NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

Before giving a medication to a child, which check is especially important?

1. AThat the parent agrees with the time it is given
2. BThat the child likes the taste of the drug
3. CThat the medicine cup is the child’s favorite color
4. DThat the dose is correct for the child’s weight

A patient with diabetic ketoacidosis is about to start an IV insulin infusion. The serum potassium is 3,0 mEq/L. What should the nurse do?

1. AGive the insulin as a fast bolus to bring the potassium up
2. BIgnore the result, since potassium is always high in this condition and will correct itself
3. CReport the result before starting, because insulin will push potassium even lower
4. DStart the insulin at once, because the glucose is the bigger problem

İlaç flakonları ve enjektörlerle ilgili hangi uygulama güvenlidir?

1. AYıkanırsa aynı enjektörü iki hasta için kullanmak
2. BYeni bir iğne takılırsa enjektörü yeniden kullanmak
3. Cİğneyi daha sonra kullanmak üzere flakonun kauçuk kapağında bırakmak
4. DFlakona her girişte yeni bir steril iğne ve enjektör kullanmak

A patient is on contact precautions. Which task is appropriate for the nurse to delegate to assistive personnel?

1. ADeciding when the precautions can be stopped
2. BHelping the patient bathe while wearing a gown and gloves
3. CTeaching the family how to follow the precautions
4. DAssessing the wound for new signs of infection during the bath

A patient with hyponatremia from SIADH starts tolvaptan. Why is the serum sodium checked frequently in the first day?

1. AThe sodium can rise too quickly
2. BThe drug lowers blood glucose sharply
3. CThe drug causes severe hyperkalemia
4. DThe sodium always falls further

A patient admitted with heavy alcohol use and malnutrition has a glucose of 52 mg/dL (2,9 mmol/L) and low magnesium. Which prescribed treatment should be given before the IV glucose?

1. AIV insulin
2. BIV thiamine
3. CIV potassium
4. DOral iron

Why is an urgent brain scan needed before thrombolysis for a suspected stroke?

1. ATo check for brain tumours only
2. BTo measure the size of the ventricles
3. CTo confirm the patient's age
4. DTo rule out bleeding in the brain

Why can pulse oximetry be misleading in carbon monoxide poisoning?

1. ACarbon monoxide only affects the heart rate reading
2. BStandard oximeters cannot tell carboxyhaemoglobin from oxyhaemoglobin
3. CThe oximeter overheats in smoke-exposed patients
4. DCarbon monoxide makes the oximeter read zero even in a well patient

Apiksaban ve rivaroksaban gibi direkt oral antikoagülanlarla ilgili hangi ifade doğrudur?

1. ARutin INR kontrolü gerekmez, ancak dozlar böbrek fonksiyonuna bağlıdır
2. BHaftalarca etkili oldukları için atlanan dozların önemi yoktur
3. CEtkileri K vitamini verilerek geri çevrilir
4. DVarfarinde olduğu gibi haftalık INR kontrolü gerekir

A patient with a COPD exacerbation has been on NIV for two hours. They are now more drowsy, and the pH has fallen further despite a good mask fit. What should the nurse do?

1. AGive a sedative to help the patient tolerate the mask
2. BEscalate urgently for review of intubation or a ceiling of care
3. CContinue NIV unchanged and repeat the blood gas tomorrow morning
4. DRemove the mask and give nebulised bronchodilators only from now on

Omurilik yaralanmasından sonra neden sıklıkla aralıklı kendi kendine kateterizasyon öğretilir?

1. AMesane boşalmayabilir ve düzenli boşaltma böbrekleri korur
2. BEsas olarak idrar çıkışını doğru ölçmek için kullanılır
3. CMesaneyi zamanla giderek büyümesi için eğitir
4. Dİdrar yolu enfeksiyonu riskini tamamen ortadan kaldırır

A patient with untreated end-stage kidney disease has chest pain that is worse lying flat and better sitting forward. A rub is heard over the heart. What is most likely?

1. AIndigestion from phosphate binders
2. BA stable angina attack, which needs only a nitrate spray and rest
3. CUraemic pericarditis, which usually needs urgent dialysis
4. DA rib fracture from coughing

Which is a common side effect of opioids, especially when given by epidural or spinal route?

1. ARinging in the ears
2. BIncreased hunger
3. CItching
4. DHair growth

A few hours after an ERCP, a patient has severe epigastric pain radiating to the back, with vomiting. Which complication is most likely?

1. APost-ERCP pancreatitis
2. BAcute appendicitis
3. CBiliary colic from a new stone
4. DHepatitis B infection