NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

Before accessing a central venous catheter, what should the nurse do to prevent infection?

1. ARinse the hub with tap water and dry it
2. BScrub the hub with an antiseptic such as chlorhexidine and let it dry
3. CTouch the hub to check it is clean
4. DBlow on the hub to remove any dust before connecting the syringe or line

A patient has a chest drain for a pneumothorax. The nurse sees constant bubbling in the water-seal chamber. What does this most likely mean?

1. AThe drain is working normally and no action is needed
2. BAn air leak in the patient or the system that needs checking
3. CThe suction is set too low and needs to be turned up
4. DThe lung has fully re-expanded, so the drain is ready to come out

A patient with poorly controlled seizures asks about activities at home. Which advice is most important?

1. AAvoid drinking water before bed
2. BNever swim or bathe alone
3. CSleep sitting up in a chair
4. DAvoid all forms of exercise

Shortly after a patient falls, the team holds a brief “post-fall huddle”. What is its main purpose?

1. ATo agree on what the team will tell the patient’s lawyer and the family
2. BTo find out quickly why the fall happened and change the care plan to prevent another
3. CTo complete the patient’s discharge paperwork
4. DTo decide which staff member was to blame for the fall

A patient taking furosemide has a potassium of 3,3 mEq/L and is told to eat more potassium-rich foods. Which snack is the best choice?

1. ARice cakes
2. BPlain crackers
3. CWhite bread
4. DDried apricots

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. AMild infection needing no treatment
2. BSuccessful response to treatment
3. CSevere C. difficile infection
4. DUnrelated chronic kidney disease

Why is oxygen often humidified for a patient with a tracheostomy?

1. ADry oxygen causes high blood glucose
2. BHumidity is needed for the oxygen to work as a drug
3. CThe tube bypasses the nose, which normally warms and moistens air
4. DHumidification lowers the oxygen concentration to a safer level

Why is a large pleural effusion drained slowly rather than all at once?

1. ASlow drainage stops the patient needing oxygen
2. BRapid drainage can cause re-expansion pulmonary oedema
3. CFluid drained quickly turns into blood
4. DQuick drainage causes the effusion to spread to the other lung

Why does a large, rapidly forming pericardial effusion lower the blood pressure?

1. AIt dilates the arteries throughout the body
2. BIt causes the aortic valve to leak backwards into the ventricle
3. CIt makes the heart muscle contract too strongly and too fast
4. DIt compresses the heart and stops the ventricles filling

Atriyal fibrilasyon nedeniyle apiksaban kullanan bir hasta elektif cerrahi için planlanmıştır. Hangi ifade doğru uygulamayı yansıtır?

1. AKanama riskine ve böbrek fonksiyonuna göre belirli bir süre ara verilir
2. BAmeliyat sabahına kadar her zaman sürdürülür
3. CKesilir ve sonra oral K vitamini ile geri çevrilir
4. DAmeliyattan iki hafta önce kesilir ve yerine varfarin başlanır

A patient with CKD is booked for a CT scan with iodinated contrast. Which measure helps protect the kidneys?

1. ARestricting all fluids for 24 hours before the scan
2. BGiving a dose of ibuprofen before the scan
3. CGood hydration around the scan, often with IV fluids
4. DDoubling the dose of contrast for a clearer image

A patient with myasthenia gravis is admitted with pneumonia. Which newly prescribed antibiotic should the nurse question?

1. ABenzylpenicillin
2. BCeftriaxone
3. CGentamicin
4. DAmoxicillin

Hangi bulgular dokulara kanamayla birlikte ağır akut pankreatiti düşündürür?

1. AAvuç içlerinde ve ayak tabanlarında mor döküntü
2. BGöbek çevresinde veya yan karınlarda morarma
3. CDudaklarda, dilde ve yüzde şişme
4. DParmak tırnaklarında sarı renk değişikliği

A patient with advanced cancer who has capacity decides to stop chemotherapy. The family insists that treatment must continue. What should the nurse do?

1. ASupport the patient's decision and help the team talk with the family
2. BAsk the family to sign a new consent form
3. CContinue treatment because the family has asked for it
4. DTell the patient that stopping is not allowed