NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

Stabil bir erişkinde karın ağrısı ve normal yaşam bulguları var. Kan testlerine ve BT taramasına ihtiyacı olacak. Hangi ESI seviyesi uygundur?

1. ASeviye 3
2. BSeviye 1
3. CSeviye 4
4. DSeviye 5

Two days after starting haloperidol, a patient suddenly develops painful neck twisting and the eyes roll upwards. What should the nurse anticipate?

1. APhysical restraint until the spasm passes
2. BA higher dose of haloperidol to calm the patient and stop the movements quickly
3. CNo action, because the spasm is a sign of improvement
4. DAn anticholinergic drug, such as benztropine or procyclidine, as prescribed

A person in scrubs without a hospital ID badge asks to take a newborn to the nursery. What should the nurse do?

1. ALet the parents decide whether to hand the baby over
2. BRefuse, keep the baby with the mother and alert security
3. CHand over the baby if the person seems confident
4. DAsk the person their name and then give them the baby

A nurse has a needlestick from a patient with hepatitis B. The nurse finished the vaccine series and has a documented protective antibody level. Which statement is correct?

1. AHepatitis B immune globulin and a complete new vaccine series are both needed at once
2. BNo hepatitis B treatment is needed, but the injury is still reported and followed up
3. CThe nurse must stop all patient care for six months
4. DNo reporting is needed because the nurse is immune

Hangi faktör bir hastanın lityum düzeyini yükseltme olasılığı en yüksek olandır?

1. ADehidratasyon veya sodyum alımında ani düşüş
2. BBirkaç gün boyunca her zamankinden fazla tuz yemek
3. CSıcak havada her zamankinden fazla sıvı içmek
4. DHer dozu öncesinde değil, yemekle birlikte almak

A child with sickle cell disease and a recent viral illness is pale and tired. The hemoglobin has fallen sharply, and the reticulocyte count is very low. What is the most likely problem?

1. AA vaso-occlusive pain crisis in the bones
2. BA normal finding in sickle cell disease
3. CIron deficiency from a poor diet over months
4. DAn aplastic crisis, often caused by parvovirus B19

Why does a patient with a suspected TIA need urgent specialist assessment?

1. AThe symptoms will come back permanently within an hour
2. BThe risk of a full stroke is highest in the days after a TIA
3. CA TIA always turns into a brain tumour unless it is treated
4. DThe patient needs urgent surgery on the brain

A patient with poorly controlled hyperthyroidism develops a high fever, very fast heart rate, agitation and vomiting during an infection. What is likely?

1. AThyroid storm
2. BAddisonian crisis
3. CHypoglycaemia
4. DMyxoedema coma

Why are patients with mitral stenosis at high risk of atrial fibrillation?

1. AThe left atrium enlarges as it pushes blood through the narrow valve
2. BThe narrow valve presses on the sinus node and slows it down directly
3. CThe coronary arteries become blocked by the valve
4. DThe right ventricle shrinks and stops contracting properly over time

Radiyal arter yoluyla yapılan kardiyak kateterizasyondan sonra en önemli değerlendirme hangisidir?

1. ADört saatte bir idrar dansitesi
2. BTestten sonra her saat bağırsak sesleri ve karın çevresi
3. CHer 15 dakikada pupil boyutu ve ışığa yanıtı
4. DElin dolaşımı, duyusu ve hareketi ile giriş yeri

After a kidney biopsy, which observation is most important?

1. AThe patient's appetite at the next meal
2. BThe temperature every four hours only
3. CThe colour of the patient's skin on the face
4. DSigns of bleeding, such as haematuria and a rising pulse

A prescription reads "Insulin 10U". Why is this a safety problem?

1. AInsulin doses must always be written in millilitres
2. BThere is no problem as long as the nurse can read it
3. C"U" means the insulin must be given intravenously
4. D"U" can be misread as a zero, giving a tenfold dose

Why is blood lactate measured when sepsis is suspected?

1. AIt measures the effect of antibiotics on the kidney
2. BA raised level suggests poor tissue perfusion
3. CIt shows which bacteria are causing the infection
4. DIt replaces the need for blood cultures

Bilinen prostat kanseri olan bir hasta yeni, kötüleşen bel ağrısı ve bacak güçsüzlüğü bildiriyor. En önemli eylem nedir?

1. AEvde parasetamolle dinlenmeyi öğütlemek ve bir sonraki poliklinik ziyaretinde değerlendirmek
2. BBel ağrısının yaygın olduğunu ve ciddi olmadığını söyleyerek hastayı rahatlatmak
3. CÖnümüzdeki ay bel ağrısı için rutin fizyoterapi ayarlamak
4. DOlası omurilik basısı: üst basamağa bildirmek, reçete edildiği şekilde steroidler, acil MRG