NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

An older patient becomes confused over a few hours, with attention that comes and goes. What does this suggest?

1. ADelirium, which needs the cause found quickly
2. BLong-standing dementia that is expected
3. CNormal aging that needs no action
4. DA personality change that is permanent and expected

Bir hemşire yeni bir hemşire yardımcısını gözetiyor. Hemşire yardımcının işini ne zaman en yakından kontrol etmelidir?

1. AYardımcı görevde yeniyken veya hasta daha az stabilken
2. BHiçbir zaman; çünkü yardımcının rol için sertifikası var
3. CYalnızca belgelemenin gözden geçirildiği vardiya sonunda
4. DYalnızca yardımcı zor bulduğu bir görevde yardım istediğinde

A nurse who wears prescription glasses must irrigate a wound where splashing is likely. Which eye protection is suitable?

1. AThe glasses with a surgical mask
2. BGoggles or a face shield worn over the glasses
3. CThe prescription glasses alone
4. DNo eye protection, if the nurse stands to one side

An audit shows poor hand hygiene compliance on a ward. Which plan is most likely to improve it?

1. ARemoving all sinks so staff must use hand rub
2. BA single poster about hand hygiene placed in the staff room
3. CA combined approach with education, hand rub at every bedside, regular audits and feedback
4. DDisciplining staff who are seen not cleaning their hands, with no other change

Furosemid kullanan bir hastanın potasyumu 2,9 mEq/L'dir. Hemşire hangi bulguyu beklemelidir?

1. AKas güçsüzlüğü ve bacak krampları
2. BAşırı çalışan bağırsaklara bağlı ishal ve karın krampları
3. CPozitif Chvostek belirtisiyle birlikte ağız çevresinde karıncalanma
4. DEKG'de yüksek, sivri T dalgaları

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

A patient on haemodialysis has an arteriovenous fistula in the left arm. Which nursing care is correct?

1. AApply a tight bandage over the fistula at night to protect it
2. BUse the fistula arm for routine IV cannulas
3. CKeep the arm raised and still at all times
4. DAvoid blood pressure readings and blood samples on that arm

An older patient has fallen several times since starting a new medicine. Which drug group is most likely to contribute?

1. ABenzodiazepine sleeping tablets
2. BEmollient creams applied to the legs
3. CVitamin D supplements
4. DLubricating eye drops

Which history is a contraindication to thrombolysis for a STEMI?

1. ATreated high blood pressure
2. BMild asthma controlled with inhalers
3. CA previous haemorrhagic stroke
4. DA previous appendicectomy many years ago

Which task for a stable patient with heart failure can the registered nurse most appropriately delegate to a healthcare assistant (unlicensed assistive personnel)?

1. AAssessing lung sounds for new crackles
2. BTeaching the patient about a low-salt diet
3. CDeciding whether to give the furosemide dose
4. DMeasuring and recording the morning weight

Hangi idrar bulgusu diabetes insipidusu SIADH'den en iyi ayırır?

1. AHer iki durumda da çok konsantre idrar vardır
2. BDI'de seyrelmiş idrar, SIADH'de konsantre idrar vardır
3. CDI'de idrarda glukoz, SIADH'de protein vardır
4. DDI'de konsantre idrar, SIADH'de seyrelmiş idrar vardır

The nurse has four renal patients. Which one needs to be seen first?

1. AA patient with mild itching from uraemia who wants a cream
2. BA patient with a potassium of 6,8 mmol/L who reports palpitations
3. CA patient with CKD asking about their phosphate binder
4. DA patient with a creatinine slightly above their usual level

Which statement about moist wound healing is correct?

1. AWounds heal fastest when left to dry out and form a scab
2. BA wet wound bed always prevents infection
3. CA moist, not wet, wound bed helps cells move and heal faster
4. DWounds should be soaked in water for hours every day

A patient has had a large terminal ileum resection for Crohn's disease. Which long-term problems should the nurse anticipate?

1. AExcess vitamin D and calcium kidney stones in the first year
2. BIron overload and constipation
3. CInsulin deficiency and high blood glucose from loss of the islets
4. DVitamin B₁₂ deficiency and bile-acid diarrhoea