NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A patient’s peripheral IV site is swollen, pale and cool, and the infusion has slowed. What should the nurse do first?

1. AIncrease the infusion rate to overcome the resistance
2. BApply a tight bandage over the site to reduce swelling
3. CFlush the cannula hard to clear the blockage
4. DStop the infusion and remove the cannula

A patient with major depression has been withdrawn for weeks but is suddenly calm and cheerful and gives away her belongings. What should the nurse suspect?

1. AThat she is getting ready for discharge as planned
2. BA raised risk of suicide, because she may have made a decision
3. CA side effect of her antidepressant medicine that needs no special action
4. DA full recovery, so observation can be reduced

When is a prophylactic antibiotic usually given to prevent a surgical site infection?

1. AOnly if a fever develops after surgery
2. BOne week before surgery
3. CThe day after surgery, once the wound is closed
4. DWithin about 60 minutes before the incision

A patient with dementia is often found at the exit doors trying to leave the unit. Which measure is most appropriate?

1. AUse an electronic wander alert, supervise closely and offer meaningful activity
2. BGive a sedative each time the patient goes to the door
3. CLock the patient alone in a single room so that they cannot reach the exit doors
4. DKeep the patient in a chair with a vest restraint

A woman who is 30 weeks pregnant has a new blood pressure of 152/98 mm Hg. Which urine finding would most support preeclampsia?

1. AKetones in the urine
2. BGlucose in the urine
3. CProtein in the urine
4. DNitrites in the urine

A patient has fatigue, weight gain and constipation. Results: TSH 24 mIU/L, free T₄ low, total cholesterol 285 mg/dL (7,4 mmol/L), sodium 131 mEq/L. What is the best interpretation?

1. AHyperthyroidism, with suppressed thyroid hormone production
2. BFamilial hypercholesterolemia, unrelated to the thyroid results
3. CPrimary hypothyroidism, which can raise lipids and lower sodium
4. DSecondary hypothyroidism from failure of the pituitary gland

When should discharge planning usually begin?

1. AAfter the patient has been home for a week
2. BOn the morning of discharge
3. COnly after the patient asks to go home
4. DOn or soon after admission

Servis hemşiresi vardiya başında önce hangi hastayı değerlendirmelidir?

1. ATaburculuk bekleyen, gözlemleri stabil hastayı
2. BLaksatif isteyen hastayı
3. C4/10 puanlı kronik bel ağrısı olan hastayı
4. DYeni başlayan konfüzyonu ve 28/dk solunum sayısı olan hastayı

Ölçülü doz inhaler için hazne (spacer) ile ilgili hangi ifade doğrudur?

1. Aİlacın her püskürtmesini olağandan daha güçlü yapar
2. BKuru toz inhalerlerle kullanılmak üzere tasarlanmıştır
3. CSteroid koruyucu inhalerin tamamen bırakılabileceği anlamına gelir
4. DDaha az koordinasyon gerekir ve akciğerlere daha fazla ilaç ulaşır

Atriyal fibrilasyon nedeniyle varfarin kullanan bir hastaya klaritromisin reçete edilmiştir. Hangi eylem en uygundur?

1. AINR yükselebileceği için daha erken kontrol edilip edilmeyeceğini sormak
2. BVarfarini tüm antibiyotik kürü boyunca kesmek
3. CAntibiyotikler varfarini etkilemediği için hiçbir şeyi değiştirmemek
4. DKür boyunca varfarin dozunu ikiye katlamak

Omurilik yaralanması olan bir hastada otonomik disrefleksinin en sık tetikleyicisi nedir?

1. AGeceleri çok hızlı yenen büyük bir öğün
2. BUzun bir uyku dönemi
3. CDolu mesane veya tıkanmış kateter
4. DDüşük kan glukoz düzeyi

A patient on a variable rate IV insulin infusion is nil by mouth. Why is a glucose-containing IV fluid usually given alongside it?

1. ATo replace the potassium lost from the cells
2. BTo speed up the action of the insulin in the muscles
3. CTo prevent hypoglycaemia while insulin is running
4. DTo stop the insulin sticking to the IV tubing

Sitotoksik kemoterapi verirken genellikle hangi KKE önerilir?

1. AKâğıt cerrahi maske, ancak eldiven yok
2. Bİnfüzyon torbası kapalı olduğu için KKE yok
3. CKemoterapiye uygun olduğu test edilmiş eldivenler ve sıvı geçirmez önlük
4. DSıradan pamuklu eldivenler ve plastik önlük

A patient with haematemesis becomes drowsy and starts to vomit blood again. What is the immediate priority?

1. AGive a large glass of iced water to slow the bleeding
2. BComplete the admission paperwork and medication history
3. CTurn the patient onto their side to protect the airway
4. DSend a stool sample for faecal occult blood testing