NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

Bir kayıtlı hemşire bir hemşire yardımcısına, “12 numaralı odadaki hastayı kontrol et” diyor. Görev devrinin hangi doğrusu eksiktir?

1. AGörev için doğru kişi
2. BDoğru yönergeler ve iletişim
3. CDoğru koşul
4. DOrtam için doğru görev

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. AStop the infusion and inform the provider at once
2. BContinue the infusion, because headache is expected
3. CGive a dose of aspirin for the headache
4. DSlow the infusion and give an antiemetic as prescribed

A nurse has just given an intramuscular injection with a safety needle. What should the nurse do next with the needle?

1. ALay it on the medication tray and discard it later
2. BBend the needle to make it unusable, then discard it
3. CRecap it carefully with both hands and dispose of it after the drug round
4. DActivate the safety device and drop it into a sharps container at once

During a disaster, the hospital needs to free beds quickly. Which patient is the best candidate for early discharge?

1. AA patient on a ventilator in the intensive care unit who is slowly improving
2. BA patient with ongoing chest pain awaiting cardiac tests
3. CA patient on an IV heparin infusion that is still being adjusted
4. DA patient admitted overnight for observation who is now stable with normal tests

A stool test for Clostridioides difficile is ordered. Which sample is appropriate?

1. AA formed, hard stool sample
2. BAn unformed (liquid or soft) stool
3. CA rectal swab from a patient with constipation
4. DAny stool after a laxative dose

Two sets of blood cultures were taken from separate sites. Only one bottle in one set grows coagulase-negative staphylococci, and the patient has no line or implant. What is the most likely interpretation?

1. AProbable skin contamination of the sample
2. BCertain bloodstream infection needing treatment
3. CProof that the patient has infective endocarditis
4. DInfection with a resistant organism such as MRSA

What is the best way to protect the heels of a bed-bound patient from pressure damage?

1. AOffload the heels so they do not touch the mattress
2. BMassage the heels firmly several times a day to help circulation
3. CRest the heels on a rolled-up towel
4. DApply a tight bandage to the heels

Which drug group is first-line for a prolonged convulsive seizure?

1. AAntihistamines, such as chlorphenamine
2. BOpioids, such as morphine or diamorphine, given intravenously
3. CBenzodiazepines, such as buccal midazolam or IV lorazepam
4. DBeta-blockers, such as bisoprolol or atenolol

A patient uses a salbutamol (albuterol) inhaler and a steroid inhaler at the same times each day. Which order is usually taught?

1. ABoth inhalers puffed together in one breath
2. BSalbutamol first, then the steroid after a short wait
3. CSteroid first, then salbutamol straight afterwards
4. DThe order makes no difference to either drug

Atriyal fibrilasyon nedeniyle varfarin kullanan bir hastaya klaritromisin reçete edilmiştir. Hangi eylem en uygundur?

1. AVarfarini tüm antibiyotik kürü boyunca kesmek
2. BAntibiyotikler varfarini etkilemediği için hiçbir şeyi değiştirmemek
3. CKür boyunca varfarin dozunu ikiye katlamak
4. DINR yükselebileceği için daha erken kontrol edilip edilmeyeceğini sormak

Tiroid ameliyatından bir hafta sonra bir hastanın sesi hâlâ kısık ve zayıftır. Hangi komplikasyon en olasıdır?

1. ARekürren laringeal sinir hasarı
2. BParatiroid yaralanmasına bağlı düşük kalsiyum
3. CCerrahinin neden olduğu tiroid fırtınası
4. DYapışkan pansuman bandına alerjik reaksiyon

A patient with long-standing diabetes suddenly has many new floaters and painless loss of vision in one eye. What is most likely, and what is needed?

1. ANormal ageing of the lens, needing new glasses
2. BA bleed into the eye from retinopathy, needing urgent review
3. CDry eyes, needing lubricating drops
4. DA migraine aura, needing pain relief

A dying patient can no longer drink. Which mouth care is most appropriate?

1. AFrequent, gentle moistening of the mouth and lips
2. BLemon and glycerine swabs every hour to stimulate saliva
3. CNo mouth care, to avoid disturbing the patient
4. DBrushing hard with a stiff toothbrush twice a day

A patient taking IV antibiotics has three unexplained loose stools in 24 hours. What should the nurse do first?

1. AMove the patient to a bay with other patients to watch them closely
2. BIsolate the patient and send a stool sample for testing
3. CGive loperamide after each loose stool and continue as usual
4. DWait two days to see if the diarrhoea settles