NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A patient is in skeletal traction. Which finding needs the nurse to act?

1. AThe ropes are in the pulleys
2. BThe weights are resting on the floor
3. CThe patient’s body is in line with the traction
4. DThe weights are hanging freely

A patient with MRSA in a wound is on contact precautions. Which instruction to the nursing assistant is correct?

1. AOnly wear gloves when touching the wound itself; skin and bedding are safe
2. BWear a respirator mask in the room, because MRSA in a wound spreads through the air to others
3. CWear a gown and gloves for contact with the patient or the room, and use dedicated equipment
4. DNo special precautions are needed if the wound is covered with a dressing

A woman who is pregnant asks for the MMR vaccine because she is not immune to rubella. What is correct?

1. AMMR is safe at any stage of pregnancy
2. BMMR is a live vaccine and is not given during pregnancy, but can be given after delivery
3. CMMR is only given to pregnant women who work in hospitals
4. DMMR should be given as soon as possible in the first trimester to protect the baby

Bir hasta akut ishalle yatırılıyor ve C. difficile şüphesi var. Test sonucu beklenmektedir. Temas önlemlerine ne zaman başlanmalıdır?

1. AÜç günlük ishalden sonra
2. BYalnızca hastada ateş gelişirse
3. CTest sonucunu beklemeden hemen
4. DYalnızca test sonucu pozitif çıktığında

Which instruction is correct for a patient starting oral iron tablets?

1. AYour urine will turn bright orange while you take it
2. BTake each tablet with milk to protect the stomach
3. CYour stools may turn dark green or black
4. DTake the tablet with an antacid to improve absorption

Malnütrisyonlu bir hasta yeniden beslenmeye başlar ve 3. günde fosfatı 1,2 mg/dL (0,39 mmol/L), kas güçsüzlüğü ve nefes darlığı vardır. Başlıca risk nedir?

1. AHücrelerin potasyum salmasının neden olduğu hiperkalemi
2. BKemiklerden salınan kalsiyuma bağlı böbrek taşları
3. CHızlı kilo alımı, ancak ciddi bir tehlike yok
4. DDüşük fosfata bağlı zayıf solunum kasları ve kalp yetmezliği

Which tool is commonly used at the bedside to screen for delirium?

1. AThe Malnutrition Universal Screening Tool
2. BThe Glasgow-Blatchford score
3. CThe Confusion Assessment Method (CAM)
4. DThe Braden scale

Why is morphine more likely to cause toxicity in a patient with severe kidney impairment?

1. AThe kidneys normally activate morphine, so more of it becomes active
2. BKidney failure makes the stomach absorb more morphine
3. CIts active metabolites build up because the kidneys excrete them
4. DKidney disease makes the opioid receptors disappear

Which side effect is particularly common with verapamil?

1. AHair loss
2. BConstipation
3. CDry cough
4. DDiarrhoea

Bir hastanın göğüs tüpü hortumu drenaj ünitesinden ayrılıyor. Hemşire önce ne yapmalıdır?

1. ATüpü birkaç saat klemplemeli ve hastayı sonra yeniden kontrol etmelidir
2. BDreni göğüsten çıkarıp bölgeyi kapatmalıdır
3. CHekim değerlendirmeye gelene kadar havaya açık bırakmalıdır
4. DYeniden bağlamalı veya tüpün ucunu steril suya koymalı, sonra değerlendirmelidir

After a kidney biopsy, which observation is most important?

1. AThe colour of the patient's skin on the face
2. BThe patient's appetite at the next meal
3. CThe temperature every four hours only
4. DSigns of bleeding, such as haematuria and a rising pulse

A kidney transplant recipient has had vomiting and diarrhoea for two days. Why should the transplant team be contacted?

1. AVomiting proves that rejection has already happened
2. BThe tablets will make the vomiting stop
3. CThe kidney will start to produce far too much urine
4. DThe patient may not be absorbing their immunosuppressants

Which is a common side effect of opioids, especially when given by epidural or spinal route?

1. AIncreased hunger
2. BRinging in the ears
3. CItching
4. DHair growth

Siroz ve assiti olan bir hastada yeni ateş, karın hassasiyeti ve kötüleşen konfüzyon vardır. Hangi komplikasyondan şüphelenilmelidir?

1. AAkut pankreatit
2. BBasit kabızlık
3. CSpontan bakteriyel peritonit
4. DAssitin normal ilerlemesi