NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A patient with mild dysphagia after a stroke is eating. Which technique helps make swallowing safer?

1. ALying flat with the head tilted back
2. BSitting upright with the chin tucked down while swallowing
3. CDrinking thin fluids quickly through a straw between bites
4. DTalking while eating to stay alert

A patient has a new spinal cord injury at C4. Which assessment is the priority?

1. ASkin over the sacrum and heels
2. BAbility to feed themselves
3. CBreathing effort and ability to cough
4. DBowel sounds in all four abdominal quadrants

Which nursing care reduces the risk of ventilator-associated pneumonia?

1. AChanging the ventilator circuit every few hours
2. BLying the patient flat for most of the day
3. CLeaving secretions in the mouth to protect the airway
4. DRegular oral care to reduce bacteria in the mouth

A patient’s WBC is 4,000/mm³, with 30% neutrophils and 5% bands. What is the absolute neutrophil count (ANC)?

1. A1,400/mm³
2. B140/mm³
3. C1,200/mm³
4. D3,500/mm³

A patient taking phenazopyridine for bladder pain has bright orange urine. What should the nurse know about urine tests?

1. AThe color proves blood is present in the urine
2. BThe color shows severe liver failure is present
3. CThe dye can interfere with dipstick color readings
4. DThe drug improves the accuracy of all dipsticks

Ciddi kusması olan bir hastanın potasyumu 3,0 mEq/L, klorürü 88 mEq/L ve bikarbonatı yüksektir. Bu hangi paterni gösterir?

1. AMide asidi kaybı: düşük potasyum ve klorür, metabolik alkaloz
2. BYüksek anyon açıklı diyabetik ketoasidoz
3. CTakip gerektirmeyen normal sonuçlar
4. DDehidratasyonun neden olduğu metabolik asidozla birlikte yüksek potasyum

A pressure ulcer shows full-thickness tissue loss with exposed bone. Which category (stage) is this?

1. ACategory 2
2. BCategory 3
3. CCategory 4
4. DCategory 1

A patient going home with a leg cast is taught about cast care. Which statement shows a need for further teaching?

1. A"I can push a knitting needle down the cast to scratch an itch."
2. B"I will keep the cast dry."
3. C"I will come back if my toes go numb or turn blue."
4. D"I will keep my leg raised on pillows for the first few days."

Why is a higher level of HDL cholesterol considered protective?

1. AHDL is converted into vitamin D in the walls of the arteries
2. BHDL carries cholesterol from the tissues back to the liver
3. CHDL lowers the blood pressure directly
4. DHDL thins the blood in the same way as an anticoagulant

A patient with rheumatoid arthritis is due to start an anti-TNF biologic drug. Which screening is essential beforehand?

1. AScreening for latent tuberculosis
2. BAn exercise ECG test on a treadmill
3. CA sweat chloride test
4. DA peak flow diary for a month

A patient is due a rapid-acting insulin dose before lunch, but the meal trays are delayed. What should the nurse do?

1. AGive the insulin now and the meal when it comes
2. BOmit the dose entirely for the rest of the day
3. CWait to give the insulin until the meal arrives
4. DGive the insulin with a glass of water instead

Akut iskemik inmeli bu hastalardan hangisinin IV trombolizise uygun olma olasılığı en düşüktür?

1. ABelirtileri 90 dakika önce başlamış hasta
2. BBeş gün önce büyük karın ameliyatı geçirmiş hasta
3. CKan basıncı 170/95 mmHg olan hasta
4. DBT'sinde herhangi bir kafa içi kanama bulgusu olmayan hasta

Neme gereksinimi olan kuru, sloughlu bir yara için genellikle hangi pansuman uygundur?

1. AAljinat
2. BHidrojel
3. CKöpük
4. DKuru gazlı bez

A patient on modified-release morphine for cancer pain has needed four breakthrough doses every day for several days. What should the nurse do?

1. AReport it, as the regular background dose may need review
2. BGive all breakthrough doses at the same time
3. CTell the patient to put up with the pain between doses
4. DStop the breakthrough doses to reduce opioid use