to the muscle
4. DThey dissolve the clot that is blocking the coronary artery

A patient with an inferior myocardial infarction develops complete heart block with a heart rate of 38/min. What is the most likely reason?

1. AHeart block is caused by the thrombolytic drug
2. BThe left anterior descending artery supplies the SA node only
3. CThe right coronary artery usually supplies the AV node
4. DInferior infarcts always destroy the bundle of His permanently

A patient with CKD is booked for a CT scan with iodinated contrast. Which measure helps protect the kidneys?

1. ARestricting all fluids for 24 hours before the scan
2. BDoubling the dose of contrast for a clearer image
3. CGood hydration around the scan, often with IV fluids
4. DGiving a dose of ibuprofen before the scan

A patient taking an SGLT2 inhibitor is booked for major surgery. Which statement is correct?

1. AThe dose is usually doubled on the morning of surgery
2. BSurgery is not possible in patients taking this drug
3. CIt is usually paused in the days before surgery
4. DThe drug must be taken right up until the operation starts

Paralitik ileus nedir?

1. AKalın bağırsağın kan akımını kesen bir bükülmesi
2. BBağırsak lümeninin bir tümörle tıkanması
3. CAteşle birlikte bağırsak duvarının enfeksiyonu
4. DFiziksel bir tıkanıklık olmaksızın bağırsak hareketinin kaybı

Genel anestezi sırasında bir hastada çene rijiditesi, yükselen end-tidal CO₂ ve taşikardi, ardından hızla yükselen vücut sıcaklığı gelişiyor. Özgül tedavi hangi ilaçtır?

1. ANalokson
2. BDantrolen
3. CParasetamol
4. DSüksametonyum