Ưu tiên và ủy quyền kiểu NCLEX: gói ôn nước rút

A nurse teaches a patient about storing insulin at home. Which statement shows a need for further teaching?

1. A“I will not leave my insulin in a hot car.”
2. B“I will keep my spare insulin in the freezer so it lasts longer.”
3. C“I will check the expiry date on the label before I use the vial.”
4. D“I will keep unopened insulin in the fridge.”

Two days after starting haloperidol, a patient suddenly develops painful neck twisting and the eyes roll upwards. What should the nurse anticipate?

1. AAn anticholinergic drug, such as benztropine or procyclidine, as prescribed
2. BA higher dose of haloperidol to calm the patient and stop the movements quickly
3. CPhysical restraint until the spasm passes
4. DNo action, because the spasm is a sign of improvement

Điều dưỡng nên làm gì sau khi máu bệnh nhân vô tình bắn vào mắt?

1. ATrước hết dụi nhẹ mắt bằng khăn giấy sạch, khô để lau máu
2. BNhỏ thuốc kháng sinh nhỏ mắt và không nói với ai
3. CRửa mắt ngay bằng thật nhiều nước hoặc nước muối, rồi báo cáo
4. DHoàn thành thủ thuật rồi báo cáo vào ngày hôm sau

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

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

A patient's levothyroxine dose was changed today. When is the TSH usually rechecked?

1. AAfter about 3 days
2. BAfter about 24 hours
3. CAfter about 1 year
4. DAfter about 6–8 weeks

Một người bệnh đang truyền heparin có số lượng tiểu cầu giảm từ 260 xuống 110 × 10³/µL vào ngày thứ 7. Hành động nào phù hợp nhất?

1. AKhông làm gì vì số lượng vẫn chỉ vừa trên 100 × 10³/µL
2. BTruyền tiểu cầu và tiếp tục heparin
3. CTiếp tục truyền và tăng tốc độ theo phác đồ
4. DBáo ngay: có thể là giảm tiểu cầu do heparin

A patient is prescribed two different eye drops at the same time. What is correct?

1. AGive both drops at once into the same eye
2. BGive one drop now and the other the next day
3. CMix the two drops in one bottle
4. DWait about five minutes between the two drops

A patient due a blood transfusion is not wearing an identity band. What should the nurse do?

1. ACheck the name on the bed and proceed
2. BAsk another patient to confirm who the patient is
3. CNot start until a correct identity band is in place and identity is confirmed
4. DAsk the patient to state their name and date of birth, then start straight away

A patient is starting long-term amiodarone. Which teaching and monitoring are most important?

1. AExpect orange urine and no need for blood tests
2. BEat extra salt and stop the drug as soon as the pulse is regular
3. CAvoid dairy products and have the INR checked once at the start
4. DProtect skin from sunlight and have thyroid, liver and lung checks

During a thrombolytic infusion for an MI, the patient develops a sudden severe headache, vomiting and new confusion. What should the nurse do first?

1. AGive a second dose to finish the treatment
2. BContinue the infusion, as headache is a common side effect
3. CSlow the infusion and give an antiemetic
4. DStop the infusion and call for urgent medical help

Why are tacrolimus blood levels checked regularly?

1. AThe levels show whether the patient has diabetes
2. BThe drug only works if levels are as high as possible
3. CThe levels show how much urine the kidney is making
4. DToo high harms the kidney; too low risks rejection

A nurse teaches a patient with Hashimoto's thyroiditis about levothyroxine. Which statement shows a need for further teaching?

1. A"I can stop the tablets once I feel back to normal."
2. B"I will take the tablets at the same time each day."
3. C"I will report palpitations or chest pain."
4. D"I will have regular blood tests to check my dose."

Thang điểm nào được dùng để đánh giá nguy cơ trong xuất huyết tiêu hóa trên trước nội soi?

1. AĐiểm nguy cơ loét tỳ đè Waterlow
2. BĐiểm Wells cho huyết khối tĩnh mạch sâu
3. CThang hôn mê Glasgow
4. DĐiểm Glasgow-Blatchford

After surgery, a patient says they have "no pain" but grimaces, breathes shallowly and refuses to move or cough. What should the nurse do?

1. AInsist they walk without any analgesia
2. BTell the patient firmly that they must stop hiding their pain from staff
3. CExplore their beliefs and explain how analgesia aids recovery
4. DAccept the statement and record a pain score of 0