NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

IV antibiyotik infüzyonu sırasında bir hastada kurdeşen, hırıltı ve boğuk ses gelişiyor. Hemşire önce ne yapar?

1. Aİnfüzyonu yarı hızına düşürür
2. BReaksiyonu dosyaya belgeler
3. Cİnfüzyonu durdurur
4. DOral difenhidramin verir

A victim heavily contaminated with an industrial chemical arrives at the emergency department with stable vital signs. What should happen first?

1. AFull assessment inside the main department straight away
2. BDecontamination before the victim enters the treatment area
3. CPlacing the victim in the waiting room until a doctor is free
4. DTaking the victim straight to the X-ray department

Which information must be documented when a patient is restrained?

1. AThe reason, alternatives tried, type of restraint, times and regular assessments
2. BOnly the name of the nurse who applied it and the unit where it happened
3. COnly the time the restraint was put on and the time it was taken off
4. DOnly whether the family agreed to the restraint

A nurse notices that the pharmacy has sent the wrong dose and corrects it before giving it. Should the event be reported?

1. AYes, near misses are reported so system weaknesses can be fixed
2. BNo, because reporting near misses only blames the pharmacy staff for nothing
3. COnly if the same error happens three times
4. DNo, because the patient was not harmed

Which instruction is correct for a patient starting oral iron tablets?

1. AYour urine will turn bright orange while you take it
2. BYour stools may turn dark green or black
3. CTake each tablet with milk to protect the stomach
4. DTake the tablet with an antacid to improve absorption

IV insülin infüzyonundaki bir hastanın kan glikozu 65 mg/dL'dir (3,6 mmol/L). En iyi eylem nedir?

1. AAynı hızda devam etmek ve dört saat sonra yeniden kontrol etmek
2. BKalbi korumak için oral potasyum vermek
3. Cİnfüzyonu durdurmak ve glikoz kontrolünü sabaha bırakmak
4. DDüşük glikoz protokolünü izlemek ve sağlık profesyonelini bilgilendirmek

Tip 1 diyabetli bir hasta kusuyor ve az yiyor. Doğru hasta gün (sick-day) önerisi nedir?

1. Aİnsülini kesmeyin; glukoz ve ketonları daha sık kontrol edin
2. BGlukozu yalnızca günde bir kez kontrol edin
3. CHipoglisemiyi önlemek için normal yemeye başlayana kadar insülini kesin
4. DKusmayı önlemek için sıvı alımını yarıya indirin

During a general anaesthetic, a patient develops a rapidly rising temperature, muscle rigidity and rising carbon dioxide levels. What should be suspected?

1. ANeuroleptic malignant syndrome from antipsychotics
2. BPostoperative infection
3. CMalignant hyperthermia
4. DA normal response to surgery

Why is a non-selective beta-blocker such as propranolol usually avoided in a patient with asthma?

1. AIt makes inhaled corticosteroids work too strongly
2. BIt thickens airway mucus by drying the airways
3. CIt raises the heart rate sharply during an acute asthma attack
4. DIt can cause bronchospasm by blocking beta-2 receptors

A patient with severe aortic stenosis is prescribed glyceryl trinitrate (nitroglycerin) for chest pain. Why should the nurse use particular caution?

1. AGTN makes the narrowed aortic valve tighten further within a few minutes
2. BThere is no reason for caution, because GTN acts only on the coronary arteries
3. CGTN raises the blood pressure dangerously in aortic stenosis
4. DVasodilators can cause a severe fall in BP with a fixed outflow obstruction

DKA için IV insülin verilirken potasyum neden yakından izlenmelidir?

1. Aİnsülin böbreklerin potasyum tutmasına yol açar, bu nedenle düzey yükselir
2. Bİnsülinin DKA'da potasyum üzerinde etkisi yoktur
3. Cİnsülin potasyumu hücrelere sokar, bu nedenle düzey hızla düşebilir
4. Dİnsülin kan dolaşımındaki potasyumu parçalar

Haftalardır ilacını almamış hipotiroidili bir hasta hipotermik ve uykulu, nabzı 46/dk, düşük sodyumlu ve yüksek PaCO₂'li olarak yatırılıyor. En olası durum hangisidir?

1. AAdrenal kriz
2. BSıcak çarpması
3. CTiroid fırtınası
4. DMiksödem koması

Which patient is at highest risk of refeeding syndrome?

1. AA patient with a normal BMI eating three meals a day
2. BAn underweight patient who has eaten very little for 10 days
3. CA healthy adult after an overnight fast for minor surgery
4. DA patient who missed one lunch because of a scan

A patient with a sacral pressure ulcer keeps sliding down the bed when the head is raised high. Which advice best reduces shear?

1. ARaise the head of the bed to 90° and pull the patient up the bed by the arms
2. BKeep the head of the bed at or below 30° if possible; use slide sheets
3. CSit the patient upright without any support for the feet
4. DUse a dry sheet and drag the patient up the bed