NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

Kalça protezinden iki gün sonraki bir hasta için hemşire yardımcısının hangi görevi uygundur?

1. ATaburculuktan önce hastaya kalça önlemlerini öğretmek
2. Bİnsizyonu kızarıklık, sıcaklık ve drenaj açısından kontrol etmek
3. CSon ağrı kesici dozunun ağrıyı kontrol edip etmediğini değerlendirmek
4. DKalça önlemlerine uyarak hastanın sandalyeye geçmesine yardım etmek

A patient with known abdominal aortic aneurysm suddenly has severe back pain, a pulsing mass in the abdomen and a falling blood pressure. What should the nurse do?

1. AEncourage the patient to walk to ease the back pain
2. BCall for emergency help at once and prepare for urgent surgery
3. CPalpate the mass firmly to check its size and spread
4. DGive an oral analgesic and reassess the patient in about one hour

A patient with difficulty swallowing is prescribed an extended-release tablet. What should the nurse do?

1. ACut the tablet in half so it is easier to swallow
2. BDissolve the tablet in a glass of hot water
3. CAsk the prescriber or pharmacist for another form and not crush the tablet
4. DCrush the tablet finely and mix it into a spoonful of applesauce or yogurt

A patient’s white cell differential shows a raised eosinophil count. Which cause is most consistent with this finding?

1. AAn allergic reaction or a parasitic infection
2. BA viral infection such as a cold
3. CBone marrow suppression from chemotherapy
4. DAn acute bacterial infection

A trauma patient receives 2 L of IV crystalloid. The hemoglobin falls from 13,0 to 11,4 g/dL (130 to 114 g/L), and the vital signs are now stable. Which explanation is most likely?

1. ADilution of the blood by the IV fluid
2. BA sudden failure of the bone marrow
3. CIncreased red cell production
4. DA laboratory error in the first sample

A patient without symptoms has a finger-stick glucose of 340 mg/dL (18,9 mmol/L). The previous values were normal, and the patient has just peeled an orange. What should the nurse do first?

1. AReport the result as a new diagnosis of diabetes mellitus
2. BHave the patient wash and dry their hands, then repeat the test
3. CAsk the laboratory to measure HbA1c from the same drop of blood
4. DGive a correction dose of insulin for a glucose of 340 mg/dL

What happens in third-degree (complete) heart block?

1. AEvery impulse reaches the ventricles, but each one is slightly delayed
2. BThe ventricles beat very fast and regularly
3. CThe atria beat chaotically with no P waves, and the ventricular rate is irregular
4. DNo impulses from the atria reach the ventricles, so they beat independently

Büyük ameliyat sonrası bir hastada erken kötüleşmeyi saptamaya en iyi hangi hemşirelik değerlendirmesi yardımcı olur?

1. AHastaya yalnızca kendini iyi hissedip hissetmediğini sormak
2. BGünde bir kez ateş ölçmek
3. CYarayı yalnızca taburculukta kontrol etmek
4. DErken uyarı skoru ve eğilim değerlendirmesiyle düzenli tam gözlem setleri

After coronary artery bypass surgery through a median sternotomy, which instruction is usually given for the first several weeks?

1. ALift the arms above the head often to stretch the chest
2. BAvoid walking until the stitches are removed
3. CAvoid heavy lifting and pushing up with the arms
4. DSleep only on the stomach to protect the wound

A nurse teaches a patient how to measure blood pressure at home. Which statement shows a need for further teaching?

1. A"I will sit with my back supported and my arm at heart level."
2. B"I will take two readings and write them both down."
3. C"I will measure it straight after my morning jog."
4. D"I will rest quietly for five minutes before measuring."

A man starts finasteride for an enlarged prostate. Which statement is correct?

1. AIt takes months to work; pregnant women must not handle broken tablets
2. BIt lowers the blood pressure, so dizziness is very common
3. CIt is used only for a few days at a time
4. DIt works within hours by relaxing the bladder muscle

Four patients had a minor head injury with no loss of consciousness and a GCS of 15. Which one most needs a CT scan of the head?

1. AA 25-year-old with a small scalp graze after a fall
2. BA 30-year-old who bumped their head on a cupboard door
3. CA 40-year-old with a mild headache that is improving
4. DA 78-year-old who takes warfarin for atrial fibrillation

What is the main treatment for a venous leg ulcer with an adequate arterial supply?

1. AStrong oral antibiotics for all ulcers
2. BSurgery to amputate the limb
3. CKeeping the leg hanging down all day
4. DCompression therapy

A patient has an implanted port for chemotherapy. Which needle is used to access it?

1. AAn intramuscular injection needle
2. BA wide-bore cannula with a steel stylet
3. CA non-coring (Huber) needle
4. DA standard hollow needle used for venepuncture