NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A patient on a nasal cannula at 6 L/min still has a low SpO₂. What should the nurse do?

1. ATurn the nasal cannula up to 15 L/min
2. BRemove the oxygen to see if the SpO₂ changes
3. CRecheck the SpO₂ at the next routine set of observations in four hours
4. DReport it, because a different oxygen device is likely to be needed

Yeni bir yatışa yer açmak için yoğun bakımdan hangi hastayı taşımak en iyi seçimdir?

1. ASolunum yetmezliği nedeniyle 1 saat önce entübe edilmiş, hâlâ sedatize
2. B2 gün önce ekstübe edilmiş, 2 L/dk nazal oksijenle stabil, vazoaktif infüzyon yok
3. CDozu bu sabah artırılan norepinefrin infüzyonu alan
4. DGece GİS kanamasıyla yatırılmış ve hâlâ kan alan

A patient is on a ventilator. Which bed position helps to prevent ventilator-associated pneumonia?

1. ATrendelenburg position
2. BHead of the bed raised 30 to 45 degrees
3. CLying completely flat
4. DHead of the bed raised about 10 degrees

A nurse caring for a patient with influenza on droplet precautions will assist with an aerosol-generating procedure, such as bronchoscopy. What change in PPE is needed?

1. ANo change, because influenza only needs droplet precautions
2. BWear a fit-tested respirator (N95 or FFP3) and eye protection instead of a surgical mask
3. CWear gloves only, because the procedure is short
4. DWear two surgical masks, one on top of the other, for the length of the procedure

A patient without symptoms has a fasting plasma glucose of 132 mg/dL (7,3 mmol/L) on Monday and 138 mg/dL (7,7 mmol/L) on Thursday. What does this show?

1. AThe results show reactive hypoglycemia
2. BThe results meet the criteria for diabetes
3. CThe results show prediabetes only
4. DThe results are within the normal fasting range

A young man has a swollen knee after minor trauma. His aPTT is prolonged, but his PT/INR and platelet count are normal. Which condition fits best?

1. AHemophilia A (factor VIII deficiency)
2. BImmune thrombocytopenia (ITP)
3. CVitamin K deficiency from poor diet
4. DDisseminated intravascular coagulation

When is a rapid-acting insulin such as insulin aspart usually given?

1. ATwo hours after finishing a meal
2. BOnce a week
3. CJust before or with a meal
4. DOnly at bedtime

A patient with a COPD exacerbation remains acidotic with a high PaCO₂ despite optimal medical treatment and controlled oxygen. Which treatment is usually considered next?

1. AStopping all oxygen therapy
2. B15 L/min oxygen via a non-rebreathe mask
3. CSedation to slow the breathing
4. DNon-invasive ventilation

Before the first treatment dose of a low-molecular-weight heparin for a PE, what does the nurse need to make sure of?

1. AAn accurate, recent body weight is recorded
2. BThe patient's blood glucose is above 10 mmol/L (180 mg/dL)
3. CA chest drain is in place
4. DThe patient has fasted for 12 hours

An older inpatient develops sudden fever, muscle aches and a dry cough during the winter influenza season. Which plan is most appropriate?

1. AIsolate with droplet precautions, test and expect early antivirals
2. BLeave them in the open bay and give a course of antibiotics only
3. CWait a week to see whether the symptoms settle before testing
4. DIsolate only if they develop a rash

A kidney transplant recipient asks about travel vaccines. Which statement is correct?

1. AVaccines will cause the kidney to be rejected
2. BLive vaccines are usually avoided
3. CAll vaccines are completely safe after a transplant
4. DOnly live vaccines are effective after a transplant

The nurse has four renal patients. Which one needs to be seen first?

1. AA patient with a potassium of 6,8 mmol/L who reports palpitations
2. BA patient with a creatinine slightly above their usual level
3. CA patient with CKD asking about their phosphate binder
4. DA patient with mild itching from uraemia who wants a cream

Ameliyat öncesinde, kanamayı artırabileceği için sıkça sorulan bitkisel takviye hangisidir?

1. APapatya
2. BGinkgo biloba
3. CNane yağı
4. DKızılcık (cranberry)

Which preoperative task can a registered nurse usually delegate to a healthcare assistant (nursing assistant)?

1. ADeciding whether abnormal results need reporting
2. BAssessing the patient's understanding of the surgery
3. CRecording baseline vital signs
4. DTeaching the patient how to use a PCA pump