NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A patient receives hemodialysis this morning. Which type of medication is often held before dialysis, as prescribed?

1. AEye drops for glaucoma
2. BInhaled bronchodilators
3. CTopical skin creams
4. DAntihypertensive drugs

Bir cerrahi birimde hemşire ameliyat sonrası hangi hastayı önce görmelidir?

1. AMesane irrigasyonlu prostat ameliyatı sonrası: açık pembe idrar, pıhtı yok
2. BKarotis endarterektomisinden 6 saat sonra: boyun şişliği artıyor, yutmanın zor olduğunu söylüyor
3. CKalça protezinden 2 gün sonra: hareketle ağrı 5/10, analjezik 1 saat önce verilmiş
4. DKolostomi açılmasından 2 gün sonra: stoma nemli ve pembe, az miktarda çıkış

A nurse has just given an intramuscular injection with a safety needle. What should the nurse do next with the needle?

1. AActivate the safety device and drop it into a sharps container at once
2. BLay it on the medication tray and discard it later
3. CRecap it carefully with both hands and dispose of it after the drug round
4. DBend the needle to make it unusable, then discard it

A patient given naloxone for an opioid overdose wakes up. An hour later, the patient is drowsy again with slow breathing. What is the likely reason?

1. AThe patient is now allergic to naloxone
2. BNaloxone itself causes slow breathing and drowsiness once it has been given
3. CNaloxone wears off sooner than many opioids, so the opioid effect returns
4. DThe patient is simply tired after the event

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 falling serum uric acid
3. CA rising serum calcium
4. DA rising white cell count

In the first 24 hours after a major burn, which laboratory pattern is most expected?

1. ALow sodium and low hematocrit
2. BHigh calcium and high albumin
3. CLow potassium and low hematocrit
4. DHigh potassium and high hematocrit

For a patient in skin traction on the leg, which is correct?

1. AThe weights hang freely and do not rest on the bed or floor
2. BThe weights rest on the floor overnight
3. CThe weights are removed whenever the patient feels uncomfortable
4. DThe rope is tied to the bed frame to keep it still

Konsantre potasyum klorür neden asla hızlı damar içi enjeksiyonla verilmemelidir?

1. AAni böbrek yetmezliğine neden olur
2. BDamarda kristalleşir ve kanülü tıkar
3. CHızlı verilirse etkisi olmaz
4. DÖlümcül kalp ritim bozukluklarına yol açabilir

A patient with a regular narrow-complex tachycardia of 180/min is alert with a normal blood pressure. What is usually tried first?

1. AVagal manoeuvres such as a modified Valsalva
2. BA large oral dose of digoxin
3. CChest compressions until the rate slows
4. DAn immediate unsynchronised shock with the defibrillator

The monitor of a patient with a permanent pacemaker shows pacing spikes, but none of them is followed by a QRS complex. What does this mean?

1. ANormal pacemaker function
2. BFailure to sense
3. CFailure to capture
4. DAtrial fibrillation

Which picture fits Brown-Séquard syndrome?

1. ALoss of all feeling but normal movement on both sides
2. BWeakness of both arms with normal strength in the legs
3. CWeakness on the same side and loss of pain on the opposite side
4. DParalysis of both legs, with normal sensation everywhere in the body

A patient with a long-term catheter has fever and rigors, and a catheter UTI is suspected. Which action is recommended before starting antibiotics?

1. AFlush the catheter with saline and continue
2. BRemove the catheter and leave it out permanently
3. CReplace the catheter and take a sample from the new one
4. DTake a sample from the drainage bag and send it to the lab

Which diet is usually recommended for a patient with cirrhosis and hepatic encephalopathy?

1. AOnly clear fluids for several weeks
2. BA very low-protein diet for the rest of their life to lower ammonia
3. CNormal protein and enough calories, with a late-evening snack
4. DNo food at all until the confusion settles

During radiotherapy to the chest, a patient develops pain on swallowing and is eating less. What is the most likely cause and nursing focus?

1. AA heart attack; give aspirin and arrange an ECG
2. BNormal ageing; no action needed
3. CA stomach ulcer; give an antacid after meals only
4. DRadiation oesophagitis; analgesia, soft food and nutrition support