NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

Which newborn finding needs prompt reporting?

1. AMilia (small white spots) on the nose
2. BBluish hands and feet in the first hours
3. CMild jaundice that first appears on the third day
4. DJaundice that appears within the first 24 hours

Hangi görevi RN’nin bir hemşire yardımcısına devretmek yerine bizzat yapması en uygundur?

1. AKalp yetmezliği olan bir hastayı her sabah tartmak
2. BBir hastaya ağız bakımında yardım etmek
3. CAmeliyattan sonraki üçüncü günde stabil bir hastayı koridorda yürütmek
4. DAmeliyattan sonra bir hastayı ilk kez yataktan kaldırmak

İlaç flakonları ve enjektörlerle ilgili hangi uygulama güvenlidir?

1. AFlakona her girişte yeni bir steril iğne ve enjektör kullanmak
2. BYeni bir iğne takılırsa enjektörü yeniden kullanmak
3. CYıkanırsa aynı enjektörü iki hasta için kullanmak
4. Dİğneyi daha sonra kullanmak üzere flakonun kauçuk kapağında bırakmak

Kök hücre naklinden sonra ciddi immünsüpresyonu olan bir hasta koruyucu ortamdadır. Hangi öğe odaya getirilmemelidir?

1. ATemiz, dezenfekte edilmiş bir tablet bilgisayar
2. BTaze çiçekler veya saksı bitkileri
3. CSilinerek temizlenmiş çerçeveli bir aile fotoğrafı
4. DHastanın kendi temiz kıyafetleri

When blood is drawn from a central venous catheter, why is a small volume of blood usually discarded first, according to policy?

1. ATo lower the patient's hemoglobin for a blood transfusion
2. BTo avoid diluting the sample with flush or infusion fluid
3. CTo check that the catheter tip is still in the right vein
4. DTo remove blood clots that form in all central lines

A patient has taken metformin for 8 years and now has numbness in the feet, a hemoglobin of 10,2 g/dL (102 g/L) and an MCV of 108 fL. Which deficiency is most likely?

1. AIron deficiency from gut loss
2. BVitamin K deficiency
3. CVitamin B₁₂ deficiency
4. DVitamin D (calciferol) deficiency

A patient is receiving enteral feeding through a nasogastric tube. How should they be positioned during feeding?

1. ALying on the left side with the head down to help the feed drain
2. BIn any position, as long as the feed runs slowly
3. CWith the head of the bed raised to at least 30 degrees
4. DLying completely flat

Which drug group is first-line for a prolonged convulsive seizure?

1. ABeta-blockers, such as bisoprolol or atenolol
2. BOpioids, such as morphine or diamorphine, given intravenously
3. CAntihistamines, such as chlorphenamine
4. DBenzodiazepines, such as buccal midazolam or IV lorazepam

Which exercise advice is recommended for intermittent claudication?

1. AComplete bed rest until the leg pain has gone for at least a month
2. BStopping walking at the very first twinge of pain each time
3. CSupervised walking until pain is near maximal, then rest and repeat
4. DWalking only on days when the legs feel warm and painless

A nurse has four cardiac patients. Which one should be seen first?

1. AA patient with angina whose chest pain has not eased with rest and who is sweating
2. BA patient after a radial angiogram asking when they can eat
3. CA patient with AF and a heart rate of 86/min who is due an apixaban dose this morning
4. DA patient with heart failure whose weight is 0,3 kg up on yesterday's morning weight

An 85-year-old care home resident becomes newly confused and is falling more often. A UTI is one possibility. Why?

1. AConfusion is the only symptom of a UTI at any age
2. BA UTI cannot occur in people over 80
3. CUrinary infections always cause a high fever in older adults
4. DOlder adults often show infection as confusion

Four patients had a minor head injury with no loss of consciousness and a GCS of 15. Which one most needs a CT scan of the head?

1. AA 78-year-old who takes warfarin for atrial fibrillation
2. BA 40-year-old with a mild headache that is improving
3. CA 30-year-old who bumped their head on a cupboard door
4. DA 25-year-old with a small scalp graze after a fall

Üst GİS kanaması olan bir hastada üre neden kreatininden çok daha fazla yükselebilir?

1. ASindirilmiş kan bir protein yüküdür ve üreyi yükseltir
2. BÜre kanayan mide mukozası tarafından üretilir
3. CKreatinin kusmukla vücuttan kaybedilir
4. DKanama her zaman böbrek tübüllerine doğrudan zarar verir

A patient with diabetes has rapidly spreading redness around a small wound, severe pain out of proportion, fever and crackling under the skin. What should the nurse suspect?

1. AMild contact dermatitis
2. BA healing venous ulcer
3. CA simple insect bite
4. DNecrotising fasciitis