NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A nurse teaches a patient to use an incentive spirometer. Which statement shows a need for further teaching?

1. A“I will blow into it as hard and fast as I can.”
2. B“I will try to hold my breath for a few seconds at the top.”
3. C“I will breathe in slowly and deeply through the mouthpiece.”
4. D“I will use it several times every hour while awake.”

After a head injury, a patient passes large amounts of very dilute urine, is thirsty and has a rising serum sodium. Which condition is most likely?

1. ADiabetes insipidus
2. BDiabetic ketoacidosis
3. CAcute kidney injury with oliguria
4. DSIADH

A patient has a non-violent restraint. In most nursing policies, how often at minimum is it released for range of motion, toileting and skin care?

1. AOnce a day, during the bath
2. BAt least every 2 hours
3. COnly when the patient asks for it
4. DOnce every 12-hour shift

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

1. AA current hepatitis B infection
2. BNo immunity, so the vaccine is needed
3. CPast infection that has now cleared
4. DImmunity from hepatitis B vaccination

During a red cell transfusion, when are serious acute reactions most likely, so the nurse stays with the patient?

1. AIn the first 15 minutes
2. BThe next morning
3. CAfter the last drop is given
4. DAfter about 2 hours

Kalp yetmezliği olan bir hasta lisinopril, spironolakton ve potasyum takviyesi kullanmaktadır. Bugün potasyum 6,0 mEq/L'dir. En olası açıklama nedir?

1. ALisinopril potasyumu düşürür
2. BSpironolakton potasyum kaybına neden olur
3. CPotasyumu yükselten birkaç ilaç birlikte alınmaktadır
4. DPotasyum takviyelerinin serum düzeyi üzerinde etkisi yoktur

Why does a patient with a suspected TIA need urgent specialist assessment?

1. AThe risk of a full stroke is highest in the days after a TIA
2. BA TIA always turns into a brain tumour unless it is treated
3. CThe patient needs urgent surgery on the brain
4. DThe symptoms will come back permanently within an hour

A patient with suspected appendicitis says the pain suddenly eased, but an hour later has pain all over the abdomen, a rigid abdomen and a fever. What is most likely?

1. AThe patient has developed gastroenteritis
2. BThe analgesia has started working
3. CThe appendicitis has resolved without treatment
4. DThe appendix has perforated, causing peritonitis

A nurse measures blood pressure on a large upper arm using a cuff that is too small. What effect will this have?

1. AThe reading will be accurate but slower
2. BThe reading will be falsely high
3. COnly the pulse rate will be affected
4. DThe reading will be falsely low

Radiyal arter yoluyla yapılan kardiyak kateterizasyondan sonra en önemli değerlendirme hangisidir?

1. ATestten sonra her saat bağırsak sesleri ve karın çevresi
2. BDört saatte bir idrar dansitesi
3. CHer 15 dakikada pupil boyutu ve ışığa yanıtı
4. DElin dolaşımı, duyusu ve hareketi ile giriş yeri

Which statement about giving IV potassium is correct?

1. AIt is diluted and given through an infusion pump, never as a bolus
2. BIt can be given quickly as a push to correct the level fast
3. CIt needs no monitoring at all once the infusion is running
4. DIt is safest given through a small vein in the hand at a fast rate

A day after a total thyroidectomy, a patient has tingling lips, a positive Chvostek's sign and a corrected calcium of 1,85 mmol/L (about 7,4 mg/dL). What does the nurse expect?

1. AA loop diuretic to remove the extra calcium
2. BIV potassium chloride and a fluid restriction
3. COral levothyroxine, with a recheck of the calcium in a month
4. DIV calcium gluconate and monitoring for laryngospasm

How is the height of an epidural sensory block usually checked?

1. AChecking the colour of the patient's urine
2. BTesting sensation to cold with ice or a cold spray
3. CTapping the knee with a reflex hammer and recording the score
4. DMeasuring the patient's blood glucose level

A few hours after thyroid surgery, a patient's neck swells rapidly and they become short of breath with stridor. What is most likely?

1. AAn allergy to the wound dressing
2. BA haematoma pressing on the airway
3. CNormal swelling after neck surgery
4. DLow blood calcium from the surgery