NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

Which patient on an addiction unit should the nurse see first?

1. ALast drink this morning; asking when lunch will arrive
2. BLast drink one week ago; asking about support groups
3. CLast drink two days ago; now shaking, sweating, heart rate 124/min and seeing insects
4. DIn recovery for a year; came to the clinic today for a routine check and a repeat prescription

A victim heavily contaminated with an industrial chemical arrives at the emergency department with stable vital signs. What should happen first?

1. AFull assessment inside the main department straight away
2. BPlacing the victim in the waiting room until a doctor is free
3. CDecontamination before the victim enters the treatment area
4. DTaking the victim straight to the X-ray department

An order uses the abbreviation “MS”. Why is this unsafe?

1. AIt is the abbreviation for milliseconds, not a drug
2. BIt means the drug must be given by mouth only
3. CIt is reserved for drugs used in multiple sclerosis
4. DIt can mean either morphine sulfate or magnesium sulfate

While preparing a chemotherapy infusion, the drug splashes onto a nurse’s forearm. What should the nurse do first?

1. ACover the area with a dressing and report later
2. BRemove contaminated PPE and wash the skin with soap and water at once
3. CFinish hanging the infusion and then wash the skin
4. DWipe the skin with an alcohol swab and continue preparing the infusion

Atriyal fibrilasyon nedeniyle varfarin kullanan bir hastanın INR'si 1,4'tür. Bu ne anlama gelir?

1. AAntikoagülasyon hedefin altındadır; bu yüzden pıhtı ve inme olasılığı daha yüksektir
2. BHastanın artık varfarin almasına gerek yoktur
3. CDoz tam olarak doğrudur ve değişiklik gerektirmez
4. DHasta yüksek kanama riski altındadır ve hemen K vitaminine ihtiyacı vardır

A patient's potassium is 7,2 mEq/L, and the monitor shows wide QRS complexes. Several treatments are prescribed. Which should be given first?

1. AIV furosemide (a loop diuretic)
2. BUrgent hemodialysis session
3. CAn oral potassium binder dose
4. DIV calcium gluconate (or chloride)

Which instruction is correct for taking weekly alendronic acid (alendronate)?

1. ATake it with an antacid to protect the stomach
2. BTake it with plain water on an empty stomach and stay upright for 30 minutes
3. CTake it with a glass of milk at bedtime and then lie down straight away
4. DChew the tablet with breakfast and a cup of milky tea

IV vankomisin alan bir hastada hızlı infüzyon sırasında yüz ve boyunda kızarma ve kaşıntılı kırmızı döküntü gelişiyor. En olası neden ve yanıt nedir?

1. AKaraciğer yetmezliği; tüm ilaçları kalıcı olarak kesin
2. BGüneş yanığı; krem sürün ve devam edin
3. Cİnfüzyonla ilişkili reaksiyon; infüzyonu durdurun veya yavaşlatın ve order edeni bilgilendirin
4. DNormal yanıt; infüzyon hızını artırın

The telemetry monitor suddenly shows a chaotic waveform resembling ventricular fibrillation, but the patient is talking and brushing their teeth. What should the nurse do first?

1. ADeliver an immediate defibrillation shock before checking anything
2. BCheck the patient and the electrodes, as this is likely artefact
3. CStart chest compressions straight away and call the arrest team
4. DGive IV amiodarone as a bolus

A patient with severe aortic stenosis is prescribed glyceryl trinitrate (nitroglycerin) for chest pain. Why should the nurse use particular caution?

1. AThere is no reason for caution, because GTN acts only on the coronary arteries
2. BGTN makes the narrowed aortic valve tighten further within a few minutes
3. CGTN raises the blood pressure dangerously in aortic stenosis
4. DVasodilators can cause a severe fall in BP with a fixed outflow obstruction

Hasta her hemodiyaliz seansından önce ve sonra neden tartılır?

1. AÖnümüzdeki hafta için her ilacın dozunu hesaplamak için
2. BMakine kilo olmadan başlayamadığı için
3. CMalnütrisyona bağlı kilo kaybını kontrol etmek için
4. DNe kadar sıvı çekildiğini görmek ve kuru ağırlığa yön vermek için

A patient has fever, confusion, odd behaviour and a new seizure. Herpes simplex encephalitis is suspected. Which drug is usually started straight away?

1. AIV aciclovir
2. BOral amoxicillin
3. CIV insulin
4. DOral prednisolone

Yüksek riskli hastalarda tümör lizis sendromunu önlemeye hangi önlemler yardımcı olur?

1. APotasyum tabletleriyle sıvı kısıtlaması
2. BGünlük kalsiyum ve fosfat takviyeleri
3. CAllopürinol veya rasburikaz ile IV hidrasyon
4. DKemoterapi sırasında tüm IV ve oral sıvıları kesmek

Four patients from a house fire arrive in the emergency department. Which should the nurse assess first?

1. APartial-thickness burns to both legs, with pain rated 8/10
2. BRedness on the backs of both hands, and very anxious
3. CA blistered forearm burn and a small cut on the knee
4. DCircumferential chest burns, with breathing becoming shallow and laboured