NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A patient’s peripheral IV site is swollen, pale and cool, and the infusion has slowed. What should the nurse do first?

1. AStop the infusion and remove the cannula
2. BIncrease the infusion rate to overcome the resistance
3. CApply a tight bandage over the site to reduce swelling
4. DFlush the cannula hard to clear the blockage

A patient has a potassium of 7,0 mEq/L with peaked T waves. Several drugs are prescribed. Which one is usually given first to protect the heart?

1. AOral sodium bicarbonate
2. BOral potassium binder
3. CIV furosemide
4. DIV calcium gluconate

A patient in bed has a generalized tonic-clonic seizure. What should the nurse do?

1. APut a padded tongue blade between the teeth to protect the tongue from biting
2. BTurn the patient on their side and protect them from injury without restraining
3. CHold the arms and legs firmly to stop the movements
4. DGive sips of water to keep the airway moist

A nurse cannot find a confused patient who was in their room 15 minutes ago. What should the nurse do first?

1. ADocument the absence at the end of the shift
2. BCall the family to ask whether the patient has gone home on their own
3. CAlert staff and security at once, following the missing-patient procedure
4. DWait an hour in case the patient comes back

IV kalsiyum glukonat ağır hiperkalemisi olan bir hastaya nasıl yardımcı olur?

1. APotasyumu kandan hücrelere kaydırır
2. BBöbreklerden potasyum atılımını artırır
3. CPotasyumu düşürmeden kalp hücre zarlarını stabilize eder
4. DPotasyumu bağırsakta bağlar ve dışkıyla atılmasını sağlar

Which patient's result should the nurse act on first?

1. AHemoglobin 9,6 g/dL (96 g/L) in a patient with stable chronic kidney disease
2. BHemoglobin 6,4 g/dL (64 g/L) with new chest pain and a pulse of 124/min
3. CPlatelets 140 × 10³/µL in a patient with mild chronic liver disease
4. DFerritin 15 ng/mL in a well patient with known iron-deficiency anemia on oral iron

A patient with Guillain–Barré syndrome has weakness spreading upwards from the legs. Which monitoring is most important?

1. AVisual acuity
2. BBreathing function, such as forced vital capacity
3. CBlood glucose, measured once a day before breakfast
4. DWeekly weight

A patient on an unfractionated heparin infusion is also started on warfarin. Which tests are used to monitor each drug?

1. AINR for heparin and APTT for warfarin
2. BPlatelet count for both drugs
3. CAPTT for heparin and INR for warfarin
4. DD-dimer for both drugs

A patient with a long QT interval develops a polymorphic ventricular tachycardia that twists around the baseline but still has a pulse. Which drug is used first?

1. AOral digoxin
2. BIntravenous adenosine
3. CIntravenous magnesium sulfate
4. DIntravenous potassium chloride as a bolus

The monitor of a patient with a permanent pacemaker shows pacing spikes, but none of them is followed by a QRS complex. What does this mean?

1. AFailure to capture
2. BAtrial fibrillation
3. CNormal pacemaker function
4. DFailure to sense

A patient with diabetic neuropathy has an ulcer on the ball of the foot. Which measure is most important for healing?

1. ATaking pressure off the ulcer
2. BSoaking the foot in hot water daily
3. CWalking more to improve blood flow
4. DCovering it and checking it in a month

On day 6 after a subarachnoid haemorrhage, a patient becomes newly confused and develops weakness in one arm. The aneurysm was secured on day 1. What is the most likely cause?

1. ARe-bleeding from the secured aneurysm
2. BNormal tiredness after major surgery
3. CDelayed cerebral ischaemia from vasospasm
4. DHypoglycaemia from reduced eating

Hangi elektrolit anormalliği ameliyat sonrası ileusa katkıda bulunabilir?

1. AHiperfosfatemi
2. BHipernatremi
3. CHipokalemi
4. DHiperkalemi

A patient on modified-release morphine for cancer pain has needed four breakthrough doses every day for several days. What should the nurse do?

1. AReport it, as the regular background dose may need review
2. BStop the breakthrough doses to reduce opioid use
3. CTell the patient to put up with the pain between doses
4. DGive all breakthrough doses at the same time