NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

Which two patients can most safely share a room?

1. ATwo patients who both have C. difficile infection
2. BA patient with influenza and a patient with COPD
3. CA patient with MRSA in a wound and a patient after surgery
4. DA patient with chickenpox and a patient on chemotherapy

A patient at 36 weeks of pregnancy has sudden severe abdominal pain, a hard, board-like uterus and dark vaginal bleeding. What should the nurse suspect?

1. ANormal labor contractions starting
2. BPlacenta previa, which is usually painless
3. CA urinary tract infection
4. DPlacental abruption, which is an emergency

A patient has a weak left leg. Which instruction about using a cane is correct?

1. AHold the cane in the left hand, on the weaker side
2. BHold the cane in the right hand, on the stronger side
3. CMove the cane and the right leg forward together
4. DKeep the cane well out to the side, away from the body

Steril teknikle üriner kateter takılırken kateter ucu hastanın uyluğuna değiyor. Hemşire ne yapmalıdır?

1. AUyluk temizlendiği için devam etmelidir
2. BUcu steril suyla durulayıp devam etmelidir
3. CKateteri atıp yeni bir steril kateter kullanmalıdır
4. DUcu antiseptikle silip devam etmelidir

A patient's potassium is unexpectedly 5,8 mEq/L. The sample was taken after the tourniquet was on for several minutes while the patient pumped their fist. What is the best interpretation?

1. AFist pumping lowers potassium, so the true level is even higher
2. BThe result confirms true hyperkalemia and needs no further checking
3. CThe result may be falsely high and should be repeated with better technique
4. DTourniquet time affects only the glucose result, not the potassium

A patient with diabetes and chronic kidney disease had a CT scan with IV contrast. Two days later, the creatinine has risen from 1,4 to 2,0 mg/dL (124 to 177 µmol/L). Which action is most appropriate?

1. AIgnore it, because contrast never affects kidney function
2. BReport it, monitor urine output and hold metformin until reviewed
3. CRestrict all fluids to protect the kidneys from more contrast
4. DGive extra metformin, because the glucose rises after contrast

What should a nurse do during a generalised tonic-clonic seizure?

1. AProtect the head, time the seizure and do not put anything in the mouth
2. BHold the limbs firmly to stop the jerking and prevent injury
3. CGive the patient a drink of water
4. DPut a tongue depressor between the teeth so that the tongue is not bitten

Which route and site are recommended for the first dose of adrenaline (epinephrine) in anaphylaxis on a ward?

1. AIntravenous bolus given by the nurse without monitoring
2. BSubcutaneous injection into the upper arm
3. CIntramuscular injection into the anterolateral thigh
4. DOral tablet dissolved under the tongue

Supraventriküler taşikardisi olan bir hastaya IV adenozin verilecektir. Hemşire hastayı neyle ilgili uyarmalıdır?

1. AYaklaşık bir hafta kol veninde yanıcı ağrı
2. BSonrasında günlerce süren bir baş ağrısı
3. CSonrasında saatlerce uyku hali, peltek konuşma ve konfüzyon
4. DKısa süreli kızarma veya göğüste sıkışma ve birkaç saniyelik bir duraklama

Göğüs ağrısı olan bir hastada II, III ve aVF derivasyonlarında ST yükselmesi vardır. KB 86/54 mmHg, akciğerler temiz ve boyun venleri belirgindir. Hemşire reçete edilen hangi ilacı sorgulamalıdır?

1. ASublingual gliseril trinitrat
2. BSpO₂ hedefin altına düşerse oksijen
3. CÇiğnetilen 300 mg aspirin
4. DIV bir antiemetik

Why are patients on haemodialysis vaccinated against hepatitis B?

1. AThe vaccine is needed to make the dialyser work
2. BHepatitis B vaccine improves the fistula flow
3. CShared dialysis units carry a higher infection risk
4. DThe vaccine lowers the potassium level

A patient's glucose is 6,2 mmol/L (112 mg/dL) at 03:00 and 12 mmol/L (216 mg/dL) before breakfast. No hypoglycaemia occurred overnight. What is the most likely explanation?

1. AThe Somogyi effect from a night-time hypo
2. BA large snack eaten in the night by mistake
3. CThe meter is faulty and should be replaced
4. DThe dawn phenomenon from early-morning hormones

Why is a gastrostomy tube with an internal bumper usually advanced and rotated regularly once the tract has healed?

1. ATo make the tube longer as the patient grows or gains weight
2. BTo check that the patient is still hungry
3. CTo remove any feed left in the stomach
4. DTo stop the inner bumper becoming buried in the stomach wall

Toplam vücut yüzey alanının %35'i yanıklı bir hasta hipermetabolik evreye giriyor. Hangi beslenme planı en uygundur?

1. ABöbrekleri hasardan korumak için düşük proteinli diyet
2. BYanık yaraları iyileşene kadar yalnızca berrak sıvılar
3. CBağırsağı tamamen dinlendirmek için iki hafta ağızdan beslenmeme
4. DEnerji ve proteinden zengin erken enteral beslenme