NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

Which action helps prevent a catheter-associated urinary tract infection?

1. ARaising the drainage bag above the bladder when walking
2. BDisconnecting the bag every shift to empty it
3. CLeaving the catheter in place longer than needed
4. DKeeping the drainage bag below the level of the bladder

A chemical cleaning fluid splashes into a patient’s eye. What should the nurse do first?

1. AFlush the eye with plenty of water or saline straight away
2. BRub the eye gently with a clean tissue to remove the chemical
3. CGive antibiotic eye drops first
4. DCover the eye with a dry patch and wait for the provider

During a surgical hand scrub, how are the hands held?

1. ABelow the elbows, so water runs off the fingertips into the sink
2. BAt the level of the waist, close to the body
3. CAbove the elbows, so water runs from the fingertips toward the elbows
4. DPointing downward into the sink at all times

A patient on an anticoagulant falls and hits their head but says they feel fine. What should the nurse do?

1. AGive the next anticoagulant dose early to prevent clots from forming after the fall
2. BWait until the next day to see if a headache develops
3. CNotify the provider and start neurological observations, because a brain bleed may develop
4. DHelp the patient back to bed and do nothing more if they feel fine

Which blood collection practice helps prevent hemolysis of the sample?

1. AGently inverting the tubes instead of shaking them
2. BUsing the smallest needle available for every patient
3. CForcing blood quickly through a needle into the tube
4. DLeaving the tourniquet on for at least 3 minutes

A child with sickle cell disease and a recent viral illness is pale and tired. The hemoglobin has fallen sharply, and the reticulocyte count is very low. What is the most likely problem?

1. AA vaso-occlusive pain crisis in the bones
2. BIron deficiency from a poor diet over months
3. CAn aplastic crisis, often caused by parvovirus B19
4. DA normal finding in sickle cell disease

During a vesicant chemotherapy infusion, the patient reports burning and swelling at the cannula site. What should the nurse do first?

1. AStop the infusion straight away and follow the extravasation protocol
2. BIncrease the rate so that the infusion finishes as quickly as possible
3. CFlush the cannula hard with saline
4. DApply a warm pack and continue the infusion

A patient with a possible neck injury after a fall needs their airway opened. Which manoeuvre is preferred?

1. AHyperextending the neck
2. BHead tilt with chin lift
3. CTurning the head to one side
4. DJaw thrust

A patient with heart failure starts dapagliflozin, an SGLT2 inhibitor. Which teaching is most relevant?

1. AExpect the urine to turn bright orange and stain underwear and clothes
2. BTake an extra dose if the ankles swell
3. CAvoid drinking any fluids at all for the first week of treatment
4. DKeep the genital area clean, as fungal infections are more common

During drainage of a large pleural effusion, a patient starts coughing and feels tight in the chest. What should the nurse do?

1. AStop or clamp the drainage and inform the doctor
2. BLie the patient flat until the drainage is complete
3. CAsk the patient to cough harder to help the flow
4. DSpeed up the drainage to finish quickly

A patient is starting lamotrigine. Which teaching point is most important?

1. AReport any skin rash promptly, especially in the first weeks
2. BTake it with a glass of grapefruit juice to improve its absorption
3. CExpect an orange tint to tears and urine
4. DDouble the dose if a seizure happens

A nurse teaches a wheelchair user with a spinal cord injury about skin care. Which statement shows a need for further teaching?

1. A"I will keep my skin clean and dry."
2. B"I only need to check my skin when something hurts."
3. C"I will shift my weight in the chair regularly."
4. D"I will use a mirror to check my bottom and heels every day."

Which long-term effect must be monitored in patients receiving anthracyclines such as doxorubicin?

1. AExcess growth of body hair
2. BPermanent high blood glucose
3. CLoss of the sense of smell
4. DDamage to the heart muscle

After two days of large volumes of IV 5% glucose, a postoperative patient becomes confused with a headache. Sodium is 124 mmol/L. What is the likely cause?

1. ANormal confusion after any anaesthetic
2. BHypoglycaemia from the glucose
3. CHyponatraemia from hypotonic fluids
4. DHypernatraemia from too much salt