NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

Which practice makes a shift handover safest?

1. AA structured format, such as SBAR, with time for questions
2. BLeaving a sticky note on the computer screen for the next nurse
3. CHanding over only the patients who had problems during the shift
4. DA quick chat in the corridor with no notes taken

During an infusion of a thrombolytic drug for stroke, the patient develops a severe headache and starts vomiting. What should the nurse do first?

1. AGive a dose of aspirin for the headache
2. BStop the infusion and inform the provider at once
3. CSlow the infusion and give an antiemetic as prescribed
4. DContinue the infusion, because headache is expected

Hair must be removed from a planned surgical site. Which method reduces the risk of surgical site infection?

1. AClipping with electric clippers just before surgery
2. BUsing wax strips on the morning of surgery
3. CShaving with a razor just before the incision
4. DShaving with a disposable razor the night before surgery

In a US hospital (CMS rules), a patient keeps pulling at an endotracheal tube, and alternatives have failed. The nurse applies wrist restraints in an emergency. What must happen next?

1. AAsk the provider for a PRN restraint order to use as needed
2. BObtain a time-limited order for the restraint promptly, following policy
3. CKeep the restraints on without an order until the patient is calm
4. DAsk the family to sign a consent form instead of an order

Two sets of blood cultures are ordered for a patient with suspected sepsis. How are they best collected?

1. AFrom the existing IV line while the infusion continues to run
2. BBoth from the same site, one minute apart, to save time for the patient
3. CAfter the first antibiotic dose, so the infusion is not delayed
4. DFrom two separate venipuncture sites, using strict aseptic technique

A patient receiving parenteral nutrition with lipid emulsion has a triglyceride level of 620 mg/dL (7,0 mmol/L). Why is this result important?

1. AIt shows the nutrition is fully effective
2. BIt means the patient needs more lipid
3. CIt is a normal fasting value for adults
4. DIt raises the risk of acute pancreatitis

Which technique is correct when suctioning through a tracheostomy?

1. AKeep suctioning for at least a minute each time to clear all the secretions
2. BApply suction only while withdrawing the catheter, for no more than about 10–15 seconds
3. CSuction every 15 minutes whether or not secretions are present
4. DApply suction continuously while inserting the catheter as far as it will go

Yaşlı bir hasta gece boyunca aniden konfüze oluyor ve dikkati dalgalanıyor. Önce hangi neden araştırılmalıdır?

1. AEnfeksiyon veya ilaç gibi altta yatan bir sorundan kaynaklanan deliryum
2. BAlzheimer hastalığının ani başlangıcı
3. CNormal yaşlanma
4. DÇevreye ilgisizlik

How does digoxin help a patient with atrial fibrillation and heart failure?

1. AIt slows AV node conduction and increases contractility
2. BIt dissolves clots that have formed in the left atrium
3. CIt lowers potassium to stabilise the heart
4. DIt speeds conduction through the AV node to the ventricles

A conscious adult in the dining room is suddenly unable to speak, cough or breathe after a mouthful of food. What should the nurse do first?

1. ASweep blindly in the mouth with a finger
2. BEncourage them to drink a glass of water to wash the food down
3. CUp to five back blows, then up to five abdominal thrusts if needed
4. DLie them down on the floor and start chest compressions immediately

A patient taking a GLP-1 receptor agonist has severe, constant upper abdominal pain spreading to the back, with vomiting. What should the nurse suspect?

1. AA simple urinary tract infection
2. BNormal nausea from the drug
3. CAcute pancreatitis
4. DLow blood glucose

Ameliyattan sonra Graves hastalığı olan bir hastada vücut sıcaklığı 39,8 °C, kalp hızı 160/dk, ajitasyon ve kusma vardır. Hangi tedavi seti en uygundur?

1. AAteş için aspirin ve bir hafta içinde aile hekimi değerlendirmesi
2. BSoğutma, beta bloker, antitiroid ilaç, sonra iyot ve steroidler
3. CTaşikardiyi tedavi etmek için sıvı kısıtlaması ve bir loop diüretik
4. DTitremeyi yatıştırmak için levotiroksin ve sıcak battaniyeler

A patient with a new colostomy asks what to eat at home. Which advice is most appropriate?

1. AAvoid all fruit and vegetables for the rest of their life
2. BEat only liquids until the stoma is removed
3. CDrink as little fluid as possible to reduce output
4. DEat a normal, balanced diet and introduce foods gradually

A patient with gallstones has a temperature of 39 °C with rigors, jaundice and right upper abdominal pain. What should the nurse suspect?

1. AAscending cholangitis
2. BUncomplicated reflux
3. CSimple biliary colic
4. DAcute hepatitis A