NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A patient’s peripheral IV site is swollen, pale and cool, and the infusion has slowed. What should the nurse do first?

1. AFlush the cannula hard to clear the blockage
2. BIncrease the infusion rate to overcome the resistance
3. CApply a tight bandage over the site to reduce swelling
4. DStop the infusion and remove the cannula

A patient suddenly has severe pain in one leg. The leg is pale and cold with no pedal pulse. What does this suggest?

1. AChronic venous insufficiency that needs elevation
2. BA muscle cramp that will pass with stretching
3. CA deep vein thrombosis that can be treated next week
4. DAcute arterial occlusion, which is an emergency

During routine handwashing with soap and water (medical asepsis), how are the hands held?

1. ALevel with the shoulders, away from the sink
2. BLower than the elbows, so water runs off the fingertips
3. CTouching the inside of the sink for support
4. DHigher than the elbows, so water runs down the arms

A nurse teaches a patient about care of a surgical incision at home. Which statement shows a need for further teaching?

1. A“I will call the clinic if I get a fever or more pain around the wound.”
2. B“I will keep the dressing clean and dry as I was shown.”
3. C“If the wound gets red and drains pus, I will wait for my appointment next month.”
4. D“I will wash my hands with soap before I touch or change the dressing.”

A patient with iron-deficiency anemia started oral iron. Which result is usually the earliest sign that treatment is working?

1. AA fall in the white cell count
2. BA fall in the mean cell volume (MCV)
3. CA rise in the reticulocyte count
4. DA rise in the platelet count

1,0 mEq/L'lik bir lityum düzeyi hastanın sabah dozundan 2 saat sonra alınmıştır ve reçeteyi yazan kişi dozu artırmayı planlamaktadır. Hemşire neyi belirtmelidir?

1. AÖrnek dozdan çok kısa süre sonra alınmıştır; bu yüzden geçerli bir düzey değildir
2. BLityum düzeyleri sonucu etkilemeden günün herhangi bir saatinde alınabilir
3. CDüzey toksiktir; bu yüzden lityum tamamen bırakılmalıdır
4. DDüzey çok düşüktür; bu yüzden büyük bir artış açıkça güvenlidir

A patient with anaphylaxis is hypotensive but has no breathing difficulty. How should they be positioned?

1. ALying face down
2. BLying flat, with the legs raised
3. CSitting upright with the legs dangling
4. DStanding up and walking around

Which feature best distinguishes delirium from dementia?

1. ADelirium starts suddenly and fluctuates, while dementia develops gradually
2. BDementia always causes visual hallucinations
3. CDelirium only affects people under 50, while dementia affects older people
4. DDelirium is permanent, while dementia is reversible

When should an adult with cystic fibrosis take pancreatic enzyme capsules?

1. AOnly at bedtime
2. BOnly when they have diarrhoea
3. CWith all meals and snacks that contain fat
4. DOnce a day on waking, at least an hour before any food

Kalp yetmezlikli bir hastada istirahatte nefes darlığı, soğuk periferi, 80 mmHg sistolik KB ve azalan idrar çıkışı vardır. Bu neyi düşündürür?

1. AVazovagal yanıta yol açan anksiyete
2. BZayıf doku perfüzyonlu kardiyojenik şok
3. COral sıvıların düzelteceği hafif dehidratasyon
4. DStabil, iyi kompanse kronik kalp yetmezliği

An 82-year-old taking apixaban fell three weeks ago. Since then their family has noticed increasing confusion and headaches. Which condition is most likely?

1. ANormal ageing with mild memory loss
2. BChronic subdural haematoma
3. CSubarachnoid haemorrhage from an aneurysm
4. DAcute extradural haematoma

Saat 03,00'te bir hastanın glukozu 3,6 mmol/L'dir, ancak kahvaltıdan önce yüksektir. Akşamları uzun etkili insülin alıyor. Hemşire ne yapmalıdır?

1. ASabah değeri yüksek olacağı için 03,00'te ek insülin vermelidir
2. BDüşüklüğü tedavi etmeli ve akşam dozunun gözden geçirilmesi için örüntüyü bildirmelidir
3. CTüm insülini kalıcı olarak kesmeli ve glukozu dört saatte bir izlemelidir
4. DGece ölçümünü görmezden gelip yalnızca sabah değerine göre davranmalıdır

Which monitoring is especially important for a patient receiving parenteral nutrition?

1. APeak flow and visual acuity
2. BPupil size and limb strength
3. CBowel sounds and stool colour only
4. DBlood glucose and signs of line infection

After signing the consent form, a patient tells the nurse, "I don't really understand what they are going to do." What should the nurse do?

1. AIgnore the comment because the form is already signed
2. BInform the surgeon so that the procedure can be explained again
3. CExplain the surgical risks in detail without involving the surgeon
4. DReassure the patient that the surgeon knows best