NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A patient with a valid do-not-resuscitate order (DNR; called DNACPR in the UK) stops breathing and has no pulse. What should the nurse do?

1. ACall the cardiac arrest team and let them decide
2. BStart CPR and stop when the family arrives
3. CStart chest compressions but not rescue breaths
4. DFollow the DNR order and do not start CPR

An RN has five patients and a nursing assistant. One patient has just become short of breath. Which task should the RN delegate so that the RN can go to that patient?

1. AExplaining the new diagnosis to the breathless patient’s family
2. BAssessing the breathless patient’s lung sounds
3. CMorning vital signs on the four stable patients
4. DGiving the breathless patient’s IV furosemide

Which measure reduces errors caused by interruptions during medication preparation?

1. AA quiet “no interruption” zone or signal while preparing medications
2. BPreparing medications at the busiest place on the ward
3. CAnswering phone calls and pages while counting tablets, to save time
4. DPreparing medications for all patients at once

A flexible bronchoscope contacts mucous membranes but does not enter sterile tissue. Which level of processing is required at a minimum between patients?

1. ALow-level disinfection
2. BCleaning with soap and water only
3. CHigh-level disinfection
4. DWiping with an alcohol wipe

A patient with recurrent gout starts allopurinol. Which laboratory result shows that the treatment is achieving its goal?

1. AA falling serum potassium
2. BA rising serum calcium
3. CA rising white cell count
4. DA falling serum uric acid

A patient with heavy alcohol use and a poor diet has a hemoglobin of 10,1 g/dL (101 g/L), an MCV of 110 fL and a low red cell folate. Which explanation fits best?

1. AFolate deficiency, made worse by a direct alcohol effect
2. BAnemia caused by long-standing chronic kidney disease
3. CThalassemia trait inherited from one of the parents
4. DIron deficiency from slow, chronic bleeding in the gut

Why should a urinary catheter drainage bag be kept below the level of the bladder?

1. ATo keep the urine warm
2. BTo stop the catheter from falling out
3. CTo make the bag easier for the nurse to empty
4. DTo prevent urine flowing back into the bladder

Why should "units" never be abbreviated to "U" or "IU" on an insulin prescription?

1. AIt changes the type of insulin given
2. BPharmacists cannot dispense insulin written that way
3. CThe abbreviation is only allowed on prescriptions for children
4. DThe letters can be misread as a zero, causing a tenfold overdose

After thrombolysis for a myocardial infarction, which complication is the nurse most concerned to detect?

1. AA high blood glucose caused by the thrombolytic drug itself
2. BBleeding, including a sudden change in neurological status
3. CA skin rash appearing at the sites of the ECG electrodes
4. DConstipation from bed rest

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. BStop the infusion and call for urgent medical help
3. CGive a second dose to finish the treatment
4. DContinue the infusion, as headache is a common side effect

Gliklazid (bir sülfonilüre) kullanan bir hasta hipoglisemiyle yatırılıyor. Neden uzatılmış izlem gerekir?

1. ASülfonilüreler tek başlarına hipoglisemiye yol açamaz
2. Bİlaç birkaç saat gecikmeyle glukozu yükseltir
3. Cİlaç yalnızca geceleri etki eder, bu yüzden sabah kontrolleri yararlı değildir
4. Dİlaç saatlerce etki eder, bu yüzden düşük glukoz geri dönebilir

During haemodialysis, a patient suddenly becomes breathless with chest pain, and air is seen in the line. What should the nurse do first?

1. AClamp the lines and lay the patient left side down, head low
2. BSit the patient upright and give a drink of water
3. CContinue the session and recheck in 30 minutes
4. DSpeed up the pump to clear the air into the patient

A patient on enteral feeding develops diarrhoea. What should the nurse review first?

1. AThe colour of the feeding bag label
2. BThe medicine chart, including laxatives and antibiotics
3. CThe patient's mobility aids and walking distance
4. DThe patient's eye drops and skin creams

Which new prescription for a patient with cirrhosis should the nurse question?

1. ARegular ibuprofen for back pain
2. BLactulose to keep the bowels open
3. CSpironolactone for ascites
4. DThiamine supplements