NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

Gündüz salonunda yemek yiyen yetişkin bir hasta aniden boğazını tutuyor ve konuşamıyor, soluyamıyor veya öksüremiyor. Hemşire önce ne yapmalıdır?

1. AYiyeceği aşağı itmesi için hastaya bir bardak su vermek
2. BAğızda kör parmak taraması yapmak
3. CHastanın öksürerek çıkarıp çıkaramayacağını beklemek
4. DYardım çağırmak ve sırta vurular ile abdominal itmeler uygulamak

A patient with Guillain-Barré syndrome has weakness that is spreading up from the legs. Which assessment has the highest priority?

1. ABreathing strength, such as vital capacity and the ability to cough
2. BMuscle strength in the feet and ankles at the start of each morning
3. CSkin condition over the heels
4. DThe patient’s mood and coping

A newly hired nurse had BCG vaccine as a child. Which TB screening test is usually preferred?

1. ANo screening, because BCG prevents all TB
2. BA chest x-ray every month for the first year
3. CAn interferon-gamma release assay (IGRA) blood test
4. DA tuberculin skin test, which is read 24 hours after it is placed

A patient takes medicines prescribed by several providers. Which advice best reduces the risk of medication errors at home?

1. AOnly tell each provider about the drugs they prescribed
2. BStop taking any medicine that seems to repeat another one, without asking anyone
3. CKeep one up-to-date list of all medicines and use one pharmacy where possible
4. DKeep each provider’s medicines in separate bags

An older adult with chronic kidney disease starts trimethoprim-sulfamethoxazole for a urinary tract infection. Which electrolyte should be monitored closely?

1. ASodium, because the drug causes heavy sodium retention
2. BChloride, because the drug causes chloride loss
3. CPotassium, because trimethoprim can raise it
4. DCalcium, because the drug binds calcium in the gut

The nurse teaches a patient with chronic kidney disease about a potassium-restricted diet. Which statement shows a need for further teaching?

1. A"I'll limit bananas, oranges and potatoes in my meals"
2. B"Dried apricots and raisins will be a good snack for me now"
3. C"I'll check food labels and ask my dietitian about portion sizes"
4. D"I can leach potatoes by soaking them before cooking them"

Karaciğer sirozu olan bir hasta konfüze ve uykulu hâle geliyor, ellerde çırpma tremoru var. Hangi komplikasyon olasıdır?

1. AYalnızca alkol zehirlenmesi
2. Bİnsüline bağlı hipoglisemi
3. Cİnme
4. DHepatik ensefalopati

A patient has a high fever with rigors, jaundice and right upper quadrant pain. Which condition is most likely?

1. ASimple biliary colic
2. BAscending cholangitis
3. CGastro-oesophageal reflux disease
4. DAcute appendicitis

A patient taking isosorbide mononitrate asks about sildenafil for erectile dysfunction. What is the main danger?

1. ABleeding from the gums
2. BA very high potassium level
3. CSevere hypertension
4. DSevere hypotension

An older patient's varicose vein bursts at the ankle and bleeds heavily. What is the most effective first aid?

1. AApply a hot compress to the leg to help the vein close up
2. BLie the patient down, raise the leg and press firmly on the site
3. CKeep the leg hanging down over the bed
4. DStand the patient up so the blood flows away and clots faster

A patient has acute low back pain with no red flags. Which advice is most appropriate?

1. AStay as active as possible and use simple pain relief
2. BWear a rigid back brace all day and night for at least three months
3. CStay in bed for two weeks until the pain is gone
4. DAvoid all movement until an MRI scan has been done

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 technique is correct when giving a prefilled low molecular weight heparin injection?

1. AExpel the air bubble first and inject into the deltoid muscle
2. BInject into a vein in the back of the hand
3. CRub the site firmly afterwards to help absorption
4. DLeave the air bubble in and inject into a skin fold

Which preoperative blood result should the nurse report to the team before elective surgery?

1. APotassium 2,9 mmol/L
2. BSodium 139 mmol/L
3. CFasting glucose 5,4 mmol/L (97 mg/dL)
4. DHaemoglobin 138 g/L (13,8 g/dL) in a man