NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

Kardiyak monitör bir hasta için düz çizgi (asistoli) gösteriyor, ancak hasta oturuyor ve konuşuyor. Hemşire önce ne yapar?

1. AKalp durması ekibini çağırır
2. BŞok vermek için defibrilatörü hazırlar
3. CHemen göğüs kompresyonlarına başlar
4. DHastayı ve elektrot kablolarını kontrol eder

Yoğun bir vardiyada dört görev zamanı gelmiş. Hemşire hangisini önce yapmalıdır?

1. AŞüpheli sepsisi olan bir hasta için ilk doz IV antibiyotik
2. BYöneticilerin denetiminden önce hemşirelik bakım planını güncellemek
3. CStabil bir hastanın yarınki menü kartını doldurmasına yardım etmek
4. DAynı saatte verilmesi gereken rutin günlük vitamin tabletini vermek

Neisseria meningitidis olan bir hasta için damlacık önlemleri genellikle ne zaman sonlandırılır?

1. AYalnızca hasta taburcu olduktan sonra
2. B24 saatlik etkili antibiyotik tedavisinden sonra
3. CAntibiyotiğin ilk dozu verilir verilmez
4. DAteş bir saat boyunca düştükten sonra

Aktif akciğer tüberkülozu olan bir hasta ziyaretçilerin gelmesini istiyor. En iyi yanıt nedir?

1. ATelefon görüşmeleri de dahil tüm teması kalıcı olarak yasaklamak
2. BRiski açıklamak, ziyaretleri sınırlamak ve ziyaretçilere sağlanan korumayı kullanmayı öğretmek
3. CHastayı desteklemek için herhangi bir ziyaretçinin hiçbir önlem olmadan girmesine izin vermek
4. DZiyaretçilerden odaya girmek yerine açık kapıda durmalarını istemek

When blood is drawn from a central venous catheter, why is a small volume of blood usually discarded first, according to policy?

1. ATo remove blood clots that form in all central lines
2. BTo avoid diluting the sample with flush or infusion fluid
3. CTo check that the catheter tip is still in the right vein
4. DTo lower the patient's hemoglobin for a blood transfusion

A patient with suspected Cushing syndrome takes dexamethasone at night. The next morning, the cortisol is still high. What does this suggest?

1. AThe result is normal, as dexamethasone raises cortisol
2. BCortisol is being produced without normal feedback control
3. CThe patient has primary hypothyroidism instead
4. DThe adrenal glands are not able to produce enough cortisol

Why are patients with atrial fibrillation often given anticoagulants?

1. ATo lower the blood pressure
2. BTo convert the rhythm back to normal
3. CTo reduce the risk of stroke from clots in the atria
4. DTo slow the heart rate directly and prevent palpitations

A nurse teaches a patient with hypertension about their medicines. Which statement shows a need for further teaching?

1. A"I'll get up slowly from sitting."
2. B"I'll stop my tablets once my readings are normal."
3. C"I'll keep taking my tablets even if I feel well."
4. D"I'll have my blood pressure checked regularly."

A patient is on a short course of oral prednisolone for an asthma exacerbation. Which effect should the nurse monitor for?

1. ARaised blood glucose
2. BSlow heart rate
3. CLow blood sodium
4. DLow blood pressure

A nurse finds a patient collapsed in bed and unresponsive. What should the nurse do first?

1. AGive two rescue breaths, then check the blood glucose before calling anyone
2. BLeave the patient to fetch a defibrillator before calling anyone
3. CShout for help, open the airway and check breathing for up to 10 seconds
4. DTake a full set of observations, including temperature and blood glucose

Which approach helps most when talking to a patient with expressive aphasia?

1. AFinish their sentences quickly to save them effort
2. BAsk questions that can be answered with yes, no or a gesture
3. CSpeak louder, because the patient cannot hear well
4. DAvoid talking to them until their speech has recovered

Near the end of a haemodialysis session, a patient has painful leg cramps and a falling blood pressure. What is the most likely cause?

1. AAn allergic reaction to the needles
2. BFluid is being removed too quickly
3. CNot enough fluid is being removed
4. DThe dialysate is too cold

Which burn should usually be discussed with a specialist burns service even if it is small?

1. AA tiny burn on the forearm with redness only
2. BA partial-thickness burn on the hand
3. CA healed burn scar from many years ago
4. DA small superficial sunburn on the back

A patient with diabetes on continuous enteral feeding and an insulin regimen has the feed stopped for a procedure. What is the main concern?

1. AHypoglycaemia if insulin continues without the feed
2. BHyperglycaemia because the stomach is empty
3. CDiarrhoea from stopping the feed suddenly
4. DRefeeding syndrome from too much glucose