NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A patient is receiving continuous tube feeds. Which action best reduces the risk of aspiration?

1. AIncrease the feed rate so the stomach empties sooner
2. BTurn the feed off only while the patient is asleep at night
3. CLay the patient flat for an hour after each bag is hung
4. DKeep the head of the bed raised to at least 30 degrees

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. BReport the result before starting, because insulin will push potassium even lower
3. CIgnore the result, since potassium is always high in this condition and will correct itself
4. DStart the insulin at once, because the glucose is the bigger problem

A patient is on seizure precautions. Which equipment should be ready at the bedside?

1. AAn ice pack to place on the forehead
2. BA tongue blade to put between the teeth
3. CWorking suction and oxygen equipment
4. DRestraints ready for all four limbs

Bir hemşire damar içi morfin vermek üzeredir. Hastanın solunum hızı dakikada 9'dur ve çok uykuludur. Hemşire ne yapmalıdır?

1. ADozun yarısını vermelidir
2. BDozu verip solunum hızını yarın yeniden kontrol etmelidir
3. CDozu vermemeli, hastayı değerlendirmeli ve hekimi bilgilendirmelidir
4. DDaha önce ağrı bildirildiği için dozu vermelidir

Bir saat önce başlayan göğüs ağrısı olan bir hastanın ilk troponini normaldir. Doğru yorum nedir?

1. AEnfarktüs dışlanmamıştır; troponin protokole göre tekrarlanır
2. BHasta hemen eve gönderilebilir
3. CTroponin göğüs ağrılı hastalarda yararlı değildir
4. DEnfarktüs dışlanmıştır; bu yüzden başka troponin testine gerek yoktur

Two sets of blood cultures were taken from separate sites. Only one bottle in one set grows coagulase-negative staphylococci, and the patient has no line or implant. What is the most likely interpretation?

1. ACertain bloodstream infection needing treatment
2. BInfection with a resistant organism such as MRSA
3. CProof that the patient has infective endocarditis
4. DProbable skin contamination of the sample

What should the nurse regularly check for a patient with a syringe driver?

1. AThe infusion site, the rate and volume remaining, and the patient's symptoms
2. BOnly that the battery is charged and the device is switched on
3. COnly the patient's weight, measured once a week on the same scales
4. DNothing, once the syringe driver is running

Why might a patient with diabetes who takes a beta-blocker not notice hypoglycaemia early?

1. ABeta-blockers make the patient sleep through the night
2. BBeta-blockers can mask warning signs such as tremor and a fast heart rate
3. CBeta-blockers raise blood glucose, so true hypoglycaemia cannot happen at all
4. DBeta-blockers stop the liver from responding to insulin

Why is pyridoxine (vitamin B6) often given with isoniazid?

1. ATo prevent gout attacks
2. BTo prevent peripheral neuropathy
3. CTo prevent orange discolouration of urine
4. DTo prevent loss of colour vision

Atriyal fibrilasyon nedeniyle apiksaban kullanan bir hasta elektif cerrahi için planlanmıştır. Hangi ifade doğru uygulamayı yansıtır?

1. AAmeliyat sabahına kadar her zaman sürdürülür
2. BKanama riskine ve böbrek fonksiyonuna göre belirli bir süre ara verilir
3. CKesilir ve sonra oral K vitamini ile geri çevrilir
4. DAmeliyattan iki hafta önce kesilir ve yerine varfarin başlanır

Tiroidektomiden sonra sütür veya klips çıkarıcılar neden sıklıkla yatak başında bulundurulur?

1. ABoyun hematomu hava yolunu sıkıştırabilir ve açılması gerekebilir
2. BDren çalışmayı bırakınca ayarlamak için kullanılırlar
3. CBoyun venlerinden kan almak için gereklidirler
4. DSütürler ameliyattan sonraki ilk akşam alınmalıdır

A patient with renal colic has normal kidney function and no other contraindications. Which drug is usually the first choice for pain?

1. AAn NSAID such as diclofenac
2. BAn oral antihistamine such as cetirizine
3. COral paracetamol (acetaminophen) alone
4. DA benzodiazepine such as diazepam

Which lifestyle change most improves the course of Crohn's disease?

1. AStopping smoking
2. BDrinking more coffee
3. CEating more red meat
4. DAvoiding all exercise

A nurse teaches a patient with a new ileostomy. Which statement shows a need for further teaching?

1. A"I'll chew my food well to avoid blockages."
2. B"I'll watch for dizziness and dark urine."
3. C"I'll report if my output becomes very watery and high."
4. D"I'll drink less so my bag fills more slowly."