NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A woman calls to say her husband suddenly has a drooping face and slurred speech. What should the nurse advise?

1. ACall emergency services now and note the time it started
2. BDrive him to the hospital yourself after he has eaten dinner
3. CBook an appointment with his doctor next week
4. DLet him lie down and see if it improves

A patient has a wrist restraint. The nurse finds the fingers on that hand pale, cool and tingling. What should the nurse do first?

1. ADocument the finding and continue with the medication round
2. BTighten the restraint so the patient moves less
3. CRaise the arm on a pillow and check again in two hours
4. DLoosen the restraint and assess the circulation

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

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

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

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

A patient with diabetes is found unconscious with a blood glucose of 38 mg/dL (2,1 mmol/L). Which treatment is appropriate?

1. AGlucagon by injection, or IV dextrose as prescribed
2. BGlucose tablets placed between the patient's teeth
3. CA dose of rapid-acting insulin to stabilize the glucose
4. DOrange juice poured slowly into the patient's mouth

İki hafta önce büyük bir kan transfüzyonu alan bir hastada HbA1c sonucu neden yanıltıcı olabilir?

1. AHbA1c her durumda doğrudur
2. BTransfüzyonlar HbA1c'yi her zaman yanlış biçimde yüksek düzeylere çıkarır
3. CHbA1c şekeri eritrositlerde değil, beyaz hücrelerde ölçer
4. DEritrositlerin çoğu, hastanın glikozuna maruz kalmamış donör hücreleridir

A patient has lost more than 10% of their body weight without trying over the last few months and has a low BMI. What is the most appropriate action?

1. ARefer to the dietitian and start a nutrition care plan with food charts
2. BRestrict fluids to encourage appetite and give a low-protein diet instead
3. CEncourage a low-calorie diet
4. DWeigh the patient again in six months and review at that point

Uzun süreli steroid kullanan bir hasta kusma ve atlanan dozlardan sonra hipotansiyon ve konfüzyonla akut olarak kötüleşiyor. Hangi acil durum düşünülmelidir?

1. AAdrenal kriz
2. BTiroid fırtınası
3. CHiperkalsemi
4. DDiabetes insipidus

A patient's blood pressure is 120/60 mmHg. What is the approximate mean arterial pressure?

1. A100 mmHg
2. B60 mmHg
3. C90 mmHg
4. D80 mmHg

A patient who injects drugs has a fever, a new heart murmur and splinter haemorrhages. Before antibiotics are started, what is most important?

1. ATake several sets of blood cultures from separate sites
2. BArrange an exercise ECG test
3. CTake a single blood culture from the cannula
4. DWait for an echocardiogram before taking any samples

A patient taking warfarin is diagnosed with an intracerebral haemorrhage. What is the priority treatment?

1. ADoubling the warfarin dose to stabilise the INR
2. BStarting aspirin to prevent further clots
3. CIV thrombolysis within 4,5 hours
4. DUrgent reversal of the anticoagulant effect

Six hours after a catheter is removed, a patient has not passed urine and feels uncomfortable. What should the nurse do?

1. ADo a bladder scan to check for retention
2. BPut the catheter back without assessing
3. CTell the patient to drink two litres of water quickly
4. DWait until the next morning before checking

Which is a common side effect of opioids, especially when given by epidural or spinal route?

1. AHair growth
2. BItching
3. CRinging in the ears
4. DIncreased hunger

Using the adult rule of nines, what is the total burn area of the whole right arm plus the whole front of the trunk (both with partial-thickness burns)?

1. A27%
2. B45%
3. C18%
4. D36%