NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A patient at 35 weeks of pregnancy with high blood pressure calls the clinic. Which symptom needs urgent assessment?

1. ANeeding to pass urine more often
2. BBackache after a long walk
3. CA severe headache with blurred vision
4. DMild ankle swelling at the end of the day

Yeni trakeostomili bir hasta öksürüyor, gürültülü soluyor ve SpO₂’si %86’ya düştü. İlk eylem nedir?

1. ATrakeostomiyi aspire etmek
2. BTrakeostomi bağlarını değiştirmek
3. CSpO₂’yi belgelemek ve 30 dakika sonra yeniden kontrol etmek
4. DNebülize bir bronkodilatör vermek

Where should the drainage bag of an indwelling urinary catheter be kept?

1. ABelow the level of the bladder and off the floor
2. BOn the floor under the bed, where it is out of the way
3. COn the bed next to the patient’s hip
4. DHung on the IV pole above the patient

A nurse teaches new parents about safe infant sleep. Which statement shows a need for further teaching?

1. A“We will not smoke near the baby.”
2. B“We will put a soft bumper pad and a blanket in the crib so the baby is cozy.”
3. C“We will lay the baby on the back for every sleep, including naps.”
4. D“We will keep the crib in our room, next to our bed, for the first months.”

The heparin infusion rate was changed according to protocol. When is the aPTT usually rechecked?

1. AAbout 3 days after the change
2. BAbout 6 hours after the change
3. COnly after the infusion is stopped
4. DAbout 30 minutes after the change

A patient's total calcium is 7,6 mg/dL and the albumin is 2,0 g/dL. Using the common correction (add 0,8 mg/dL for each 1 g/dL that albumin is below 4,0), what is the corrected calcium?

1. A6,0 mg/dL, well below the normal range
2. B9,2 mg/dL, within the normal range
3. C7,6 mg/dL, below the normal range
4. D11,6 mg/dL, above the normal range

A nurse gives a patient analgesia for post-operative pain. What should be done next?

1. AAssume the pain has gone if the patient is quiet and has their eyes closed
2. BWait until the next shift before asking the patient about the pain
3. CGive a second analgesic straight away just in case
4. DReassess the pain and any side effects once the drug has had time to work

A patient with a COPD exacerbation remains acidotic with a high PaCO₂ despite optimal medical treatment and controlled oxygen. Which treatment is usually considered next?

1. ASedation to slow the breathing
2. BNon-invasive ventilation
3. C15 L/min oxygen via a non-rebreathe mask
4. DStopping all oxygen therapy

A patient has chest pain at rest in the early morning with brief ST elevation that resolves. Coronary arteries are later found to be clear. Which condition is most likely?

1. AAortic stenosis
2. BVasospastic (Prinzmetal) angina
3. CAcute pericarditis
4. DStable exertional angina from a fixed plaque

A patient with infective endocarditis is on IV gentamicin with another antibiotic. Which monitoring is most important?

1. APeak flow readings and spirometry before and after each dose
2. BLiver size by daily palpation and weekly abdominal ultrasound
3. CBlood glucose only
4. DDrug levels, renal function and hearing or balance changes

Why is levodopa combined with carbidopa (or benserazide)?

1. ATo make levodopa cross into the brain more slowly and evenly
2. BTo add a separate effect that reduces the resting tremor directly
3. CTo stop levodopa being converted to dopamine outside the brain
4. DTo prevent tolerance from developing to levodopa over time

An 84-year-old man became more confused a week after starting oxybutynin. Infection has been ruled out. What should the nurse suspect?

1. AAnticholinergic side effects of the drug
2. BA symptom of a high potassium from the drug
3. CNormal ageing that needs no review
4. DA sign that the drug dose is too low

How should a patient with facial burns usually be positioned?

1. ALying face down on the pillow to protect the airway
2. BIn any position that keeps the face covered
3. CLying flat with the head lower than the feet
4. DWith the head of the bed raised to reduce swelling

A patient with cirrhosis and ascites has a falling urine output and a rising creatinine. They have not received nephrotoxic drugs and are not dehydrated. Which complication is likely?

1. ANephrotic syndrome
2. BHepatorenal syndrome
3. CPolycystic kidney disease
4. DUrinary tract infection