NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

One hour after a vaginal birth, the nurse finds a soft, boggy uterus and heavy bleeding. What is the first action?

1. AApply an ice pack to the perineum
2. BOffer a meal and fluids
3. CEncourage the patient to rest quietly
4. DMassage the fundus

A patient with diabetes takes propranolol. Which sign of hypoglycemia is most likely to still appear?

1. ATachycardia
2. BTremor
3. CPalpitations
4. DSweating

A patient needs to be moved up in bed and cannot help much. Which approach is safest?

1. AUse a friction-reducing sheet with enough staff, with the bed flat if tolerated
2. BHave one nurse pull the patient up by the arms
3. CAsk the patient to push up with their heels alone
4. DRaise the head of the bed fully and lift the patient up by the shoulders

A patient’s allergy band says “penicillin”, and an order has been written for amoxicillin. What should the nurse do?

1. AGive an antihistamine first and then the drug
2. BAsk the patient whether they would like to take it anyway
3. CGive the drug and watch the patient closely
4. DHold the drug and contact the prescriber

During a red cell transfusion, when are serious acute reactions most likely, so the nurse stays with the patient?

1. AThe next morning
2. BAfter the last drop is given
3. CIn the first 15 minutes
4. DAfter about 2 hours

A patient with C. difficile diarrhea has a white cell count of 24 × 10³/µL and a creatinine that has risen to 2,1 mg/dL (186 µmol/L). What does this indicate?

1. ASevere C. difficile infection
2. BUnrelated chronic kidney disease
3. CSuccessful response to treatment
4. DMild infection needing no treatment

A pressure ulcer shows full-thickness tissue loss with exposed bone. Which category (stage) is this?

1. ACategory 3
2. BCategory 4
3. CCategory 2
4. DCategory 1

A patient with myasthenia gravis develops increasing difficulty swallowing and weak, shallow breathing. What is the main danger?

1. AA sudden rise in blood glucose from the stress
2. BA urinary tract infection
3. CRespiratory failure from a myasthenic crisis
4. DSevere hypertension from anxiety

KOAH'ta pulmoner rehabilitasyon nedir?

1. AAkciğerin en çok hasar görmüş bölgelerini çıkarmak için cerrahi
2. BAltı ayda bir tekrarlanan solunum fonksiyon testi
3. CHer kış evde verilen oral steroid ve antibiyotik kürü
4. DNefes darlığını hafifleten denetimli egzersiz ve eğitim

15 L/dk non-rebreather maske kullanan nefes darlıklı bir hastanın rezervuar torbası her nefeste tamamen çöküyor. Hemşire ne yapmalıdır?

1. AMaske onsuz da çalıştığı için torbayı çıkarmalıdır
2. BTorbanın çökmesini durdurmak için akışı 2 L/dk'ya düşürmelidir
3. Cİyi bir sızdırmazlığı gösterdiği için çöken torbayı olduğu gibi bırakmalıdır
4. DTorba şişkin kalsın diye oksijen kaynağını ve akışı kontrol etmelidir

A patient with advanced CKD asks how to manage indigestion. Which option should they avoid?

1. AAvoiding large meals late in the evening
2. BRaising the head of the bed at night
3. CEating smaller, more frequent meals
4. DMagnesium-containing antacids

The night after hip surgery, an 84-year-old becomes suddenly confused and tries to pull out their IV line. What is the most appropriate first step?

1. AAsk for a strong sedative so that the patient can sleep
2. BLook for causes such as low oxygen, pain, retention or infection
3. CTell the family that this is the start of dementia
4. DApply wrist restraints to protect the IV line

Why is IV hydration given with cisplatin?

1. ATo raise the blood pressure during treatment
2. BTo protect the kidneys from damage
3. CTo make the drug less effective
4. DTo prevent hair loss

A nurse teaches a patient with a new ileostomy. Which statement shows a need for further teaching?

1. A"I'll chew my food well to avoid blockages."
2. B"I'll report if my output becomes very watery and high."
3. C"I'll watch for dizziness and dark urine."
4. D"I'll drink less so my bag fills more slowly."