NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A parent calls to say their toddler has just swallowed drain cleaner. What should the nurse advise?

1. AWait to see whether the child develops any symptoms first
2. BDo not make the child vomit; call poison control or emergency services now
3. CGive a large glass of fizzy drink or milk to dilute the cleaner before calling anyone
4. DMake the child vomit straight away to bring up the chemical

During an infusion of a thrombolytic drug for stroke, the patient develops a severe headache and starts vomiting. What should the nurse do first?

1. AGive a dose of aspirin for the headache
2. BStop the infusion and inform the provider at once
3. CSlow the infusion and give an antiemetic as prescribed
4. DContinue the infusion, because headache is expected

A parent says, “I tell my son his medicine is candy so he takes it.” What should the nurse teach?

1. AIt only matters for medicines that taste bitter or are hard to swallow
2. BIt is fine as long as the medicine is kept in the fridge
3. CThis is a good idea and makes giving medicine easier
4. DDo not call medicine candy, because the child may take it when no one is watching

A newly hired nurse has these hepatitis B results: HBsAg negative, anti-HBs positive, anti-HBc negative. What do they show?

1. ANo immunity, so the vaccine is needed
2. BA current hepatitis B infection
3. CImmunity from hepatitis B vaccination
4. DPast infection that has now cleared

Which finding during a transfusion suggests transfusion-associated circulatory overload (TACO)?

1. AA low temperature and slow heart rate
2. BHives and itching without other signs
3. CBack pain with dark red urine output
4. DCrackles, hypertension and a raised BNP

Malnütrisyonlu bir hasta yeniden beslenmeye başlar ve 3. günde fosfatı 1,2 mg/dL (0,39 mmol/L), kas güçsüzlüğü ve nefes darlığı vardır. Başlıca risk nedir?

1. AHücrelerin potasyum salmasının neden olduğu hiperkalemi
2. BHızlı kilo alımı, ancak ciddi bir tehlike yok
3. CDüşük fosfata bağlı zayıf solunum kasları ve kalp yetmezliği
4. DKemiklerden salınan kalsiyuma bağlı böbrek taşları

Serviste yatan bir hastada ilk beta bloker dozundan sonra hışıltı ve nefes darlığı gelişiyor. Hangi öykü bunu en olası kılar?

1. AHipotiroidi
2. BOsteoartrit
3. CMigren
4. DAstım

Transfüzyon başladıktan kısa süre sonra bir hasta nefes darlığı, hışıltı, hipotansiyon ve yüzde şişlik geliştiriyor. Hemşire ilk olarak ne yapmalıdır?

1. AMaruziyet süresi olabildiğince kısa olsun diye üniteyi hızla bitirmelidir
2. BTransfüzyonu durdurmalı, damar yolunu korumalı ve acil yardım çağırmalıdır
3. CTransfüzyon hızını azaltıp gözlemleri bir saat sonra yeniden yapmalıdır
4. DParasetamol ve antihistaminik verip transfüzyona devam etmelidir

A patient has exercise-induced asthma. Which advice is most appropriate?

1. AAvoid all forms of exercise permanently to prevent attacks
2. BExercise only in cold, dry air to toughen the airways
3. CTake a beta-blocker before exercise
4. DUse the reliever inhaler shortly before exercise and warm up

Twelve hours after a coronary stent, a patient has sudden severe chest pain again with new ST elevation in the same leads. What is the most likely cause?

1. AIndigestion from the hospital meal
2. BAcute stent thrombosis
3. CNormal pain from the procedure site
4. DPericarditis from the catheter

A patient's potassium stays low despite replacement. Which other level should be checked?

1. AAmylase
2. BMagnesium
3. CFerritin
4. DBilirubin

Six hours after a catheter is removed, a patient has not passed urine and feels uncomfortable. What should the nurse do?

1. AWait until the next morning before checking
2. BTell the patient to drink two litres of water quickly
3. CPut the catheter back without assessing
4. DDo a bladder scan to check for retention

GİS kanaması olan stabil bir hastada kırmızı hücre transfüzyonuna yönelik hangi yaklaşım güncel kanıtlara uyar?

1. AHemoglobin veya belirtiler ne olursa olsun asla transfüzyon yapmamak
2. BÇoğu stabil hastada, çoğunlukla yaklaşık 70 g/L civarında kısıtlayıcı bir eşik
3. CHemoglobini her zaman 150 g/L'nin üzerinde tutmak için herkese transfüzyon yapmak
4. DHer endoskopiden önce rutin olarak iki ünite transfüzyon yapmak

A patient with recurrent diverticulitis reports passing air and faecal matter in the urine. What is the most likely cause?

1. AA fistula between the colon and the bladder
2. BA simple lower urinary tract infection
3. CBowel preparation that was taken too quickly
4. DA kidney stone blocking the ureter