NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

Which patient should the RN see first after receiving a report from the night nurse?

1. ADay 3 after bowel surgery, wants a shower and hair wash before breakfast
2. BDay 2 after bowel surgery, asking to start a soft diet
3. CDay 4 after bowel surgery, waiting for discharge teaching
4. DDay 1 after bowel surgery, new chest pain and heart rate 110/min

Pnömonili yaşlı bir hasta yeni konfüze oldu. Hangi eylem önce gelir?

1. ABunun hasta için normal olup olmadığını aileye sormak
2. BHastanın IV hattını çekiştirmesini engellemek için bilek kısıtlayıcıları uygulamak
3. CGerektiğinde verilmesi reçete edilen bir sedatif vermek
4. DOksijen satürasyonunu ve diğer yaşam bulgularını kontrol etmek

A patient is receiving opioids for pain. Which sign usually comes before opioid-induced respiratory depression?

1. ADiarrhea
2. BIncreasing sedation
3. CDilated pupils
4. DRising blood pressure

A patient is on contact precautions. Which task is appropriate for the nurse to delegate to assistive personnel?

1. ADeciding when the precautions can be stopped
2. BAssessing the wound for new signs of infection during the bath
3. CTeaching the family how to follow the precautions
4. DHelping the patient bathe while wearing a gown and gloves

A urine culture report states "mixed growth of three organisms, likely contamination." What is the nurse's best response?

1. ADiscard the report, because a mixed growth is always normal
2. BRecord the result as a confirmed urinary tract infection
3. CStart treatment for all three organisms with three antibiotics
4. DInform the provider and arrange a new, correctly collected sample

An 82-year-old woman without a catheter has a urine culture growing bacteria, but no fever, urinary symptoms or change in mental state. What is the best interpretation?

1. AContamination, so the culture must be repeated every week
2. BPyelonephritis, which needs admission and IV fluids today
3. CA urinary tract infection that needs urgent IV antibiotics
4. DAsymptomatic bacteriuria, usually not treated with antibiotics

Under the Mental Capacity Act 2005 (England and Wales), which principle applies?

1. AA diagnosis of dementia means the person lacks capacity for all decisions
2. BA person must be assumed to have capacity unless it is shown that they lack it
3. CCapacity is decided by the next of kin, who must sign a form for every decision
4. DEveryone over 75 is assumed to lack capacity

Why is hypokalaemia particularly dangerous in a patient taking digoxin?

1. ADigoxin raises potassium to dangerous levels when it is already low
2. BLow potassium stops digoxin from being absorbed
3. CLow potassium increases the risk of digoxin toxicity
4. DLow potassium makes digoxin work too slowly

A patient on nasal cannula oxygen breathes mainly through the mouth. What is the most accurate statement?

1. AThe flow must be increased to 15 L/min to make it work at all
2. BIt can still work, because oxygen collects in the nasopharynx
3. CIt has no effect at all in mouth breathers and must be stopped
4. DThe cannula should be placed in the mouth

Two adults with cystic fibrosis are admitted to the same ward. What is the correct infection-control plan?

1. ANurse them in separate single rooms and keep them apart
2. BLet them share physiotherapy sessions and equipment
3. CPut them in the same bay so they can support each other
4. DUse standard precautions only, as CF is not infectious

During continuous bladder irrigation, 3200 mL drains out in a shift. 2500 mL of irrigation fluid was put in. What is the true urine output?

1. A3200 mL
2. B5700 mL
3. C700 mL
4. D2500 mL

A patient with gastroparesis has hypos soon after their meal-time insulin, then high glucose several hours later. What is the best explanation?

1. AThe insulin has gone off and needs replacing
2. BFood is absorbed slowly, so the insulin peaks before the glucose rises
3. CThe meter gives false results for several hours after every meal
4. DThe patient is secretly eating sweets between meals

What is anticipatory nausea in chemotherapy?

1. ANausea caused by low blood glucose
2. BNausea caused only by the smell of food
3. CNausea triggered by reminders of treatment before it is given
4. DNausea that starts about a week after each cycle and lasts for days

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