NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

Hemşire hangi hastayı önce görmelidir?

1. ADiyet hakkında soru soran tip 2 diyabetli hasta
2. B30 dakika önce başlayan yeni peltek konuşma ve yüz asimetrisi olan hasta
3. CYarın diyalize girecek olan kronik böbrek hastalığı olan hasta
4. DUzun süredir romatoid artriti olan ve her zamanki sabah eklem sertliği olan hasta

Which finding most suggests a tension pneumothorax rather than a simple pneumothorax?

1. ATrachea shifted away from the affected side, with low blood pressure
2. BMild breathlessness with reduced breath sounds on one side of the chest only
3. CA small air leak seen on a routine chest X-ray
4. DSharp chest pain that is worse on deep breathing

A patient is on seizure precautions. Which equipment should be ready at the bedside?

1. AAn ice pack to place on the forehead
2. BA tongue blade to put between the teeth
3. CRestraints ready for all four limbs
4. DWorking suction and oxygen equipment

In a US hospital (CMS rules), a patient keeps pulling at an endotracheal tube, and alternatives have failed. The nurse applies wrist restraints in an emergency. What must happen next?

1. AKeep the restraints on without an order until the patient is calm
2. BObtain a time-limited order for the restraint promptly, following policy
3. CAsk the family to sign a consent form instead of an order
4. DAsk the provider for a PRN restraint order to use as needed

A urine culture is ordered for a patient with an indwelling urinary catheter. How should the nurse collect the sample?

1. APour urine from the drainage bag into a sterile cup
2. BDisconnect the catheter from the tubing and let it drain
3. CRemove the catheter and culture the catheter tip
4. DAspirate from the sampling port with a sterile syringe

A patient has marked generalized edema. Results show heavy proteinuria, serum albumin 1,8 g/dL (18 g/L) and total cholesterol 340 mg/dL (8,8 mmol/L). Which condition fits best?

1. APrerenal kidney injury
2. BAcute pyelonephritis
3. CNephrotic syndrome
4. DLiver cirrhosis only

A patient is having a 12-lead ECG. Where are the chest electrodes placed?

1. AOn both shoulders and both hips only
2. BIn a straight line down the centre of the sternum from top to bottom
3. CAnywhere on the chest where the skin is clear
4. DIn standard numbered positions across the front and left of the chest

A patient with severe ulcerative colitis develops abdominal distension, fever and tachycardia, and the number of stools falls. What complication should be suspected?

1. ARecovery from the colitis
2. BConstipation from dehydration
3. CCoeliac disease
4. DToxic megacolon

How should a patient with asthma record their peak flow at home?

1. ABlow only during an asthma attack, never when well
2. BTake the best of three blows, ideally morning and evening
3. CTake the average of ten blows after exercise
4. DTake one gentle blow once a week, at any time of day

A patient with rheumatoid arthritis is due to start an anti-TNF biologic drug. Which screening is essential beforehand?

1. AA peak flow diary for a month
2. BScreening for latent tuberculosis
3. CA sweat chloride test
4. DAn exercise ECG test on a treadmill

Which picture fits anterior cord syndrome?

1. AArms much weaker than legs after a neck injury
2. BWeakness on one side and loss of pain sensation on the other side
3. CLoss of movement and pain sense, with position sense kept
4. DNormal movement but complete loss of position sense

A nurse teaches a carer to give buccal midazolam for prolonged seizures. Which statement shows a need for further teaching?

1. A"I will give it into the space between his gum and cheek."
2. B"I will call an ambulance if the care plan tells me to."
3. C"I will put something between his teeth so he does not bite his tongue."
4. D"I will write down the time the seizure started and the time I gave the dose."

Why are antiemetics usually given before chemotherapy starts?

1. AAntiemetics make the chemotherapy work better
2. BPreventing nausea works better than treating it later
3. CThey stop the chemotherapy from causing hair loss and mouth sores
4. DThey cannot be given once nausea has started

A patient on warfarin has a major upper GI bleed with an INR of 5. Which treatment should the nurse anticipate to reverse the warfarin?

1. AMore warfarin to stabilise the INR
2. BProthrombin complex concentrate with IV vitamin K
3. CProtamine sulfate on its own
4. DOral aspirin to balance the clotting system quickly