NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

Gündüz salonunda yemek yiyen yetişkin bir hasta aniden boğazını tutuyor ve konuşamıyor, soluyamıyor veya öksüremiyor. Hemşire önce ne yapmalıdır?

1. AYiyeceği aşağı itmesi için hastaya bir bardak su vermek
2. BHastanın öksürerek çıkarıp çıkaramayacağını beklemek
3. CYardım çağırmak ve sırta vurular ile abdominal itmeler uygulamak
4. DAğızda kör parmak taraması yapmak

Four patients arrive at the emergency department at the same time. Who should be seen first?

1. AAn older adult with weakness on one side that began 40 minutes ago
2. BA child with a temperature of 39 °C who is alert and drinking
3. CA young adult with a swollen, painful ankle after a fall on the stairs
4. DAn adult with kidney stone pain of 9/10 and stable vital signs

Fiziksel kısıtlama kullanımıyla ilgili hangi ifade doğrudur?

1. AKısıtlamalar her vardiyanın sonunda bir kez kontrol edilir
2. BÖnce alternatifler denenir ve süreyle sınırlı bir istem gerekir
3. CGerektiğinde uygulanacak sürekli kısıtlama istemleri iyi uygulamadır
4. DBirimde hemşire sayısı yetersiz olduğunda her zaman kullanılabilir

A nurse has just started a unit of red blood cells when a colleague asks for urgent help with another patient. What is the best action?

1. ASpeed up the transfusion so it finishes sooner
2. BLeave to help the other patient, and check the transfusion again in about an hour
3. CPause the transfusion until the nurse is free again
4. DStay with the transfusing patient for the first 15 minutes and ask another nurse to help

Fenitoin kullanan bir hastanın düzeyi 28 mcg/mL'dir (olağan aralık yaklaşık 10–20 mcg/mL). Hemşire hangi bulguları beklemelidir?

1. AYüksek, sivri T dalgaları
2. BAçlık ve kilo alımı
3. CNistagmus, dengesiz yürüyüş ve peltek konuşma
4. DYalnızca hiperaktif davranış ve uykusuzluk

Bir hastanın total kalsiyumu 7,9 mg/dL (2,0 mmol/L), albümini 2,4 g/dL (24 g/L)'dir ve belirti yoktur. Gerçek hipokalsemi olup olmadığını hangi test en iyi açıklığa kavuşturur?

1. AHbA1c
2. Bİdrar özgül ağırlığı
3. Cİyonize kalsiyum
4. DSerum sodyumu

Which type of painkiller should a patient with liver cirrhosis usually avoid?

1. ALocal anaesthetic creams
2. BParacetamol (acetaminophen), given in a carefully reduced and monitored dose
3. CHot packs applied to a painful joint
4. DNon-steroidal anti-inflammatory drugs such as ibuprofen

Akut pankreatiti olan bir hastada sırta yayılan şiddetli epigastrik ağrı var. En önemli hemşirelik bakımı hangisidir?

1. AGözlem yapmadan sıkı yatak istirahati
2. BPankreası uyarmak için büyük, yağlı bir öğün
3. CTüm sıvıların kısıtlanması
4. DYeterli ağrı kontrolü, IV sıvılar ve yakın sıvı dengesi izlemi

Why should a long-acting beta-2 agonist (LABA) never be used alone in asthma?

1. AIt works only when it is taken together with a course of antibiotics
2. BIt always causes immediate severe bronchospasm when used on its own
3. CIt cannot be inhaled without a nebuliser
4. DWithout an inhaled steroid, it is linked with severe and fatal attacks

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

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

Why is pyridostigmine often taken about 30–60 minutes before meals by patients with myasthenia gravis?

1. ATo lower the blood glucose rise after eating a meal
2. BTo stop the drug from irritating an empty stomach later on
3. CTo reduce stomach acid so the food is digested better
4. DTo improve the strength of chewing and swallowing at mealtimes

A patient with Parkinson's disease is nil by mouth after abdominal surgery. Their levodopa is due. What is the best action?

1. AOmit the dose until the patient can swallow again
2. BGive the tablets with a sip of water anyway
3. CContact the prescriber or pharmacist about another route
4. DGive double the dose once eating restarts

Why are urinary catheters removed as early as possible after surgery?

1. ABecause catheters always cause kidney stones
2. BBecause the catheter stops the bowel working
3. CTo reduce the risk of catheter-associated infection
4. DBecause patients cannot drink normally while a catheter is in place

During preoperative assessment, a patient says their brother had a "very high fever" during an anaesthetic. What is the most important action?

1. AGive paracetamol before surgery to prevent fever
2. BReassure the patient that fevers after anaesthesia are always harmless
3. CInform the anaesthetist, as malignant hyperthermia may run in the family
4. DRecord it as a family allergy to paracetamol