NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

Which finding is an early sign of compartment syndrome in a patient with a lower leg fracture?

1. AItching under the cast during the first week after it was applied
2. BA strong pedal pulse with warm, pink toes and pain that settles with analgesia
3. CMild bruising around the fracture site on the second day
4. DPain out of proportion to the injury that worsens when the toes are stretched

Büyük bir ameliyat sonrası hastanın iki saattir idrar çıkışı 15 mL/saat, kalp hızı 115/dk ve elleri soğuk. Hemşire önce ne yapmalıdır?

1. AÇıkışın düzelip düzelmediğini görmek için iki saat daha beklemek
2. BSondayı yıkamak ve çıkışı ertesi sabah yeniden kontrol etmek
3. CHastayı daha fazla su içmeye teşvik etmek ve sonra yeniden kontrol etmek
4. DKanama gibi şok belirtilerini değerlendirmek ve üst basamağa bildirmek

Which part of a sterile surgical gown is considered sterile once it is on?

1. AThe whole gown, including the back, the collar and the area below the waist
2. BThe front from the neck down to the knees
3. CThe front from chest to the level of the sterile field, and the sleeves
4. DOnly the back of the gown, which nobody touches

A nurse finds a patient lying on the floor next to the bed. What should the nurse do first?

1. AAssess the patient for injury before moving them
2. BComplete an incident report while the details are fresh
3. CTelephone the family to tell them about the fall
4. DLift the patient back into bed with a colleague

A blood sample drawn just after a patient ate a fatty meal is reported as "lipemic." What does this mean for the results?

1. AThe sample was contaminated by an IV fluid with dextrose
2. BThe results are more accurate than in a fasting sample
3. CHigh fat in the sample may interfere with some test results
4. DThe sample shows the patient has diabetic ketoacidosis

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

An older adult has left lower abdominal pain, fever and a raised CRP. Which condition is most likely?

1. ABiliary colic
2. BDiverticulitis
3. CGastric ulcer
4. DAppendicitis

Why must severe chronic hyponatraemia be corrected slowly?

1. ASodium given quickly causes immediate cardiac arrest
2. BFast correction makes the kidneys stop producing urine
3. CToo-rapid correction can cause osmotic demyelination in the brain
4. DFast correction causes severe hypoglycaemia and seizures in most patients

After varicose vein surgery, which advice is usually given?

1. AWear the compression stockings as advised and walk regularly
2. BStay in bed for two weeks with the legs hanging down
3. CStand still for long periods to help the veins heal
4. DAvoid all walking until the bruising has gone

Seconds after an intramuscular injection, a patient becomes pale, sweaty and faint, with a heart rate of 48/min. There is no rash, wheeze or swelling, and they recover quickly when laid flat. What is the most likely cause?

1. AAnaphylaxis
2. BA vasovagal reaction
3. CA tension pneumothorax
4. DA myocardial infarction

Why might a patient taking a beta-blocker not notice a hypoglycaemic episode?

1. ABeta-blockers make the patient sleep through every hypo
2. BBeta-blockers can mask the tremor and racing heart of a hypo
3. CBeta-blockers raise blood glucose, so hypos cannot happen
4. DBeta-blockers block the effect of all diabetes medicines

A patient with a brain injury has a mean arterial pressure of 80 mmHg and an ICP of 25 mmHg. How should the nurse interpret this?

1. AThe ICP cannot affect brain perfusion if the blood pressure is normal
2. BThe cerebral perfusion pressure is 105 mmHg, which is too high
3. CThe cerebral perfusion pressure is 80 mmHg, which is normal
4. DThe cerebral perfusion pressure is 55 mmHg, below the usual target

Ağır akut pankreatitte hangi elektrolit sorunu görülebilir?

1. AHipernatremi
2. BHiperkalsemi
3. CHiperkalemi
4. DHipokalsemi

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

1. AInsulin deficiency and high blood glucose from loss of the islets
2. BVitamin B₁₂ deficiency and bile-acid diarrhoea
3. CIron overload and constipation
4. DExcess vitamin D and calcium kidney stones in the first year