NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A patient has a reddened area on the sacrum that does not blanch when pressed. What is the priority action?

1. AApply a heat pad to the area to increase circulation
2. BMassage the area firmly to improve the blood flow to the skin
3. CRelieve pressure on the area by changing position regularly
4. DKeep the patient lying on the back to protect the area

A patient is admitted with inhalational anthrax. Which precautions are needed?

1. ADroplet precautions with a surgical mask for everyone who enters
2. BAirborne precautions in a negative-pressure room for the whole of the hospital stay
3. CFull contact and droplet precautions for all staff and visitors on the unit
4. DStandard precautions, because it does not usually spread from person to person

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. BRaise the head of the bed fully and lift the patient up by the shoulders
3. CAsk the patient to push up with their heels alone
4. DHave one nurse pull the patient up by the arms

A patient weighs 180 kg and needs to be moved from bed to chair. The standard ceiling lift on the unit has a lower weight limit. What should the nurse do?

1. AUse bariatric-rated equipment and enough trained staff
2. BAsk the patient to stand and pivot without help
3. CUse the standard lift, because limits include a safety margin
4. DHave two staff lift the patient by hand

A patient on carbamazepine becomes confused and has a headache. Which laboratory result would most likely explain this?

1. AA high serum calcium
2. BA low serum sodium
3. CA high serum potassium
4. DA low serum magnesium

Which set of results best shows that diabetic ketoacidosis is resolving?

1. AA falling glucose with a falling serum bicarbonate
2. BA closing anion gap with a rising bicarbonate and pH
3. CA rising potassium with a falling bicarbonate
4. DA falling glucose with a still widening anion gap

DSÖ analjezik merdiveni ne önerir?

1. AAğrı arttıkça opioid olmayanlardan zayıf, sonra güçlü opioidlere geçmeyi
2. BAnaljeziyi yalnızca ağrı şiddetlendiğinde vermeyi
3. CKanser ağrısında yalnızca ilaç dışı yöntemler kullanmayı
4. DTüm hastalara güçlü opioidlerle başlamayı

A patient with known cirrhosis suddenly vomits large amounts of bright red blood and becomes tachycardic. What is the most likely cause?

1. AA Mallory-Weiss tear from a small amount of vomiting
2. BA lower GI bleed from diverticular disease
3. CSwallowed blood from a nosebleed
4. DBleeding from ruptured oesophageal varices

Which side effect is particularly common with verapamil?

1. ADry cough
2. BConstipation
3. CHair loss
4. DDiarrhoea

During a thrombolytic infusion for an MI, the patient develops a sudden severe headache, vomiting and new confusion. What should the nurse do first?

1. ASlow the infusion and give an antiemetic
2. BContinue the infusion, as headache is a common side effect
3. CStop the infusion and call for urgent medical help
4. DGive a second dose to finish the treatment

Addison hastalığına hangi elektrolit örüntüsü tipiktir?

1. AYüksek sodyum ve düşük potasyum
2. BDüşük potasyum ve düşük glukoz
3. CDüşük sodyum ve yüksek potasyum
4. DYüksek kalsiyum ve düşük fosfat

Bir hemodiyaliz hastası seanslar arasında sıvının neden sınırlandırılması gerektiğini soruyor. Hangi açıklama doğrudur?

1. AFazla sıvı fistül duvarını zayıflatır ve patlama olasılığını artırır
2. BSu içmek diyalizin kandan çok fazla potasyum çekmesine yol açar
3. CFazla sıvı birikir, KB'yi yükseltir ve diyalizde nefes darlığı ile kramplara yol açar
4. DSıvı kısıtlaması esas olarak makinede geçirilen süreyi kısaltmak içindir

Which pain pattern classically suggests a duodenal rather than a gastric ulcer?

1. APain in the right lower abdomen with fever and vomiting
2. BPain only on deep breathing that eases when sitting forwards
3. CPain straight after eating that is worsened by food
4. DPain 2–3 hours after meals and at night, eased by eating

At the end of an operation, the final count shows one swab missing. What should happen?

1. ATell the surgeon, search, and X-ray if it is not found
2. BClose the wound, as the swab was probably thrown away
3. CLet the patient leave and search the theatre later
4. DRecord the count as correct to avoid a delay