NCLEX Tarzı Önceliklendirme ve Görev Devri: hızlı tekrar paketi

RN’nin bir LPN/LVN’ye devretmesi için hangi görev en uygundur?

1. AYeni insüline başlayan bir hastaya taburculuk eğitimi vermek
2. BYeni bir hastanın yatış değerlendirmesini yapmak
3. Cİlk ünite eritrosit süspansiyonunu başlatmak
4. DStabil bir hastaya kalıcı idrar sondası takmak

Bir cerrahi birimde hemşire ameliyat sonrası hangi hastayı önce görmelidir?

1. AKarotis endarterektomisinden 6 saat sonra: boyun şişliği artıyor, yutmanın zor olduğunu söylüyor
2. BMesane irrigasyonlu prostat ameliyatı sonrası: açık pembe idrar, pıhtı yok
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

Which information must be documented when a patient is restrained?

1. AOnly whether the family agreed to the restraint
2. BOnly the time the restraint was put on and the time it was taken off
3. COnly the name of the nurse who applied it and the unit where it happened
4. DThe reason, alternatives tried, type of restraint, times and regular assessments

An 84-year-old resident with an indwelling catheter suddenly becomes confused but has no fever. What should the nurse consider?

1. AInfection can be ruled out because there is no fever
2. BThe confusion is part of normal aging at this age and needs no further action
3. CA sedative is needed to keep the resident calm
4. DAn infection may present as confusion in older adults, so assess further and report

Which finding during a transfusion suggests transfusion-associated circulatory overload (TACO)?

1. ACrackles, hypertension and a raised BNP
2. BHives and itching without other signs
3. CA low temperature and slow heart rate
4. DBack pain with dark red urine output

A patient with a large, fast-growing lymphoma will start chemotherapy tomorrow. Which plan best prevents tumor lysis syndrome?

1. ANo special measures, because the risk starts only after a week
2. BIV hydration, a uric acid-lowering drug and frequent electrolytes
3. CFluid restriction and a high-potassium diet before the treatment
4. DCalcium supplements and a high-phosphate diet during treatment

HbA1c neyi ölçer?

1. AYemekten sonraki insülin düzeylerini
2. BTest anındaki kan şekerini
3. Cİdrardaki keton miktarını
4. DYaklaşık son iki-üç aydaki ortalama kan şekerini

A patient with new fast atrial fibrillation has chest pain, a blood pressure of 75/40 mmHg and is confused. What does this indicate?

1. AAnxiety about the new diagnosis that will settle with reassurance and rest alone
2. BA normal response to atrial fibrillation needing no action
3. CHaemodynamic instability needing urgent treatment, possibly electrical cardioversion
4. DA stable rhythm that can safely be reviewed at the next routine ward round

A patient has pneumonia in the right lung only. In which side-lying position will oxygenation usually be best?

1. AFlat on the back with no pillows
2. BLying on the left side, with the healthy lung down
3. CProne with the head down
4. DLying on the right side, with the affected lung down

A ventilated patient suddenly desaturates to 82%. The cause is not obvious and the ventilator alarms are sounding. What should the nurse do first?

1. AChange the ventilator settings to a higher rate
2. BSilence the alarm and wait for the result of the next routine blood gas
3. CIncrease the sedation and watch the monitor for the next half hour
4. DDisconnect and hand-ventilate with 100% oxygen while calling for help

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

Which task can the registered nurse delegate to a trained healthcare assistant (nursing assistant)?

1. ADeciding the dose of correction insulin from the glucose result
2. BChecking pre-meal glucose and reporting results out of range
3. CAssessing a confused patient whose glucose is 2,6 mmol/L (47 mg/dL)
4. DTeaching a new patient how to inject insulin

Hastalara öksürürken karın yarasını yastıkla desteklemeleri neden öğretilir?

1. ADeri kenarlarının iyileşmesini hızlandırır
2. BÖksürüğü zayıflatır, böylece yara risk altında olmaz
3. CAğrıyı ve gerilmeyi azaltır, böylece iyi öksürebilirler
4. DDüzenli analjezi gereksinimini ortadan kaldırır

Shortly after a spinal anaesthetic, a patient says their arms feel weak and it is hard to breathe, and the BP is falling. What is most likely?

1. AA normal spinal effect
2. BAn anxiety attack
3. CA post-dural puncture headache
4. DA high spinal block