NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

Düşme önlemleri uygulanan bir hasta için hemşire hangi görevi hemşire yardımcısına devretmelidir?

1. AHastanın düşme riski puanını her sabah değerlendirip kaydetmek
2. BPlanlandığı gibi hastanın her 2 saatte bir tuvalete gitmesine yardım etmek
3. CYatak alarmına hâlâ gerek olup olmadığına karar vermek
4. DAilenin evde düşmeleri nasıl önleyeceğini öğretmek

A patient is admitted with suspected meningococcal meningitis. Which precautions are needed until treatment has been given for long enough?

1. AAirborne precautions
2. BDroplet precautions
3. CStandard precautions only
4. DContact precautions only

A patient is on a ventilator. Which bed position helps to prevent ventilator-associated pneumonia?

1. AHead of the bed raised 30 to 45 degrees
2. BTrendelenburg position
3. CLying completely flat
4. DHead of the bed raised about 10 degrees

Who should mark the operative site before surgery?

1. AThe admitting clerk, using the information written on the consent form
2. BAny member of the operating room team after anesthesia starts
3. CThe patient, alone, using a marker pen at home on the night before surgery
4. DThe person who will perform the procedure, with the patient involved where possible

Hipofiz ameliyatından sonra bir hasta saatte yaklaşık 400 mL soluk renkli, özgül ağırlığı 1,002 olan idrar yapıyor ve sodyum 149 mEq/L'ye yükseldi. En olası durum hangisidir?

1. AKetoasidozlu hiperglisemi
2. BDiabetes insipidus
3. COligürili akut böbrek hasarı
4. DSIADH

A patient with ongoing hemolytic anemia has an HbA1c of 4,6%, but home glucose readings are often 180–220 mg/dL (10–12 mmol/L). What best explains the gap?

1. AHemolysis makes the HbA1c test read too high
2. BThe patient has true, well-controlled diabetes
3. CShort red cell life span lowers the HbA1c falsely
4. DThe home glucose meter is reading falsely high

Compared with a colostomy, a patient with an ileostomy is at greater risk of:

1. AHard stools, straining and constipation from slow transit
2. BUrinary retention
3. CLow blood glucose after meals
4. DDehydration and electrolyte loss from liquid output

An older patient found on the floor after lying there for many hours has dark brown urine and a very high creatine kinase. What is the main risk?

1. AHypoglycaemia
2. BA urinary tract infection from lying in urine
3. CAcute kidney injury from rhabdomyolysis
4. DA stroke

A patient uses a glyceryl trinitrate (nitroglycerin) patch for angina. Why is it usually removed for several hours each day?

1. AThe skin needs a break to absorb a larger dose
2. BThe patch works only during the night
3. CIt lowers the risk of a high potassium level
4. DA nitrate-free interval prevents tolerance

A patient with COPD who is known to retain CO₂ arrives on 15 L/min oxygen. They are now drowsy with SpO₂ 99%. What is the most appropriate action?

1. ARemove the oxygen completely and observe
2. BReduce the oxygen to aim for 88–92% and get a blood gas
3. CGive a sedative to help the patient rest
4. DKeep the oxygen at 15 L/min because the saturation is excellent

A patient is starting nitrofurantoin for a UTI. Which teaching point is correct?

1. AIt should be taken on an empty stomach with milk
2. BIt may turn the urine dark yellow or brown
3. CIt turns the tears and sweat bright orange
4. DIt must be taken only once a week

A patient with diabetic neuropathy has a hot, red, swollen foot that is barely painful. The skin is intact, and there is no fever. What should the nurse suspect?

1. AGout, which only needs pain relief
2. BA sprained ankle that will settle with walking
3. CNormal swelling from standing too long
4. DAn acute Charcot foot, needing urgent offloading

Sirozlu bir hasta hepatik ensefalopati için laktüloz alıyor. Olağan hedef nedir?

1. AGünde on veya daha fazla sulu dışkı
2. BHaftada bir sert dışkı
3. CBirkaç gün boyunca bağırsak hareketi olmaması
4. DGünde iki ila üç yumuşak dışkı

A 62-year-old with known reflux reports burning central chest pain with sweating and breathlessness that began while walking. What should the nurse do first?

1. ABook a routine endoscopy for later in the week
2. BAdvise the patient to avoid spicy food at future meals
3. CGive an antacid and reassess the pain in an hour
4. DRecord a 12-lead ECG and escalate as possible cardiac pain