NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A patient on a continuous IV heparin infusion has new black, tarry stools and an aPTT well above the target range. What should the nurse do first?

1. AOffer an iron-rich meal to replace the lost blood
2. BCheck the pump rate and leave the infusion running
3. CGive a dose of vitamin K by mouth
4. DStop the heparin infusion and inform the provider

Bir hasta santral hattan parenteral beslenme alıyor. Hangi bulgu acil müdahale gerektirir?

1. AHattın üzerinde kuru, bütün bir pansuman
2. BDünden beri 0,2 kg kilo alımı
3. Cİnfüzyon sürerken 150 mg/dL (8,3 mmol/L) glikoz
4. Dİnfüzyon beklenmedik biçimde durduktan sonra terleme, titreme ve 62 mg/dL (3,4 mmol/L) glikoz

A peripheral IV site is red, warm and tender along the vein. What should the nurse do?

1. ARemove the catheter and insert a new one at another site if still needed
2. BFlush the catheter harder to clear the vein and keep using the same site
3. CApply a warm pack and keep using the same site
4. DIncrease the infusion rate to finish the bag sooner

Bir hemşire 10 000 birim/mL içeren bir heparin flakonu alıyor; servis genellikle 1000 birim/mL'lik flakonlar bulunduruyor. Neden ekstra dikkat gerekir?

1. AKonsantre flakon daha az hacim çekildiği için daha güvenlidir
2. BDaha konsantre flakonun yanlışlıkla kullanılması on kat doz aşımına yol açar
3. CHeparin konsantrasyonunun güvenliğe etkisi yoktur
4. Dİki flakon gücü serbestçe birbiriyle değiştirilebilir

A patient with recurrent gout starts allopurinol. Which laboratory result shows that the treatment is achieving its goal?

1. AA falling serum potassium
2. BA rising serum calcium
3. CA rising white cell count
4. DA falling serum uric acid

The nurse teaches a patient with severe neutropenia after chemotherapy. Which statement shows a need for further teaching?

1. A"I'll avoid people who have a cold or the flu"
2. B"I'll call the clinic if my temperature rises"
3. C"I'll wash my hands before eating and after the toilet"
4. D"I'll check my temperature rectally to be accurate"

A patient is prescribed two different eye drops at the same time. What is correct?

1. AWait about five minutes between the two drops
2. BGive both drops at once into the same eye
3. CMix the two drops in one bottle
4. DGive one drop now and the other the next day

A nurse teaches a patient with reflux disease. Which statement shows a need for further teaching?

1. A"A big meal just before bed is fine if I take my tablet."
2. B"I will raise the head of my bed with blocks."
3. C"I will try to lose some weight over the next months."
4. D"I will cut down on alcohol."

Why must intravenous potassium chloride never be given as a rapid push or undiluted?

1. AIt works only when given by mouth
2. BA sudden high potassium level can cause cardiac arrest
3. CIt immediately lowers the blood glucose to dangerous levels
4. DIt turns into solid crystals inside the vein and blocks it

A patient with COPD who is known to retain CO₂ arrives on 15 L/min oxygen. They are now drowsy with SpO₂ 99%. What is the most appropriate action?

1. ARemove the oxygen completely and observe
2. BGive a sedative to help the patient rest
3. CKeep the oxygen at 15 L/min because the saturation is excellent
4. DReduce the oxygen to aim for 88–92% and get a blood gas

Which action is part of an effective bowel programme after a spinal cord injury?

1. AUsing strong laxatives only when the bowel has not opened for a week
2. BA routine at the same time each day, often after a meal
3. CRestricting fluids to reduce the volume of stool
4. DAvoiding fibre to prevent bloating

Akut tübüler nekrozdan iyileşen bir hasta poliürik evreye giriyor ve günde 4 L'nin üzerinde idrar yapıyor. Başlıca hemşirelik endişesi nedir?

1. ADistandü mesanede idrar retansiyonu
2. BDüşük potasyum ve sodyumla birlikte dehidratasyon
3. CYüksek potasyum düzeyleriyle birlikte sıvı yüklenmesi
4. DFazla insülinin neden olduğu hipoglisemi

What is the most important safety point about misoprostol?

1. AIt strongly raises blood glucose in people with diabetes
2. BIt causes severe constipation in most patients
3. CIt can cause miscarriage and must not be used in pregnancy
4. DIt must be given only by deep intramuscular injection

A surgical patient's MUST score is 3 and the wound is healing slowly. What is the most appropriate action?

1. ARestrict protein to help the kidneys
2. BRepeat the score in three months' time
3. CRefer to the dietitian, start a nutrition plan and monitor intake
4. DEncourage fasting to reduce wound exudate and the size of the dressing