NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

An Rh-negative mother has just given birth to an Rh-positive baby. What does the nurse expect to give the mother?

1. AA dose of the hepatitis B vaccine instead
2. BVitamin K to the mother
3. CNo treatment is needed
4. DRh immunoglobulin within 72 hours

On an addiction unit, which patient should the nurse assess first?

1. ADrowsy with pinpoint pupils and a respiratory rate of 7/min
2. BYawning, with a runny nose and dilated pupils
3. CAnxious, with goose bumps, stomach cramps and loose stools
4. DAsking for an extra blanket and a hot drink

Bir hemşire HIV'li olduğu bilinen bir hastadan iğne batması yaralanması geçiriyor. Bunu hemen bildirmek neden önemlidir?

1. ABildirim yalnızca damar içi iğnelerden kaynaklanan yaralanmalarda gereklidir
2. BBildirim, riski değiştirmeden bir ay içinde herhangi bir zamanda yapılabilir
3. CMaruziyet sonrası profilaksi, saatler içinde başlandığında en iyi sonucu verir
4. DBildirim yalnızca yara kanıyorsa veya derinse gereklidir

Victims of a chemical spill arrive at the emergency department with liquid on their skin and clothing. What is the priority before they enter the building?

1. ATake them straight into the resuscitation room so treatment is not delayed
2. BGive them hospital gowns and seat them in triage
3. CTake a full history in the waiting room
4. DDecontaminate them outside, with staff wearing appropriate PPE

A patient taking empagliflozin (an SGLT2 inhibitor) has glucose in the urine but a normal blood glucose. What is the best interpretation?

1. AUncontrolled diabetes needing insulin
2. BAn expected effect of the drug
3. CA sign of kidney failure
4. DA urinary tract infection

An RN cares for a patient on a 24-hour urine collection. Which task can be delegated to unlicensed assistive personnel (UAP), such as a nursing or healthcare assistant?

1. AInterpreting the creatinine clearance result when it comes back
2. BDeciding whether to restart the collection after a missed sample
3. CTeaching the patient why the 24-hour collection is needed
4. DSaving all urine in the collection container as instructed

A spontaneously breathing patient is critically ill and hypoxic. Which oxygen delivery gives the highest concentration?

1. ANasal cannula at 2 L/min
2. BSimple face mask at 5 L/min with the patient sitting up
3. CNon-rebreathe mask with reservoir bag at 15 L/min
4. DVenturi mask set to 24%

A patient going home after chemotherapy is taught about infection. Which statement shows a need for further teaching?

1. A"If I get a temperature, I'll take paracetamol and wait until my next clinic."
2. B"I will check my temperature if I feel unwell or shivery at home."
3. C"I will phone the helpline if I have a fever or shivering."
4. D"I will wash my hands well before eating and after using the toilet."

Periferik arter hastalığı olan bir hastanın geceleri bacak ağrısı vardır. Hangi pozisyon bunu hafifletebilir?

1. ABacakları kompresyon bandajlarıyla sarmak
2. BBacakları yastıklarla kalp seviyesinin üzerine kaldırmak
3. CAyaklara doğrudan sıcak su torbası uygulamak
4. DBacakları yatağın kenarından aşağı sarkıtmak

A nurse looked after a patient for a shift before smear-positive pulmonary TB was diagnosed, without wearing a respirator. What should happen?

1. AStay off work for six months in case symptoms develop
2. BStart a full six-month course of TB drugs at once without any tests
3. CReport it so occupational health can arrange follow-up screening
4. DTake no action, as healthcare workers are immune to TB

A patient on ciclosporin or tacrolimus asks about grapefruit juice. Which advice is correct?

1. ADrink it with each dose to improve the absorption
2. BAvoid it, because it can raise the drug levels
3. CDrink it daily to protect the kidney
4. DIt has no effect on these drugs

A patient on carbamazepine is admitted confused, with a sodium of 121 mmol/L. Which explanation is most likely?

1. AConfusion is a normal, expected effect of carbamazepine and is unrelated to sodium
2. BCarbamazepine can cause hyponatraemia through an SIADH-like effect
3. CThe low sodium proves the patient has stopped taking the drug
4. DCarbamazepine causes salt loss through severe diarrhoea

Which finding means a patient is usually ready to leave recovery for the ward?

1. AStill drowsy and needing a jaw thrust to breathe
2. BAwake, with a clear airway, stable observations and controlled pain
3. CSystolic BP falling steadily over the last hour, with a rising pulse rate
4. DPain score 9/10 and vomiting repeatedly

A patient with advanced cancer who has capacity decides to stop chemotherapy. The family insists that treatment must continue. What should the nurse do?

1. AContinue treatment because the family has asked for it
2. BSupport the patient's decision and help the team talk with the family
3. CTell the patient that stopping is not allowed
4. DAsk the family to sign a new consent form