NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

A patient uses patient-controlled analgesia (PCA) after surgery. Which statement by a family member shows a need for further teaching?

1. A“The pump has limits set by the nurse so she cannot get too much at once.”
2. B“I will press the button for her while she is asleep so she stays comfortable.”
3. C“I will tell the nurse if she becomes very sleepy or hard to wake.”
4. D“Only she should press the button when she needs pain relief.”

A patient with diabetes takes propranolol. Which sign of hypoglycemia is most likely to still appear?

1. APalpitations
2. BTachycardia
3. CTremor
4. DSweating

A nurse finds a used needle in a patient’s bed linen. What should the nurse do?

1. ARecap it with two hands before throwing it away
2. BPick it up by the hub or with forceps, put it in a sharps container and report it
3. CFold it into the linen and send it to the laundry
4. DLeave it where it is for the housekeeping staff to remove later in the day

Patients contaminated with radioactive dust arrive at the hospital. Which step removes most of the external contamination?

1. ARemoving the patient’s clothing
2. BGiving the patient potassium iodide
3. CWrapping the patient in a blanket
4. DScrubbing the skin until it is red

When is a peak level for an IV aminoglycoside such as gentamicin usually drawn?

1. AAbout 30 minutes after the infusion ends
2. BAt any time convenient for the patient
3. CJust before the next dose is started
4. DExactly 24 hours after the first dose

Kronik hiponatremisi (sodyum 118 mEq/L) olan bir hasta tedavi ediliyor. Sodyum neden yavaş yükseltilmelidir?

1. ACiddi bir beyin hasarı olan ozmotik demiyelinizasyona yol açabilir
2. BHızlı düzeltme tek risk olan hipokalemiye yol açar
3. CHızlı düzeltme sodyumun yeniden daha da düşmesine neden olur
4. DYavaş düzeltme yalnızca hastane maliyetlerini azaltmak için gereklidir

Which oxygen device delivers a precise, fixed concentration of oxygen?

1. ASimple face mask
2. BNasal cannula
3. CNon-rebreathe mask
4. DVenturi mask

Transfüzyon başladıktan kısa süre sonra bir hasta nefes darlığı, hışıltı, hipotansiyon ve yüzde şişlik geliştiriyor. Hemşire ilk olarak ne yapmalıdır?

1. AParasetamol ve antihistaminik verip transfüzyona devam etmelidir
2. BTransfüzyon hızını azaltıp gözlemleri bir saat sonra yeniden yapmalıdır
3. CTransfüzyonu durdurmalı, damar yolunu korumalı ve acil yardım çağırmalıdır
4. DMaruziyet süresi olabildiğince kısa olsun diye üniteyi hızla bitirmelidir

How should a patient with asthma record their peak flow at home?

1. ATake the best of three blows, ideally morning and evening
2. BTake one gentle blow once a week, at any time of day
3. CTake the average of ten blows after exercise
4. DBlow only during an asthma attack, never when well

Sabah digoksin dozundan önce hastanın apikal nabzı 54/dk'dır ve bulantısı vardır. Hemşire ne yapmalıdır?

1. AYalnızca radiyal nabız saydığı için dozu vermelidir
2. BDozun yarısını vermeli ve bir saat sonra nabzı yeniden kontrol etmelidir
3. CDozu ve bir antiemetik vermeli, nabzı yarın yeniden kontrol etmelidir
4. DDozu vermemeli ve toksisite olası olduğu için bildirmelidir

A patient with a new ileal conduit has threads of mucus in their urine. What should the nurse explain?

1. AThe kidneys have stopped working properly after surgery
2. BThis is normal, because the conduit is made from bowel
3. CThis is a sign that the stoma is dying
4. DThis proves a serious kidney infection

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 CKD asking about their phosphate binder
4. DA patient with mild itching from uraemia who wants a cream

A routine wound swab grows bacteria, but the wound shows no signs of infection. What does this usually mean?

1. AThe patient needs IV antibiotics straight away, whatever the wound looks like
2. BThe swab result means the wound is infected
3. CThe wound is colonised; antibiotics are not usually needed
4. DThe wound must be closed with sutures again

After signing the consent form, a patient tells the nurse, "I don't really understand what they are going to do." What should the nurse do?

1. AIgnore the comment because the form is already signed
2. BReassure the patient that the surgeon knows best
3. CExplain the surgical risks in detail without involving the surgeon
4. DInform the surgeon so that the procedure can be explained again