NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A conscious patient with hypoglycemia drank juice 15 minutes ago. The glucose is now 62 mg/dL (3,4 mmol/L). What should the nurse do next?

1. ARecord the result and recheck the glucose at the usual time before the evening meal
2. BGive another serving of fast-acting carbohydrate and recheck in 15 minutes
3. CWait another hour, because juice can take a long time to work
4. DGive the next scheduled dose of rapid-acting insulin with the meal

A patient in acute mania paces constantly, has lost weight and will not sit down to eat. Which intervention is most helpful?

1. AWait until the mania settles before worrying about nutrition
2. BInsist that the patient sits at the table until the meal is finished
3. COffer high-calorie finger foods and drinks the patient can take while moving
4. DLeave meals in the room and let the patient eat whenever and whatever they choose

How should a portable oxygen cylinder be kept in a patient’s room?

1. ALying loose on the floor beside the bed
2. BLaid on the bed next to the patient
3. CPlaced next to a heater to keep it warm
4. DSecured upright in a stand or holder

Why can a patient with severe neutropenia have a serious infection but little redness, swelling or pus?

1. AThere are too few neutrophils to produce the usual inflammatory signs
2. BChemotherapy kills the bacteria before they can multiply
3. CAntibiotics given with chemotherapy hide all signs of infection
4. DNeutropenia makes infections stay limited to the skin

When several samples are drawn at the same venipuncture, which tubes or bottles are filled first?

1. ABlood culture bottles
2. BFluoride (glucose) tubes
3. CEDTA (complete blood count) tubes
4. DCoagulation (citrate) tubes

A patient on warfarin with an INR of 3,6 fell and hit their head an hour ago. They now report a worsening headache and drowsiness. What is the priority?

1. AEncourage rest in a dark room to settle the pain
2. BHold warfarin for one dose and observe at home
3. CGive acetaminophen (paracetamol) and recheck the INR tomorrow
4. DReport urgently for imaging and possible reversal

A patient on peritoneal dialysis notices the drained fluid has become cloudy and has abdominal pain. What is likely?

1. APeritonitis
2. BConstipation
3. CA urinary tract infection
4. DNormal dialysis fluid

Why is a large pleural effusion drained slowly rather than all at once?

1. AFluid drained quickly turns into blood
2. BSlow drainage stops the patient needing oxygen
3. CRapid drainage can cause re-expansion pulmonary oedema
4. DQuick drainage causes the effusion to spread to the other lung

Bir hastada 48 saatten uzun süredir atriyal fibrilasyon vardır ve elektif kardiyoversiyon için listededir. Öncesinde antikoagülasyon neden gereklidir?

1. AAntikoagülanlar şok için gereken elektrik enerjisini azaltır
2. BAntikoagülanlar şoku daha az ağrılı yapar
3. CAntikoagülanlar AF'yi sinüs ritmine döndürür
4. DSinüs ritmi geri geldiğinde atriyal pıhtılar yerinden oynayabilir

Four hours after abdominal surgery, a patient's heart rate has risen from 84 to 122/min and they are restless and pale. BP is still 118/76 mmHg, and the surgical drain is filling with blood. What should the nurse conclude?

1. AThe drain is working well, so no action is needed
2. BEarly haemorrhagic shock is likely, so escalate urgently
3. CThe tachycardia is from pain and needs only analgesia
4. DThe patient is stable because the blood pressure is normal

Hiperozmolar hiperglisemik durumla (HHD) ilgili hangi ifade doğrudur?

1. ADakikalar içinde gelişir ve DKA'dan daha az tehlikelidir
2. BHer zaman yüksek kan ketonlarına ve ağır metabolik asidoza yol açar
3. CEsas olarak tip 1 diyabetli küçük çocuklarda görülür
4. DEsas olarak günler içinde tip 2 diyabetli yaşlıları etkiler

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

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

Hangi elektrolit anormalliği ameliyat sonrası ileusa katkıda bulunabilir?

1. AHipernatremi
2. BHipokalemi
3. CHiperfosfatemi
4. DHiperkalemi

Yüksek voltajlı elektrik yaralanması olan bir hastada küçük giriş ve çıkış yaraları vardır. Neden yakın izlem gerekir?

1. AElektrik yaralanmaları deri yüzeyinin altında asla hasara yol açmaz
2. BTek gerçek risk deri yaralarının hafif enfeksiyonudur
3. CGizli kas hasarı: aritmiler, rabdomiyoliz, böbrek hasarı
4. DKüçük deri yaraları iç yaralanmanın da hafif olması gerektiğini gösterir