NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A nurse sees a nursing assistant leave a confused patient’s bed in the highest position after care. What should the nurse do?

1. AAsk the family to lower the bed when they next visit
2. BWrite it in the assistant’s yearly review only
3. CLower the bed now and remind the assistant why it matters
4. DLeave it because the patient is asleep

A medical-unit nurse is floated to intensive care and given a patient on a ventilator, which the nurse has never managed. What is the best response?

1. ATell the charge nurse about the gap, accept tasks within competence and ask for support
2. BAccept the full assignment without comment to avoid conflict
3. CRefuse to work and go home, because the assignment is unsafe
4. DLeave the intensive care unit and go back to the medical unit without telling anyone

Steril bir alan hazırlanırken hemşire bir soruyu yanıtlamak için alana sırtını dönüyor. Hangisi doğrudur?

1. AAlan kontamine kabul edilir ve yeniden kurulmalıdır
2. BYalnızca hemşireye en yakın malzemelerin değiştirilmesi gerekir
3. CSonradan örtülürse alan kullanılabilir
4. DBu arada kimse dokunmadığı için alan hâlâ steriledir

Boğmaca şüphesi olan bir hasta, tek kişilik oda boş olmadığı için ortak bir bölmede kalmak zorundadır. Enfeksiyon kontrol ekibiyle iletişime geçilirken en uygun düzenleme hangisidir?

1. AHerkes için N95 solunum maskesiyle havayolu önlemleri uygulamak
2. BHastayı bağışıklığı baskılanmış bir hastanın yanına yerleştirmek
3. CTek kişilik oda boşalana kadar hiçbir önlem almamak
4. DPerdeler çekili, 1 metreden (3 feet) fazla mesafe, yakın temas için maske

A patient has a calcium of 7,0 mg/dL (1,75 mmol/L) and tingling around the mouth. Which nursing measure is most appropriate?

1. APut seizure precautions in place and report the result
2. BLimit dairy products until the level falls again
3. CEncourage 3 L of fluid per day to dilute the calcium
4. DPromote walking to move calcium back into the bone

A patient with a large, fast-growing lymphoma will start chemotherapy tomorrow. Which plan best prevents tumor lysis syndrome?

1. AIV hydration, a uric acid-lowering drug and frequent electrolytes
2. BFluid restriction and a high-potassium diet before the treatment
3. CNo special measures, because the risk starts only after a week
4. DCalcium supplements and a high-phosphate diet during treatment

A patient with renal colic is asked to pass urine through a strainer. Why?

1. ATo catch any stone so that it can be analysed
2. BTo remove bacteria from the urine
3. CTo measure the urine's pH and specific gravity
4. DTo make passing urine less painful

Which action is most important in protecting a patient with severe neutropenia from infection?

1. AStrict hand hygiene by everyone who has contact with the patient
2. BTaking rectal temperatures regularly
3. CKeeping fresh flowers and plants in the room to help the patient's mood
4. DGiving routine intramuscular injections

How should a patient breathe in when using a dry powder inhaler?

1. AThrough the nose with the mouthpiece in the mouth
2. BSeveral times, breathing out into the device between breaths
3. CQuickly and deeply, after breathing out away from the device
4. DSlowly and gently over about ten seconds

After a car crash, a patient is severely breathless with absent breath sounds on the right, a deviated trachea, distended neck veins and BP 76/40 mmHg. What is the immediate management?

1. ALying the patient flat with the legs raised
2. BUrgent needle or finger decompression of the right chest
3. CA chest X-ray to confirm the diagnosis before any treatment
4. DInsertion of a urinary catheter to monitor output

Where is the zero point of an external ventricular drain usually levelled?

1. AAt the mid-axillary line of the chest
2. BAt the tragus of the ear
3. CAt the level of the umbilicus
4. DAt the top of the head

A nurse teaches a young adult with newly diagnosed epilepsy. Which statement shows a need for further teaching?

1. A"I will tell my friends what to do if I have a seizure."
2. B"I will keep a record of any seizures I have."
3. C"As long as I take my tablets, I can swim alone."
4. D"I will take a shower rather than a bath."

Which statement about giving medicines through a feeding tube is correct?

1. AModified-release tablets should not be crushed
2. BTubes do not need flushing between medicines
3. CAll tablets can be crushed together and given at once
4. DMedicines can be added to the bag of feed

Karın ameliyatından sonraki 6. günde bir hasta öksürürken bir şeyin “çözüldüğünü” söylüyor ve yaradan bağırsak görünüyor. Hemşire hemen ne yapmalıdır?

1. ASerum fizyolojikle ıslatılmış steril pansumanlarla örtmeli, dizleri bükmeli, cerrahı çağırmalıdır
2. BBağırsağı hafifçe geri itmeli ve yara kenarlarını sıkıca bantlamalıdır
3. CEkibi beklerken hastayı yatıştırmak için hafif bir öğün vermelidir
4. DYarayı açık bırakıp hastayı yatakta tam dik oturtmalıdır