NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

Sorumlu hemşirenin bir yatağı boşaltması gerekiyor. Hangi hasta taburculuk veya daha düşük düzeyli bakıma nakil için en uygundur?

1. ABağırsak ameliyatından sonra 1. gün; yeni 38,5 °C ateş
2. Bİki saat önce göğüs ağrısıyla yatırılmış; troponin sonucu hâlâ bekleniyor
3. CPnömoni; oksijen gereksinimi gece boyunca 2’den 4 L/dk’ya yükselmiş
4. DKomplike olmayan apendektomiden sonra 3. gün, yemek yiyor, oral analjezi alıyor

Weeks after a kidney transplant, a patient has a fever, less urine and tenderness over the new kidney. What should the nurse suspect?

1. ANormal healing of the transplant
2. BRejection of the transplant
3. CDehydration from drinking too much
4. DA side effect of eating salty food

A patient cannot bear weight and cannot help with transfers. Which method is safest to move the patient from bed to chair?

1. AOne nurse doing a standing pivot transfer
2. BTwo nurses lifting the patient under the arms
3. CA mechanical lift used by enough trained staff
4. DAsking the patient to stand and try their best

In START triage at a mass-casualty incident, a casualty cannot walk, breathes 20 times a minute, has a radial pulse and follows simple commands. Which category applies?

1. AGreen (minor)
2. BBlack (expectant or dead)
3. CYellow (delayed)
4. DRed (immediate)

When should a blood specimen tube be labeled?

1. AAt the nurses' station, after all samples for the shift are drawn
2. BAt the bedside, in the patient's presence, using two identifiers
3. CBefore entering the room, so tubes are ready for the next patients
4. DIn the laboratory, by the staff who receive the unlabeled sample

A patient with severe sepsis is oozing blood from IV sites. Platelets 40 × 10³/µL, fibrinogen low, D-dimer very high, PT and aPTT both prolonged. Which condition fits best?

1. AHemophilia A (factor VIII deficiency)
2. BImmune thrombocytopenic purpura (ITP)
3. CHeparin-induced thrombocytopenia (HIT)
4. DDisseminated intravascular coagulation (DIC)

A patient taking a statin reports unexplained muscle pain and weakness. What should the nurse do?

1. AReassure them that this is a sign the drug is working
2. BAdvise more vigorous exercise to work through it
3. CReport it, as statins can cause muscle damage
4. DTell them to double the dose

Which patient should the nurse assess first?

1. AA patient with diabetes whose glucose is 11 mmol/L (198 mg/dL) before lunch
2. BA postoperative patient who rates their pain as 6/10
3. CA patient with COPD whose SpO₂ is 89% and within their target range
4. DA patient with asthma who can only speak in single words

Why is pyridoxine (vitamin B6) often given with isoniazid?

1. ATo prevent gout attacks
2. BTo prevent loss of colour vision
3. CTo prevent peripheral neuropathy
4. DTo prevent orange discolouration of urine

A patient with life-threatening asthma has not responded to repeated nebulised salbutamol (albuterol), ipratropium and steroids. Which drug is commonly given intravenously next?

1. AIntravenous furosemide
2. BMagnesium sulfate
3. CMetoprolol
4. DMorphine

Hipofiz ameliyatından sonra bir hasta üç saat boyunca saatte 400 mL düşük dansiteli idrar yapıyor. Hemşire ne düşünmelidir?

1. AAkut böbrek hasarı
2. BDiabetes insipidus
3. CSIADH
4. DNormal diürez

The nurse has four urology patients. Which one needs to be seen first?

1. AA patient with a nephrostomy who has rigors and a BP of 86/50 mmHg
2. BA patient after TURP with light pink drainage and mild discomfort
3. CA patient with stress incontinence asking about pelvic floor exercises
4. DA patient with a suprapubic catheter due for a routine change

Why does a patient need lifelong vitamin B₁₂ injections after total gastrectomy?

1. AIntrinsic factor from the stomach is no longer made
2. BThe liver can no longer store any vitamins
3. CThe small bowel stops absorbing all nutrients
4. DVitamin B₁₂ is lost in the urine after the surgery

A patient arrives in the anaesthetic room without an identity band. What should the nurse do?

1. AStop and confirm identity, then apply a band
2. BProceed and add a band once in recovery
3. CUse the spare identity band from the front of the patient's notes folder
4. DProceed because the patient can say their name