NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

An older adult asks for something to help them sleep. Which drug is most likely to cause confusion and falls in this age group?

1. AAcetaminophen (paracetamol)
2. BA warm milky drink
3. CMelatonin
4. DDiphenhydramine

After the RN taught a patient to inject insulin, an LPN/LVN reports that the patient still cannot draw up the dose correctly. What should happen next?

1. AThe patient is discharged with a leaflet to read at home
2. BThe nursing assistant shows the patient again at lunch
3. CThe RN reassesses the patient’s learning needs and adjusts the teaching
4. DThe LPN/LVN writes a new teaching plan and evaluates it at the end of the shift

Barkod okuyucu, ilacın hastanın kaydıyla eşleşmediği uyarısını veriyor. Hemşire ne yapmalıdır?

1. AUyarıyı geçersiz kılıp ilacı vermelidir
2. BBaşka bir hastanın bilekliğini okutmalıdır
3. CDurup ilacı vermeden önce nedenini araştırmalıdır
4. Dİlacı verip uyarıyı vardiya içinde daha sonra bildirmelidir

A handwritten order is hard to read, and the nurse is not sure of the drug name. What should the nurse do?

1. AAsk a colleague to guess what it says
2. BHold the drug until the next day without telling anyone
3. CChoose the drug that seems most likely from the diagnosis
4. DContact the prescriber to clarify before giving anything

A patient on warfarin has an INR of 7,8 and a nosebleed. Which medication would the nurse expect the provider to prescribe?

1. AVitamin K (phytonadione)
2. BProtamine sulfate
3. CNaloxone hydrochloride
4. DAcetylcysteine

A trauma patient receives many units of blood quickly and then develops muscle twitching and low blood pressure. Which laboratory value is most likely to explain this?

1. AA low ionized calcium
2. BA high serum sodium
3. CA low serum glucose
4. DA high serum magnesium

After removing a peripheral IV cannula, what should the nurse check?

1. AThat the cannula is put back in its sterile packet for the next patient
2. BThat the patient's blood glucose is normal before removal
3. CThat the cannula is intact, and apply pressure until bleeding stops
4. DThat the site is left uncovered and bleeding freely

A catheterised postoperative patient has passed only 10 mL of urine in the last two hours. What should the nurse check first?

1. AThe patient's weight from last year
2. BWhether the patient has eaten breakfast
3. CThat the catheter and tubing are not kinked or blocked
4. DThe patient's cholesterol level from the admission bloods

During an episode of chest pain, a patient's ECG shows new horizontal ST depression. What does this most likely indicate?

1. AMyocardial ischaemia
2. BA normal finding during pain
3. CPericarditis
4. DHyperkalaemia

Mekanik mitral kapak replasmanı olan ve varfarin kullanan bir hastanın INR'si 2,2'dir. Hemşire neyi düşünmelidir?

1. AMekanik kapaklar için INR yaklaşık 1,0 olmalıdır
2. BINR bu hastanın daha yüksek hedefinin altında olabilir, bu yüzden kontrol etmeli ve bildirmelidir
3. CINR her varfarin endikasyonu için aralıktadır, bu yüzden eylem gerekmez
4. DINR tehlikeli derecede yüksektir ve doz tutulmalıdır

Hipofiz ameliyatından sonra bir hasta üç saat boyunca saatte 400 mL düşük dansiteli idrar yapıyor. Hemşire ne düşünmelidir?

1. AAkut böbrek hasarı
2. BNormal diürez
3. CDiabetes insipidus
4. DSIADH

A patient with untreated end-stage kidney disease has chest pain that is worse lying flat and better sitting forward. A rub is heard over the heart. What is most likely?

1. AUraemic pericarditis, which usually needs urgent dialysis
2. BA stable angina attack, which needs only a nitrate spray and rest
3. CA rib fracture from coughing
4. DIndigestion from phosphate binders

Dysphagia that started with solids and now includes liquids, with weight loss, most suggests which cause?

1. AA dry mouth from drinking too little water
2. BA narrowing such as an oesophageal tumour
3. CNormal ageing of the swallowing muscles
4. DSimple anxiety about swallowing tablets

A few hours after thyroid surgery, a patient's neck swells rapidly and they become short of breath with stridor. What is most likely?

1. ANormal swelling after neck surgery
2. BAn allergy to the wound dressing
3. CA haematoma pressing on the airway
4. DLow blood calcium from the surgery