NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A swimmer is found unresponsive after diving into shallow water. Which method should the nurse use to open the airway?

1. ARaising the chin while bending the neck forward
2. BJaw thrust, keeping the head and neck in line
3. CTurning the head to the side to drain water
4. DHead-tilt, chin-lift with full neck extension

Pnömonili yaşlı bir hasta yeni konfüze oldu. Hangi eylem önce gelir?

1. AGerektiğinde verilmesi reçete edilen bir sedatif vermek
2. BOksijen satürasyonunu ve diğer yaşam bulgularını kontrol etmek
3. CBunun hasta için normal olup olmadığını aileye sormak
4. DHastanın IV hattını çekiştirmesini engellemek için bilek kısıtlayıcıları uygulamak

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

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

A patient was harmed by a medication error and asks the nurse what happened. Which approach is best?

1. ATell the patient nothing happened to avoid worry
2. BTell the patient to make a formal complaint to find out
3. CBlame the pharmacy for the error so that the nurse and the ward are not at fault
4. DBe honest that an error occurred and involve the provider and team in disclosure per policy

Kronik böbrek hastalığı olan hastalarda neden sıklıkla anemi vardır?

1. ABöbrekler, eritrosit üretimini yönlendiren eritropoetini daha az yapar
2. BBöbrek hastalığında yüksek potasyum eritrositleri parçalar
3. CÜremik toksinler kemik iliğinin eritrosit yerine beyaz hücre üretmesine yol açar
4. DHasarlı böbrekler eritrositleri süzer ve yok eder

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 check my temperature rectally to be accurate"
3. C"I'll call the clinic if my temperature rises"
4. D"I'll wash my hands before eating and after the toilet"

What should a patient starting oral iron tablets be told?

1. ATheir urine will turn bright green
2. BThe tablets will cause weight loss
3. CThey must take the tablets with strong tea
4. DTheir stools may turn dark or black

Yüksek akımlı oksijen alan KOAH'lı bir hasta, dolgun nabız ve kızarık ciltle uykulu hâle geliyor. Kan gazında PaCO₂ yüksek, pH düşük. En olası neden nedir?

1. AKısmen aşırı oksijene bağlı hiperkapnik solunum yetmezliği
2. BHipoglisemi
3. COpioid alerjisi
4. DKusmaya bağlı metabolik alkaloz

When should an adult with cystic fibrosis take pancreatic enzyme capsules?

1. AOnly at bedtime
2. BOnly when they have diarrhoea
3. CWith all meals and snacks that contain fat
4. DOnce a day on waking, at least an hour before any food

During tracheal suctioning, a patient's heart rate drops from 88/min to 48/min. What should the nurse do?

1. AGive a dose of atropine without a prescription
2. BContinue suctioning until the airway is completely clear
3. CStop suctioning, give oxygen and monitor the patient
4. DIncrease the suction pressure to finish faster

A patient takes an SGLT2 inhibitor. Which sick-day advice is correct?

1. AStop drinking fluids while taking the drug
2. BDouble the dose during illness to control the glucose
3. CPause the drug during illness with vomiting or poor intake
4. DKeep taking it as normal, whatever the illness

A patient with type 1 diabetes has a seizure on the ward. Their capillary glucose is 1,9 mmol/L (34 mg/dL). They cannot swallow. What is the most appropriate treatment?

1. AA rapid-acting insulin dose to stabilise the glucose
2. BIV glucose or IM glucagon, then recheck the glucose
3. CAn antiepileptic drug only, because seizures need seizure treatment
4. DGlucose gel squeezed into the mouth during the seizure

Why might a patient's platelet count be monitored while they receive heparin?

1. ATo see whether the patient has an infection
2. BTo check whether the heparin is causing anaemia
3. CTo measure the heparin dose in the blood exactly
4. DTo detect heparin-induced thrombocytopenia

Bir hastanın ileostomisi çevresindeki cilt kırmızı, soyulmuş ve sızıntılıdır ve torba sık sızdırmaktadır. En olası neden nedir?

1. AAcil cerrahi gerektiren stoma iskemisi
2. BSteroid gerektiren, dışkının kendisine alerji
3. CBakımda değişiklik gerektirmeyen normal bir reaksiyon
4. DÇoğu zaman kötü oturan bir torbadan cilde çıkış teması