NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

Two nursing assistants argue loudly at the station about their assignments. What is the charge nurse’s best first step?

1. AMeet both of them privately to hear each side
2. BReport them to human resources at once
3. CChange both of their assignments without any discussion
4. DIgnore it and hope they sort it out

An adult choking on food is coughing forcefully and can speak a little. What should the nurse do?

1. AGive the patient water to wash the food down
2. BSweep the mouth blindly with a finger
3. CGive abdominal thrusts straight away until the food comes out
4. DEncourage the patient to keep coughing and stay with them

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

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

A nurse teaches a patient with neutropenia about preventing infection at home. Which statement shows a need for further teaching?

1. A“I will avoid crowds and people who have colds.”
2. B“I will check my temperature and call if I have a fever.”
3. C“I will wash my hands often and ask visitors to do the same.”
4. D“I can clean the cat’s litter box if I wear a face mask.”

Bir hastaya subkütan enoksaparin (düşük molekül ağırlıklı heparin) veriliyor. İzlemle ilgili hangi ifade doğrudur?

1. AHiçbir kan testine hiçbir zaman gerek yoktur
2. BDozu ayarlamak için aPTT her 6 saatte bir kontrol edilmelidir
3. CRutin aPTT yok; bunun yerine trombositler ve böbrek işlevi kontrol edilir
4. DVarfarinde olduğu gibi her dozu ayarlamak için INR kullanılır

A patient with acute kidney injury after severe dehydration has a rising creatinine. Which urine findings support a prerenal cause rather than acute tubular necrosis (ATN)?

1. AHigh urine sodium and dilute urine with muddy brown granular casts
2. BWhite cell casts with positive nitrites on the dipstick
3. CRed cell casts with heavy protein loss in the urine
4. DLow urine sodium and concentrated urine with a high specific gravity

An arterial blood gas shows a low pH, a high PaCO₂ and a normal bicarbonate. What does this show?

1. AMetabolic acidosis
2. BMetabolic alkalosis
3. CRespiratory acidosis
4. DRespiratory alkalosis

A patient with known prostate cancer reports new back pain, leg weakness and difficulty passing urine. What should be suspected?

1. AHypokalaemia
2. BMetastatic spinal cord compression
3. CSimple mechanical back pain
4. DA urinary tract infection spreading to the back

How is orthostatic (postural) hypotension usually assessed?

1. ABP only standing, after a brisk walk along the corridor
2. BBP once sitting, then once lying down straight after a large meal
3. CBP in both arms at the same moment while sitting
4. DBP lying after rest, then again after 1 and 3 minutes standing

A patient has sudden severe chest pain spreading to the back between the shoulder blades. Which finding most supports aortic dissection rather than myocardial infarction?

1. APain that started at rest
2. BA large difference in blood pressure between the arms
3. CA heart rate of 104/min and a respiratory rate of 22/min
4. DSweating, nausea and pallor that started with the pain

Which group of drugs is a well-known cause of SIADH and hyponatraemia, especially in older people?

1. ABulk-forming laxatives
2. BPenicillin antibiotics
3. CSSRI antidepressants
4. DProton pump inhibitors

A patient has had a high sodium of 160 mmol/L for several days. Why must it be corrected slowly?

1. ARapid correction raises the blood glucose
2. BThe sodium will rise again if corrected quickly
3. CRapid correction can cause brain swelling
4. DRapid correction causes kidney stones

Tümör lizis sendromu nedir?

1. AYakın zamanda radyoterapi uygulanan bölgede cilt reaksiyonu
2. BKanser hücrelerinin hızla yıkımına bağlı metabolik bir acil durum
3. CSinirlere baskı yapan yavaş büyüyen bir tümör
4. DKemoterapi infüzyonuna alerjik reaksiyon

A patient has had a large terminal ileum resection for Crohn's disease. Which long-term problems should the nurse anticipate?

1. AExcess vitamin D and calcium kidney stones in the first year
2. BVitamin B₁₂ deficiency and bile-acid diarrhoea
3. CInsulin deficiency and high blood glucose from loss of the islets
4. DIron overload and constipation