NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A patient with heart failure gained 2 kg (about 4 lb) since yesterday and is more breathless when lying down. What should the nurse do first?

1. ARecord the weight on the chart and recheck it at the next weekly weigh-in
2. BEncourage extra fluids to correct the weight change
3. CLay the patient flat to help them breathe more easily
4. DAssess the lungs, oxygen saturation and swelling, then inform the provider

Yoğun bir vardiyada dört görev zamanı gelmiş. Hemşire hangisini önce yapmalıdır?

1. AYöneticilerin denetiminden önce hemşirelik bakım planını güncellemek
2. BStabil bir hastanın yarınki menü kartını doldurmasına yardım etmek
3. CAynı saatte verilmesi gereken rutin günlük vitamin tabletini vermek
4. DŞüpheli sepsisi olan bir hasta için ilk doz IV antibiyotik

A patient has botulism after eating contaminated food. Which precautions are needed?

1. AContact precautions
2. BDroplet precautions
3. CStandard precautions
4. DAirborne precautions

During a disaster, the hospital needs to free beds quickly. Which patient is the best candidate for early discharge?

1. AA patient with ongoing chest pain awaiting cardiac tests
2. BA patient on an IV heparin infusion that is still being adjusted
3. CA patient admitted overnight for observation who is now stable with normal tests
4. DA patient on a ventilator in the intensive care unit who is slowly improving

A patient with hepatic encephalopathy is receiving lactulose. Which finding best shows that the treatment is effective?

1. AA rising serum ammonia with a slower flapping tremor
2. BTwo to three soft stools a day and clearer thinking
3. CSix to eight watery stools a day with dizziness
4. DNo bowel movement for 2 days and calm sleep

A patient with kidney stones and fatigue has a calcium of 11,6 mg/dL (2,9 mmol/L), a high parathyroid hormone (PTH) and a low phosphate. Which condition is most likely?

1. APrimary hyperparathyroidism
2. BCancer-related hypercalcemia
3. CHypoparathyroidism
4. DVitamin D deficiency

Kalp yetmezliği olan bir hastada pembe, köpüklü balgam ve her iki akciğerde yaygın raller var. Ne oluyor?

1. AAstım atağı
2. BPnömotoraks
3. CAkut akciğer ödemi
4. DÜst gastrointestinal kanama

A patient is admitted with suspected meningococcal disease. Which infection control measure is usually needed?

1. AIsolation only after the patient has gone home
2. BAirborne precautions with a negative-pressure room for the whole hospital stay
3. CNo precautions, because it is not contagious
4. DDroplet precautions until 24 hours of effective antibiotics have been given

A patient has episodes of severe headache, sweating and palpitations with very high blood pressure. Which rare cause should be considered?

1. AAsthma
2. BPhaeochromocytoma
3. CAortic stenosis
4. DStable angina

A 74-year-old man with a known abdominal aortic aneurysm suddenly has severe back and abdominal pain. His heart rate is 128/min and BP 82/50 mmHg. What is the priority?

1. AGive oral analgesia and reassess the pain in an hour
2. BArrange a routine outpatient ultrasound scan of the aneurysm
3. CEncourage him to walk to ease the back pain
4. DCall for emergency help and prepare for urgent vascular surgery

Which statement about the PSA blood test is correct?

1. AIt is only raised in women with bladder cancer
2. BIt can be raised by benign problems as well as by cancer
3. CA raised result always means prostate cancer
4. DA normal result always rules out any prostate cancer

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

1. AA patient with a potassium of 6,8 mmol/L who reports palpitations
2. BA patient with a creatinine slightly above their usual level
3. CA patient with mild itching from uraemia who wants a cream
4. DA patient with CKD asking about their phosphate binder

Why is a pregnancy test often done before surgery in women who could be pregnant?

1. AIt is needed to calculate the anaesthetic drug dose
2. BPregnant women cannot sign consent forms
3. CPregnancy always makes surgery impossible
4. DAnaesthesia, drugs and some tests may harm a fetus

A patient taking oral capecitabine reports red, painful, peeling palms and soles. What should the nurse do?

1. ATell the patient to take a double dose next time
2. BReassure that it is a sign of an unrelated allergy to washing powder
3. CReport it; this is hand-foot syndrome and treatment may need changing
4. DAdvise hot soaks for the hands and feet