NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

An older patient becomes confused over a few hours, with attention that comes and goes. What does this suggest?

1. ALong-standing dementia that is expected
2. BDelirium, which needs the cause found quickly
3. CNormal aging that needs no action
4. DA personality change that is permanent and expected

A patient has peripheral arterial disease with a non-healing ulcer on the toe. Which advice about leg position is correct?

1. ASit with the legs crossed to improve blood flow
2. BKeep the legs level or slightly lowered, not raised
3. CKeep the legs raised above the heart as much as possible
4. DWrap the legs tightly with compression bandages

An adult with hepatitis A is incontinent of stool. Which precautions are used?

1. AContact precautions in addition to standard precautions
2. BDroplet precautions with a surgical mask
3. CA protective environment with filtered air
4. DAirborne precautions in a negative-pressure room with the door closed

Konfüze bir hasta nazogastrik sondayı sürekli çekiştiriyor. Önce hangi yaklaşım denenmelidir?

1. AYeniden oryantasyon ve refakatçi gibi daha az kısıtlayıcı önlemler
2. BSondayı korumak için hemen bilek kısıtlayıcıları
3. CEkibe danışmadan sondayı çıkarmak
4. DHastanın gece sessizce uyuması için bir sedatif

A patient without symptoms has a fasting plasma glucose of 132 mg/dL (7,3 mmol/L) on Monday and 138 mg/dL (7,7 mmol/L) on Thursday. What does this show?

1. AThe results show prediabetes only
2. BThe results meet the criteria for diabetes
3. CThe results show reactive hypoglycemia
4. DThe results are within the normal fasting range

After a crush injury, a patient's urine dipstick is strongly positive for blood, but microscopy shows almost no red cells. CK is very high. What best explains this?

1. AA kidney stone is scraping the ureter lining
2. BMyoglobin from damaged muscle is in the urine
3. CBleeding is coming from the bladder lining
4. DThe sample was contaminated with menstrual blood

Which technique is correct when suctioning through a tracheostomy?

1. ASuction every 15 minutes whether or not secretions are present
2. BApply suction continuously while inserting the catheter as far as it will go
3. CKeep suctioning for at least a minute each time to clear all the secretions
4. DApply suction only while withdrawing the catheter, for no more than about 10–15 seconds

A patient with an epidural catheter develops new back pain and increasing leg weakness when the block should be wearing off. What should be suspected?

1. AAn epidural haematoma or abscess compressing the spinal cord
2. BThe normal expected effect of the local anaesthetic
3. CMuscle strain from lying in the same position in bed for many hours
4. DMild hypokalaemia

Before the first treatment dose of a low-molecular-weight heparin for a PE, what does the nurse need to make sure of?

1. AAn accurate, recent body weight is recorded
2. BA chest drain is in place
3. CThe patient's blood glucose is above 10 mmol/L (180 mg/dL)
4. DThe patient has fasted for 12 hours

A patient who has had a total laryngectomy becomes breathless and needs oxygen. How should it be given?

1. AVia a non-rebreather mask over the mouth only
2. BVia nasal cannula at 2 L/min
3. CVia a mask or humidified device over the neck stoma
4. DVia a standard face mask over the nose and mouth

Which lifestyle advice best helps a patient with epilepsy reduce their seizures?

1. AKeep regular sleep and take every dose on time
2. BDrink coffee in the evening to stay alert
3. CSkip a dose on days without any warning signs
4. DAvoid all physical exercise and stay indoors

An 89-year-old with stage 5 CKD and severe heart failure, who has capacity, decides not to start dialysis. What is the nurse's best response?

1. ARespect the decision and support symptom-focused care
2. BStop all care, because nothing more can be done
3. CTell the patient they must start dialysis by law
4. DAsk the family to change the patient's mind

A patient had an upper GI endoscopy with a local anaesthetic throat spray. What must the nurse check before giving a drink?

1. AThat swallowing and the gag reflex have returned
2. BThat the patient has passed urine since the procedure
3. CThat the patient's blood glucose is above normal
4. DThat bowel sounds are present in all four quadrants

During a nasogastric feed, a patient starts coughing and SpO₂ falls from 96% to 89%. What should the nurse do first?

1. AStop the feed and assess the airway and breathing
2. BLay the patient flat to help them rest
3. CGive a drink of water to clear the throat
4. DIncrease the feed rate to finish it sooner