NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A patient with diabetes is unresponsive and has a blood glucose of 40 mg/dL (2,2 mmol/L). What should the nurse do first?

1. AGive the scheduled dose of insulin
2. BPour orange juice into the patient’s mouth
3. CWait 15 minutes and recheck the glucose
4. DGive IV dextrose or glucagon as prescribed

Pnömonili yaşlı bir hasta yeni konfüze oldu. Hangi eylem önce gelir?

1. AGerektiğinde verilmesi reçete edilen bir sedatif vermek
2. BOksijen satürasyonunu ve diğer yaşam bulgularını kontrol etmek
3. CHastanın IV hattını çekiştirmesini engellemek için bilek kısıtlayıcıları uygulamak
4. DBunun hasta için normal olup olmadığını aileye sormak

A visitor with a cold wants to see a patient who has severe neutropenia. What should the nurse advise?

1. APostpone the visit until the visitor is well
2. BVisit only if the cold started more than a day ago
3. CVisit but avoid touching the patient’s bed
4. DVisit as usual after washing the hands

Which patient with a suspected infection meets at least two SIRS criteria?

1. ARespiratory rate 16/min and WBC 8,000/mm³
2. BTemperature 38,6 °C and heart rate 112/min
3. CTemperature 37,2 °C and heart rate 80/min
4. DTemperature 36,8 °C and respiratory rate 18/min

A tired patient with heavy menstrual periods has a normal hemoglobin and MCV but a ferritin of 8 ng/mL. What does this show?

1. AIron deficiency without anemia yet
2. BIron overload from too much iron
3. CVitamin B₁₂ deficiency anemia
4. DA completely normal iron status

Weeks after neck surgery, a patient has muscle cramps and tingling. Calcium is low, phosphate is high and parathyroid hormone (PTH) is low. Which condition fits best?

1. AVitamin D toxicity
2. BHypoparathyroidism
3. CChronic kidney disease
4. DPrimary hyperparathyroidism

After a total hip replacement through a posterior approach, which movement should the patient usually avoid in the early weeks?

1. AWalking short distances with a frame and a physiotherapist
2. BBending the hip beyond 90 degrees or crossing the legs
3. CLying on their back
4. DDoing gentle ankle exercises

In a patient with a head injury, which is usually the earliest sign of rising intracranial pressure?

1. AA change in level of consciousness
2. BA fixed, dilated pupil on both sides
3. CIrregular breathing pauses
4. DA slow pulse with high blood pressure

Göğüs tüpü hortumu genellikle neden klemplenmemelidir?

1. AKlemp, sıvının göğüsten çok hızlı boşalmasına neden olur
2. BHapsolan hava birikip tansiyon pnömotoraksa yol açabilir
3. CKlemp, hortumu kalıcı olarak zayıflatır ve çatlatır
4. DKlemp, sızdırmazlıktaki suyun buharlaşmasına neden olur

A nurse has four cardiac patients. Which one should be seen first?

1. AA patient with angina whose chest pain has not eased with rest and who is sweating
2. BA patient with heart failure whose weight is 0,3 kg up on yesterday's morning weight
3. CA patient after a radial angiogram asking when they can eat
4. DA patient with AF and a heart rate of 86/min who is due an apixaban dose this morning

DKA için IV insülin verilirken potasyum neden yakından izlenmelidir?

1. Aİnsülin potasyumu hücrelere sokar, bu nedenle düzey hızla düşebilir
2. Bİnsülinin DKA'da potasyum üzerinde etkisi yoktur
3. Cİnsülin böbreklerin potasyum tutmasına yol açar, bu nedenle düzey yükselir
4. Dİnsülin kan dolaşımındaki potasyumu parçalar

Which task for a patient with a urinary catheter can the nurse delegate to a healthcare assistant (nursing assistant)?

1. AEmptying the drainage bag and recording the volume
2. BDeciding whether the catheter can be removed
3. CTeaching self-catheterisation for the first time
4. DAssessing a patient whose irrigation is not draining

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

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

A competent adult who is a Jehovah's Witness refuses blood transfusion before major surgery. What should the nurse do?

1. AAsk the family to override the decision
2. BRespect the decision, document it and inform the team
3. CPlan to transfuse secretly during the operation if it becomes needed
4. DCancel the surgery without discussing it