NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

On a postpartum unit, which patient is the most appropriate to assign to an LPN/LVN?

1. AOne hour after birth with heavy bleeding and a boggy uterus
2. BSevere pre-eclampsia on a magnesium sulfate infusion
3. CDay 1 after an uncomplicated vaginal birth, stable vital signs
4. DA new admission transferred from the labor ward with a fever of 38,6 °C

After surgery, a patient who has taken long-term steroids becomes hypotensive and weak, and the blood pressure does not rise with IV fluids. Which problem should the nurse suspect?

1. AAdrenal crisis from steroid withdrawal
2. BAn allergic reaction to the anesthetic
3. CFluid overload from too much IV fluid
4. DNormal tiredness after anesthesia

When should blood specimen tubes be labeled?

1. ABack at the station after all the samples are collected
2. BBy the laboratory staff after the tubes arrive
3. CAt the nurses’ station before going to the patient, to save time
4. DAt the bedside, in front of the patient, right after collection

A nurse sees a doctor about to insert a central line without a sterile gown, and a polite comment was ignored. Which TeamSTEPPS phrase helps to stop the procedure?

1. A“I will mention this to the manager at the next staff meeting.”
2. B“I am concerned, I am uncomfortable, this is a safety issue.”
3. C“I am sure you know what you are doing.”
4. D“Let’s talk about it after you have finished.”

A patient on a heparin infusion has blood in the urine and an aPTT far above the target. The nurse stops the infusion and informs the provider. Which antidote should the nurse anticipate?

1. ACalcium gluconate
2. BVitamin K (phytonadione)
3. CProtamine sulfate
4. DNaloxone

A patient with a round face, central weight gain and purple stretch marks has a glucose of 210 mg/dL (11,7 mmol/L) and a potassium of 3,1 mEq/L. Which condition fits best?

1. ACushing syndrome
2. BAdrenal insufficiency
3. CDiabetes insipidus
4. DHypothyroidism

Why is oxygen often humidified for a patient with a tracheostomy?

1. AHumidity is needed for the oxygen to work as a drug
2. BThe tube bypasses the nose, which normally warms and moistens air
3. CHumidification lowers the oxygen concentration to a safer level
4. DDry oxygen causes high blood glucose

Why are liquid medicines for nasogastric tubes drawn up in dedicated enteral (oral) syringes rather than IV syringes?

1. ATo prevent accidental intravenous administration
2. BIV syringes cannot hold liquid medicines
3. CEnteral syringes measure doses less accurately
4. DEnteral syringes keep the medicine sterile

Kalp yetmezliği olan bir hasta ACE inhibitörüne ek olarak spironolakton başlıyor. Hangi kan sonucu yakından izlenmelidir?

1. AGlukoz, çünkü her iki ilaç da hipoglisemiye yol açabilir
2. BKalsiyum, çünkü her iki ilaç da onu düşürebilir
3. CHemoglobin, çünkü her iki ilaç da kanamaya yol açabilir
4. DPotasyum, çünkü her iki ilaç da onu yükseltebilir

Shortly after a thoracentesis, a patient becomes breathless with sharp chest pain and reduced breath sounds on the same side. What complication is most likely?

1. APulmonary embolism from the leg
2. BPneumothorax
3. CRe-accumulation of the effusion
4. DInfection at the puncture site

A patient with Graves' eye disease has gritty eyes and swelling around them in the morning. Which advice is most appropriate?

1. AStay in bright sunlight to dry the eyes
2. BSmoking more will not affect the eyes
3. CRub the eyes firmly each morning to reduce the swelling
4. DUse lubricating drops and sleep with the head raised

A patient with a brain injury has a mean arterial pressure of 80 mmHg and an ICP of 25 mmHg. How should the nurse interpret this?

1. AThe ICP cannot affect brain perfusion if the blood pressure is normal
2. BThe cerebral perfusion pressure is 80 mmHg, which is normal
3. CThe cerebral perfusion pressure is 105 mmHg, which is too high
4. DThe cerebral perfusion pressure is 55 mmHg, below the usual target

Which is correct when caring for a patient with a PICC line?

1. ALeave the external length unchecked once it is placed
2. BUse the PICC arm for heavy lifting to keep it flexible
3. CAvoid taking blood pressure on the arm with the line
4. DFlush the line only when it blocks

A patient has an implanted port for chemotherapy. Which needle is used to access it?

1. AAn intramuscular injection needle
2. BA non-coring (Huber) needle
3. CA standard hollow needle used for venepuncture
4. DA wide-bore cannula with a steel stylet