NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

Bir hastada ani burun kanaması var, uyanık ve normal soluyor. Hemşire önce ne yapar?

1. AHastayı dizlerinin altında yastıkla sırtüstü düz yatırır
2. BHastayı oturtur, öne eğer ve burnun yumuşak kısmını sıkar
3. CBaşı geriye yatırır ve ense arkasına buz uygular
4. DPıhtıları temizlemek için hastadan burnunu sert üflemesini ister

Several patients on a unit develop diarrhea within two days. What should the nurse do first?

1. AGive all patients antidiarrheal drugs without assessment
2. BMove the affected patients into shared rooms with other patients to free up beds
3. CPlace affected patients on contact precautions and inform infection control
4. DWait to see if more patients become unwell

A nurse finds an unlabeled syringe of clear fluid on the medication counter. What should the nurse do?

1. AAsk nearby staff and use it if someone recognizes it
2. BGive it to the patient whose medication is due
3. CDiscard it, because its contents cannot be confirmed
4. DLabel it with the most likely drug name

A child with fever, cough, red eyes and a spreading rash is in a clinic waiting room. Measles is suspected. What should the nurse do first?

1. ASend the child home to rest without an assessment
2. BPut a mask on the child and move them into an airborne isolation room
3. CGive the child an antipyretic and continue triage
4. DAsk the family to wait in the main waiting room until the child is called in

A patient had a total gastrectomy. Which long-term therapy is needed to prevent anemia?

1. ALifelong vitamin B₁₂ replacement
2. BLifelong oral folic acid tablets only
3. CMonthly transfusions of red blood cells
4. DWeekly doses of oral vitamin K tablets

A patient has painless jaundice, itching, dark urine and pale stools. ALP is markedly raised, conjugated (direct) bilirubin is high and ALT is only mildly raised. What is the most likely cause?

1. ABlockage of bile flow, for example by a tumor in the bile duct
2. BIncreased breakdown of red blood cells (hemolytic anemia)
3. CAcute viral hepatitis with widespread liver cell damage
4. DGilbert syndrome, a harmless inherited bilirubin disorder

A patient is receiving IV fluids for several days. Which monitoring is essential?

1. AMonthly HbA1c
2. BFluid balance, regular weights and urea, creatinine and electrolytes
3. CPeak flow readings
4. DWeekly temperature and a single blood glucose reading

During a general anaesthetic, a patient develops a rapidly rising temperature, muscle rigidity and rising carbon dioxide levels. What should be suspected?

1. AA normal response to surgery
2. BMalignant hyperthermia
3. CPostoperative infection
4. DNeuroleptic malignant syndrome from antipsychotics

A patient on theophylline develops nausea, vomiting, a fast heart rate and restlessness. What should the nurse suspect?

1. AHypoglycaemia caused by the drug
2. BTheophylline toxicity
3. CA theophylline allergy causing a rash
4. DAn expected sign that the drug is working

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

A patient with migraine takes painkillers or triptans on most days and now has a headache almost every day. What is the likely problem?

1. AA brain tumour, which is almost certain
2. BNormal progress of migraine
3. CAn allergy to the painkillers
4. DMedication overuse headache

DKA'lı bir hasta iyileşiyor: glukoz 9 mmol/L, ketonlar 0,4 mmol/L, pH 7,36. Yiyor ve içiyor. IV insülin nasıl kesilmelidir?

1. AKetoasidoz tamamen düzeldiği için tüm insülini kesmek
2. BÖğünle birlikte deri altı insülin vermek, sonra bir örtüşme süresinden sonra IV'yi kesmek
3. CIV insülini şimdi kesmek ve deri altı insüline yarın başlamak
4. DDeri altı insülini yalnızca glukoz 20 mmol/L'nin üzerine çıkarsa vermek

Which factor can precipitate hepatic encephalopathy in a patient with cirrhosis?

1. AA low-salt diet
2. BRegular gentle walking
3. CConstipation
4. DA high fluid intake

A patient has a category (stage) 2 pressure ulcer on the sacrum. Which plan is most appropriate?

1. AMassage around the wound every hour to stimulate blood flow to the skin
2. BOffload the area, manage moisture, support nutrition and dress it
3. CLeave it uncovered and dry it with a hair dryer
4. DSit the patient upright in a chair for most of the day