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. AA personality change that is permanent and expected
2. BNormal aging that needs no action
3. CDelirium, which needs the cause found quickly
4. DLong-standing dementia that is expected

A patient with severe sepsis starts oozing blood from IV sites and the gums, and bruises appear on the skin. What should the nurse suspect?

1. ADisseminated intravascular coagulation (DIC)
2. BAn allergic reaction to the adhesive tape
3. CVitamin C deficiency
4. DNormal bruising from blood tests

A nurse gives part of a dose of an opioid from a vial and must discard the rest. What is correct?

1. AReturn the rest to the patient’s medication drawer
2. BDiscard it in front of a second licensed (registered) nurse, who witnesses and documents it
3. CDiscard it alone in the sink and document the amount wasted later in the shift
4. DKeep the rest for the patient’s next dose

Ağır demansı olan bir hasta geceleri tek başına yataktan kalkıyor ve iki kez düşmüştür. Hangi plan en uygundur?

1. ADört kalkık yan korkuluk ve sessizlik için geceleri kapalı kapı
2. BAlçak yatak, yatak alarmı, tuvalet turları, gece lambası ve kaymaz çorap
3. CHastayı yatakta tutmak için her gece bir sedatif
4. DHastayı geceleyin sandalyeye bağlamak

A patient takes high-dose biotin supplements for hair and nails. Why should the nurse report this before blood tests?

1. ABiotin lowers the hemoglobin by destroying the red cells
2. BBiotin causes a true rise in blood glucose in all patients
3. CBiotin can distort some immunoassays, such as troponin or TSH
4. DBiotin makes the blood clot in the tube before testing

A woman with preeclampsia is receiving IV magnesium sulfate. Her urine output has fallen and her creatinine is rising. Why is this a concern?

1. AMagnesium causes potassium loss, so the kidneys release more fluid
2. BMagnesium is excreted by the kidneys, so it can build up to toxic levels
3. CPoor kidney function makes the magnesium level fall quickly
4. DMagnesium is broken down by the liver, so it will stop working soon

Which drug is first-line in an acute asthma attack?

1. AAn oral antihistamine such as cetirizine taken every few hours
2. BA nebulised or inhaled short-acting beta₂-agonist (salbutamol/albuterol)
3. CAn oral beta-blocker
4. DA long-acting inhaled corticosteroid, used alone at a higher dose

A patient taking regular ibuprofen suddenly develops severe upper abdominal pain, a rigid abdomen and becomes tachycardic. What is most likely?

1. AConstipation
2. BIndigestion that will settle with antacids
3. CIrritable bowel syndrome
4. DA perforated peptic ulcer

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. AStart chest compressions straight away and call the arrest team
2. BGive IV amiodarone as a bolus
3. CDeliver an immediate defibrillation shock before checking anything
4. DCheck the patient and the electrodes, as this is likely artefact

After four days of antibiotics for pneumonia, a patient still has fever and pleuritic pain. There is dullness and reduced breath sounds at the right base. What complication should be suspected?

1. ANormal recovery from pneumonia
2. BA parapneumonic effusion or empyema
3. CAsthma triggered by the infection
4. DAn allergic reaction to the antibiotic

Why is IV calcium gluconate given in severe hyperkalaemia?

1. AIt removes potassium through the kidneys
2. BIt protects the heart from arrhythmias
3. CIt binds potassium in the gut
4. DIt moves potassium into the cells

Which patient on a stroke unit is most at risk of falling?

1. AA patient with mild dysarthria who walks steadily with a frame
2. BA patient with a TIA whose symptoms resolved completely yesterday
3. CA patient with a left-hemisphere stroke who has expressive aphasia and waits for help
4. DA patient with a right-hemisphere stroke who is impulsive and denies having weakness

Büyük cerrahiden sonraki ilk günlerde düzenli (planlı) analjezi neden çoğu zaman “gerektiğinde” dozlara tercih edilir?

1. AGün içinde hastanın ağrısını değerlendirme gereksinimini ortadan kaldırır
2. BTüm opioid yan etkilerini tamamen önler
3. CAzami günlük sınırın üzerindeki dozların verilmesine izin verir
4. Dİlaç düzeylerini sabit tutar ve şiddetli ağrı zirvelerini önler

A nurse teaches a patient to self-inject low molecular weight heparin at home. Which statement shows a need for further teaching?

1. A"I'll change the injection site each day."
2. B"I'll report any unusual bruising or bleeding."
3. C"I'll put the used syringe in the sharps bin."
4. D"I'll rub the area afterwards to spread the medicine."