NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

Which patient on an addiction unit should the nurse see first?

1. ALast drink two days ago; now shaking, sweating, heart rate 124/min and seeing insects
2. BLast drink one week ago; asking about support groups
3. CIn recovery for a year; came to the clinic today for a routine check and a repeat prescription
4. DLast drink this morning; asking when lunch will arrive

A patient with COPD on 2 L/min oxygen becomes drowsy and hard to wake. The SpO₂ is 93%. What is the priority?

1. AIncrease the oxygen to 6 L/min so that the saturation goes even higher than now
2. BAssess breathing and escalate for a blood gas, as carbon dioxide may be rising
3. CLet the patient sleep, because the saturation is above target
4. DGive the as-needed sedative so the patient rests comfortably

A patient has a non-violent restraint. In most nursing policies, how often at minimum is it released for range of motion, toileting and skin care?

1. AOnly when the patient asks for it
2. BAt least every 2 hours
3. COnce a day, during the bath
4. DOnce every 12-hour shift

A patient asks for a pain tablet. The record shows none has been given, but the patient says, “The other nurse gave me one earlier.” What should the nurse do?

1. AGive half a tablet now, to be safe, and the other half later if needed
2. BCheck with the other nurse and the records before giving another dose
3. CGive the tablet, because the record shows none was given
4. DTell the patient they must be confused

A patient with hyperkalemia received IV regular insulin with dextrose. Which result must the nurse monitor closely over the next hours?

1. AHemoglobin, because insulin causes red cell loss
2. BSerum sodium, because it rises quickly
3. CBlood glucose, because hypoglycemia can occur
4. DSerum calcium, because it falls sharply

A patient receiving chemotherapy has a white cell count of 1,8 × 10³/µL with 20% neutrophils and 5% bands. What is the absolute neutrophil count (ANC)?

1. A360/µL
2. B4,500/µL
3. C450/µL
4. D1,800/µL

Why is it important to prevent hypothermia during and after surgery?

1. AIt increases the risk of wound infection, bleeding and cardiac complications
2. BIt causes high blood glucose only
3. CIt makes the patient wake up too quickly and become agitated in recovery
4. DIt makes the patient's pain disappear

Which patient should the nurse assess first?

1. AA patient with COPD whose SpO₂ is 89% and within their target range
2. BA patient with diabetes whose glucose is 11 mmol/L (198 mg/dL) before lunch
3. CA patient with asthma who can only speak in single words
4. DA postoperative patient who rates their pain as 6/10

After an acute coronary syndrome, a patient with a normal cholesterol level is prescribed a high-intensity statin. Why?

1. AStatins are given after an ACS mainly to lower the blood pressure
2. BStatins work as painkillers for chest pain
3. CStatins reduce further events whatever the starting cholesterol
4. DStatins are needed only if the cholesterol level is very high

A patient regains a pulse after a ventricular fibrillation arrest that was probably caused by a heart attack. Which investigation is most urgent?

1. AA 12-lead ECG
2. BAn abdominal ultrasound
3. CSpirometry
4. DA lumbar puncture

A patient receives phenytoin through a nasogastric tube along with continuous enteral feed. Which issue should the nurse know about?

1. AThe feed increases phenytoin levels and causes toxicity within hours
2. BPhenytoin must be crushed and mixed into the feed bag
3. CThe feed can reduce phenytoin absorption, so the feed is often paused around the dose
4. DPhenytoin makes the feed curdle, so the two must never be used in one patient

Six hours after a catheter is removed, a patient has not passed urine and feels uncomfortable. What should the nurse do?

1. ADo a bladder scan to check for retention
2. BPut the catheter back without assessing
3. CTell the patient to drink two litres of water quickly
4. DWait until the next morning before checking

Tümör lizis sendromu nedir?

1. AKemoterapi infüzyonuna alerjik reaksiyon
2. BKanser hücrelerinin hızla yıkımına bağlı metabolik bir acil durum
3. CSinirlere baskı yapan yavaş büyüyen bir tümör
4. DYakın zamanda radyoterapi uygulanan bölgede cilt reaksiyonu

A patient admitted for an elective general anaesthetic mentions that they ate a slice of toast 3 hours ago. What should the nurse do?

1. ASay nothing, since toast is a light food
2. BAsk the patient to try to vomit to empty the stomach
3. CInform the anaesthetist, as surgery may be delayed
4. DGive a large drink to wash the food through