Пріоритезація та делегування у стилі NCLEX: шпаргалка-підсумок

The day after a total thyroidectomy, a patient reports tingling around the mouth and in the fingers. What should the nurse do first?

1. AEncourage deep breaths into a paper bag until it passes
2. BGive the patient’s routine oral iron supplement early
3. CReassure the patient that this is normal after neck surgery
4. DCheck for signs of low calcium and inform the provider

Which patient is the most appropriate to assign to an LPN/LVN?

1. AA patient who has just arrived from the emergency department with pneumonia and confusion
2. BA patient on a new IV medication that needs frequent titration
3. CA patient with a long-standing tracheostomy who needs routine suctioning and care
4. DA patient with a tracheostomy placed this morning who is coughing up blood

An older adult has trouble getting in and out of the bath. Which measures make bathing safer?

1. AA loose rug beside the tub to stand on
2. BBath oil to help the person slide in and out
3. CA shower chair, grab bars and a non-slip mat
4. DLocking the bathroom door for privacy

A nurse teaches new parents about safe infant sleep. Which statement shows a need for further teaching?

1. A“We will keep the crib in our room, next to our bed, for the first months.”
2. B“We will put a soft bumper pad and a blanket in the crib so the baby is cozy.”
3. C“We will not smoke near the baby.”
4. D“We will lay the baby on the back for every sleep, including naps.”

A patient with type 2 diabetes starts prednisone each morning. When is the glucose most likely to be highest?

1. AAt midnight only
2. BIn the early morning, before the dose
3. CIn the afternoon and evening
4. DThe glucose will not change

A patient taking isoniazid for latent TB reports nausea, loss of appetite and dark urine. The ALT is five times the upper limit of normal. What is the best action?

1. AContinue the isoniazid and give it with food to settle the stomach
2. BReassure the patient that dark urine is a harmless drug effect
3. CHold the isoniazid and report the findings to the prescriber at once
4. DDouble the dose to finish the treatment course more quickly

Бал NEWS2 пацієнта зріс до 7. Яка відповідь доречна?

1. AНевідкладне оцінювання клінічною командою з навичками інтенсивної терапії
2. BЗаписати бал, почастішати спостереження і чекати ранкового обходу
3. CДати заспокійливе й перевірити пізніше
4. DПродовжувати спостереження кожні 12 годин

A patient rescued from a house fire has soot around the mouth, singed nasal hairs and a hoarse voice. What is the main concern?

1. ADehydration from sweating
2. BA minor throat infection
3. CAirway swelling from inhalation injury
4. DHypothermia from the fire service water

A patient has chest pain at rest in the early morning with brief ST elevation that resolves. Coronary arteries are later found to be clear. Which condition is most likely?

1. AAcute pericarditis
2. BAortic stenosis
3. CStable exertional angina from a fixed plaque
4. DVasospastic (Prinzmetal) angina

Пацієнт, що одужує після інфаркту міокарда, тривожиться через повернення до нормального життя. Яке втручання найкраще підтримує одужання?

1. AПорада припинити таблетки, коли пацієнт почувається добре
2. BНаправлення на кардіореабілітацію
3. CПорада лежати в ліжку три місяці
4. DПорада назавжди уникати будь-яких вправ

Which long-term risk should a kidney transplant recipient be taught to reduce with sun protection?

1. AHair loss
2. BSkin cancer
3. CKidney stones
4. DGout

After a stroke, a patient suddenly cries or laughs at odd moments. They say they do not feel sad. Which response is most appropriate?

1. AAsk the doctor for a sedative to stop the outbursts
2. BTell the patient that crying will slow their recovery
3. CIgnore it, because it shows that the patient is seeking attention from the staff
4. DExplain that this is emotional lability after stroke and help the family understand

Which liver function test pattern suggests bile duct obstruction?

1. AVery high ALT with a normal bilirubin only
2. BHigh bilirubin with a markedly raised ALP and GGT
3. CNormal bilirubin with a low ALP and low GGT
4. DA low albumin with all other results normal

Під час опікової реанімації діурез дорослого масою 80 kg становить 15 mL/год протягом 2 годин. Що це вказує?

1. AНормальний діурез для пацієнта з опіками
2. BПеревантаження рідиною; усі внутрішньовенні рідини слід зупинити
3. CЗаблокований катетер, який слід просто видалити
4. DНедостатню реанімацію; швидкість рідини зазвичай потрібно збільшити