NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A nurse teaches a patient who uses crutches. Which statement shows a need for further teaching?

1. A“I will take my weight on my hands, not on my armpits.”
2. B“I will lean on the crutch pads under my arms to rest.”
3. C“I will remove loose rugs from the floor at home.”
4. D“I will keep the crutch tips in good condition.”

A 2-month-old infant has a spiral fracture of the femur. The parents say the baby rolled off the sofa. What should the nurse recognize?

1. AThe injury does not fit the infant’s development, so possible abuse must be reported
2. BInfants of this age often roll off furniture and break bones in this way
3. CNo further action is needed once the fracture is treated
4. DA spiral fracture in an infant is always caused by birth trauma

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

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

Farklı ilaçlara ait birbirine benzeyen iki flakon yan yana saklanıyor ve bir hemşire neredeyse yanlış olanı alıyor. Hangi yanıt adil kültürü en iyi yansıtır?

1. ABildirmek ve sistemi düzeltmek, örneğin flakonları ayırmak
2. BBirimin itibarını korumak için olayı gizli tutmak
3. CHemşireye daha dikkatli olmasını söyleyip başka bir şey yapmamak
4. DNeredeyse yanlış flakonu alan hemşireye disiplin işlemi uygulamak

A patient with schizophrenia is starting clozapine. Which laboratory value must be monitored regularly?

1. AInternational normalized ratio
2. BAbsolute neutrophil count
3. CSerum lithium level
4. DSerum amylase

Kronik böbrek hastalığı olan bir hastanın fosfatı 7,2 mg/dL'dir (2,3 mmol/L). Hangi diyet eğitimi en uygundur?

1. ABağlayıcı yerine kalsiyum takviyelerini aç karnına almak
2. Bİşlenmiş gıdalar ve kolalar gibi fosfattan zengin yiyecekleri sınırlamak
3. CSusuz kalmamak için daha fazla kola tipi gazlı içecek içmek
4. DKemikleri kalsiyum kaybından korumak için süt ve peyniri artırmak

Which side effect is associated with SGLT2 inhibitors such as dapagliflozin?

1. AHair loss
2. BSevere weight gain and fluid retention
3. CGenital fungal infections
4. DBradycardia

Uzun süreli steroid kullanan bir hasta kusma ve atlanan dozlardan sonra hipotansiyon ve konfüzyonla akut olarak kötüleşiyor. Hangi acil durum düşünülmelidir?

1. AHiperkalsemi
2. BDiabetes insipidus
3. CAdrenal kriz
4. DTiroid fırtınası

A patient has episodes of severe headache, sweating and palpitations with very high blood pressure. Which rare cause should be considered?

1. AAsthma
2. BAortic stenosis
3. CPhaeochromocytoma
4. DStable angina

Toplum kökenli pnömonisi olan 82 yaşındaki bir hastada yeni konfüzyon, solunum hızı 32/dk, KB 88/52 mmHg ve üre 9 mmol/L'dir. Bu neyi gösterir?

1. ACURB-65 skoru 1: evde oral antibiyotiğe uygun
2. BCURB-65 skoru 3: yalnızca genel servise rutin yatış
3. CYaşlı bir erişkinde enfeksiyona normal yanıt
4. DCURB-65 skoru 5: acil kıdemli hekim değerlendirmesi gerektiren yüksek risk

Why is good blood pressure control important in chronic kidney disease?

1. AIt lowers the blood glucose
2. BIt raises the haemoglobin level in the blood
3. CIt cures chronic kidney disease
4. DIt slows the decline in kidney function

Which patient on a stroke unit is most at risk of falling?

1. AA patient with mild dysarthria who walks steadily with a frame
2. BA patient with a right-hemisphere stroke who is impulsive and denies having weakness
3. CA patient with a left-hemisphere stroke who has expressive aphasia and waits for help
4. DA patient with a TIA whose symptoms resolved completely yesterday

Which statement about corticosteroids in inflammatory bowel disease is correct?

1. AThey cure the disease after one course
2. BThey are used to induce remission, not for maintenance
3. CThey are the best long-term maintenance treatment
4. DThey are given only as a one-off injection

A nurse teaches a patient going home between chemotherapy cycles. Which statement shows a need for further teaching?

1. A"If I get a fever, I'll take paracetamol and see if it settles."
2. B"I'll keep the emergency number and call if I feel shivery."
3. C"I'll wash my hands often and avoid people with infections."
4. D"I'll check my temperature whenever I feel hot, shivery or unwell."