NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

An Rh-negative mother has just given birth to an Rh-positive baby. What does the nurse expect to give the mother?

1. AVitamin K to the mother
2. BNo treatment is needed
3. CA dose of the hepatitis B vaccine instead
4. DRh immunoglobulin within 72 hours

Acil servise aynı anda dört hasta geliyor. Kim önce görülmelidir?

1. AKolunda kesik olan ve kanaması kontrol altında olan bir genç
2. BMigreni olan ve kan basıncı 150/90 mmHg olan bir yetişkin
3. CDeforme ayak bileği olan ve ayağında nabzı normal olan bir yetişkin
4. DSalya akıtan, öne eğilerek oturan ve stridoru olan 2 yaşında bir çocuk

A family member will visit a patient on contact precautions. What should the nurse do?

1. AShow them how to use the gown and gloves and how to clean their hands
2. BTell them precautions only apply to staff
3. CTell them visits are not allowed at all
4. DAsk them to wear an N95 respirator only, with no gown or gloves

In START triage at a mass-casualty incident, a casualty cannot walk, breathes 20 times a minute, has a radial pulse and follows simple commands. Which category applies?

1. ABlack (expectant or dead)
2. BRed (immediate)
3. CYellow (delayed)
4. DGreen (minor)

For most hospitalized adults with diabetes who are critically ill, which glucose target range is commonly recommended?

1. AAbout 140–180 mg/dL (7,8–10 mmol/L)
2. BAbout 250–300 mg/dL (13,9–16,7 mmol/L)
3. CAbout 60–80 mg/dL (3,3–4,4 mmol/L)
4. DAbout 300–350 mg/dL (16,7–19,4 mmol/L)

A patient with blood pressure that is hard to control has a potassium of 2,9 mEq/L, a sodium of 144 mEq/L and a raised serum bicarbonate, without taking a diuretic. Which condition is most likely?

1. ASyndrome of inappropriate ADH
2. BPrimary hyperaldosteronism
3. CPrimary adrenal insufficiency
4. DCentral diabetes insipidus

Which is a recognised risk factor for postoperative nausea and vomiting?

1. AUse of opioids after surgery
2. BBeing male
3. CA short operation under local anaesthetic
4. DBeing a smoker

A patient with a confirmed pulmonary embolism is started on anticoagulation. Which statement best explains its purpose?

1. AIt is mainly given to lower the blood pressure
2. BIt dissolves the clot completely within minutes of the first dose being given
3. CIt stops the clot growing and prevents new clots while the body breaks it down
4. DIt thins the blood so that the lungs absorb more oxygen

A patient's capillary refill time at the fingertip is 4 seconds. What does this suggest?

1. ANormal peripheral perfusion
2. BReduced peripheral perfusion
3. CAn unusually strong cardiac output
4. DA high haemoglobin level

Twelve hours after a coronary stent, a patient has sudden severe chest pain again with new ST elevation in the same leads. What is the most likely cause?

1. APericarditis from the catheter
2. BNormal pain from the procedure site
3. CAcute stent thrombosis
4. DIndigestion from the hospital meal

An 80-year-old with angina is diagnosed with hypothyroidism. How is levothyroxine usually started?

1. AAt a low dose, increased slowly
2. BAs a single large weekly injection
3. CAt a full dose from the first day
4. DOnly after the angina has been cured

Three days after a stroke, a patient with dysphagia on a modified diet has a temperature of 38,2 °C (100,8 °F), a respiratory rate of 24/min and crackles at the right lung base. What should the nurse do?

1. AEncourage more fluids by mouth to treat the fever
2. BSuspect aspiration pneumonia, stop oral intake and escalate for review
3. CGive paracetamol (acetaminophen) and continue the modified diet as before
4. DRecord the findings and recheck them at the next routine observation

How can low-dose opioids help a patient with breathlessness from advanced cancer?

1. AThey reduce the feeling of breathlessness
2. BThey increase the oxygen level in the blood
3. CThey open the airways like an inhaler
4. DThey cure the underlying lung disease

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

1. AHepatitis B infection
2. BAcute appendicitis
3. CPost-ERCP pancreatitis
4. DBiliary colic from a new stone