NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A patient receiving chemotherapy has a temperature of 38,3 °C and a very low neutrophil count. What should the nurse do?

1. AReport it at once, because cultures and antibiotics are needed quickly
2. BGive a cool shower and offer extra fluids, then wait and see what happens
3. CRecheck the temperature in four hours before telling anyone
4. DDocument the reading and mention it at the next handover

A patient in acute mania paces constantly, has lost weight and will not sit down to eat. Which intervention is most helpful?

1. AWait until the mania settles before worrying about nutrition
2. BInsist that the patient sits at the table until the meal is finished
3. COffer high-calorie finger foods and drinks the patient can take while moving
4. DLeave meals in the room and let the patient eat whenever and whatever they choose

A patient is booked for an MRI scan. What must the nurse check beforehand?

1. AWhether the patient has any metal implants or devices, such as a pacemaker
2. BWhether the patient has eaten a large meal recently
3. CWhether the patient’s blood glucose has been in the normal range today
4. DWhether the patient has had a hearing test this year

Ameliyat sabahı hasta ameliyatın sol dizde olduğunu söylüyor, ancak onam formunda sağ diz yazıyor. Hemşire ne yapmalıdır?

1. ADurup cerraha bildirmeli, böylece bölge önce doğrulanmalıdır
2. Bİkisinden biri ameliyat edilebilsin diye iki dizi de işaretlemelidir
3. CKendi vücudunu en iyi bildiği için hastayı izlemelidir
4. Dİmzalanmış olduğu için onam formunu izlemelidir

A test has very high sensitivity for a disease. What does a negative result mean?

1. AThe disease is certain, so treatment should begin
2. BThe disease is unlikely, so it helps rule it out
3. CThe result cannot be used, because sensitivity is high
4. DThe patient must have a different disease instead

A patient on lithium has had vomiting and diarrhea for 3 days and has been taking ibuprofen. They now have a coarse tremor and confusion. The lithium level is 2,2 mEq/L. What is the best interpretation and action?

1. AIbuprofen side effects only; give it with food
2. BLithium toxicity; hold lithium and report urgently
3. CA low level; ask for the lithium dose to be raised
4. DA normal level; continue lithium as prescribed

Kemoterapi sonrası nötropenisi olan bir hastanın ateşi 38,3 °C. Öncelik nedir?

1. AYalnızca parasetamol verip ateşi yarın yeniden ölçmek
2. BHastayı yürüyüşe çıkmaya teşvik etmek
3. CNötropenik sepsis olarak ele almak ve acilen IV antibiyotik vermek
4. DAteşin düşüp düşmediğini görmek için 24 saat beklemek

A patient is taught to self-inject low-molecular-weight heparin. Which statement shows a need for further teaching?

1. A"I will report any unusual bleeding or bruising."
2. B"I will change the injection site each time."
3. C"I will inject into the fatty tissue of my abdomen."
4. D"I will rub the area firmly after the injection."

How do clopidogrel and ticagrelor work?

1. AThey directly inhibit thrombin in the plasma
2. BThey inhibit the vitamin K-dependent clotting factors in the liver
3. CThey dissolve fibrin in existing clots
4. DThey block the platelet ADP (P2Y₁₂) receptor

Four surgical patients need VTE prevention. For which patient is mechanical prophylaxis alone most appropriate?

1. AA patient after an uncomplicated knee replacement
2. BA patient who had a brain haemorrhage two days ago
3. CA patient with cancer having bowel surgery
4. DAn obese patient after hip surgery

Which approach helps most when talking to a patient with expressive aphasia?

1. AFinish their sentences quickly to save them effort
2. BSpeak louder, because the patient cannot hear well
3. CAvoid talking to them until their speech has recovered
4. DAsk questions that can be answered with yes, no or a gesture

At bedtime, a patient was given their rapid-acting insulin by mistake instead of their long-acting insulin. What should the nurse do?

1. AGive glucagon now, before the glucose has fallen
2. BTell the prescriber and check glucose often overnight
3. CGive the long-acting dose as well and check glucose at breakfast
4. DSay nothing, because the patient is asleep and seems fine

What is achalasia?

1. AWeakness of the lower oesophageal sphincter that allows reflux
2. BA tear at the junction of the oesophagus and the stomach
3. CFailure of the lower oesophageal sphincter to relax on swallowing
4. DInflammation of the oesophagus caused by a fungal infection

After a fall, a patient with advanced dementia is agitated, grimacing and guarding the hip, and cannot rate the pain. What should the nurse do?

1. AWait until a relative can confirm the pain
2. BUse an observational pain tool, give analgesia and reassess
3. CAssume there is no pain because none is reported
4. DGive a sedative to treat the agitation and avoid giving any analgesia