NCLEX 风格的优先排序与委派：速成包

一名护士同时收到四个呼叫灯。护士首先去哪位患者那里？

1. A一名询问医生什么时候来的患者
2. B一名输液泵因维持液体袋已输完而报警的患者
3. C一名因 4/10 的疼痛要求止痛药的患者
4. D一名说“我喘不上气”的患者

Before surgery, a nurse is asked to witness a patient’s consent. The patient was given a sedative 30 minutes ago. What should the nurse do?

1. AWitness it and write “sedated” beside the signature
2. BAsk a family member to sign on the patient’s behalf
3. CNot witness the consent and inform the surgeon
4. DWitness it quickly before the sedative takes full effect

A parent will give a liquid antibiotic to a child at home. Which teaching is best?

1. AEstimate the dose by pouring into a cup
2. BUse any teaspoon or tablespoon from the kitchen drawer at home
3. CUse a tablespoon for doses over 5 mL
4. DUse the oral syringe or dosing cup that comes with the medicine

一名护士给错了患者药物。患者看起来状况良好。首要任务是什么？

1. A先完成事件报告
2. B对患者只字不提，以免使其担心
3. C评估患者并监测药物的影响
4. D等到本班结束再告诉别人

Which instruction is correct for a patient taking an oral potassium chloride supplement?

1. AUse a salt substitute as well, so less of the tablet is needed each day
2. BTake it with food and a full glass of water, and do not crush extended-release tablets
3. CCrush the extended-release tablets and mix them with a little water if needed
4. DTake it on an empty stomach with only a small sip of water to speed absorption

The nurse teaches a patient with iron-deficiency anemia who is starting oral iron. Which statement shows a need for further teaching?

1. A"I'll take my iron tablet with a big glass of milk"
2. B"I can take it with orange juice to help absorption"
3. C"I'll keep the tablets out of reach of the children"
4. D"My stools may look darker while I take the tablets"

Why are patients asked to fast before a general anaesthetic?

1. ATo make the surgery shorter
2. BTo prevent postoperative constipation and abdominal bloating
3. CTo lower the blood glucose before surgery
4. DTo reduce the risk of aspirating stomach contents

一名烧伤面积达体表面积 30% 的患者入院。在最初 24 小时内，最令人担心的早期并发症是什么？

1. A体液丢失引起的低血容量性休克
2. B便秘
3. C瘢痕和挛缩
4. D长期不能活动引起的压力性损伤

预充式注射器中的依诺肝素应如何皮下注射？

1. A先排出气泡，再注射到三角肌
2. B每天注射到腹部同一部位，随后按摩
3. C注射到腹部，保留气泡，注射后不揉按
4. D通过套管快速静脉推注

After a fall onto the chest, part of a patient's chest wall moves inward when they breathe in and outward when they breathe out. What does this indicate?

1. ANormal chest movement caused by pain on breathing
2. BA single simple rib fracture with no lung injury
3. CA large pleural effusion pressing on the chest wall
4. DA flail chest from ribs broken in more than one place

Which signs suggest rejection of a kidney transplant?

1. AA rash on the face after sun exposure
2. BMore urine, a falling creatinine and weight loss
3. CA cough, wheeze and a runny nose with sneezing
4. DLess urine, a rising creatinine and a tender graft

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

1. AA patient with hyperthyroidism who is confused, with a temperature of 39.5 °C (103.1 °F)
2. BA patient with Graves' disease asking about radioactive iodine
3. CA patient after thyroidectomy with mild pain on swallowing
4. DA patient with hypothyroidism who has been constipated for three days

In the SBAR communication tool, what belongs under "A"?

1. AThe address and phone number of the patient's next of kin
2. BA list of the patient's allergies only
3. CThe patient's admission date only
4. DThe nurse's assessment of what the problem is

After a fall, a patient with advanced dementia is agitated, grimacing and guarding the hip, and cannot rate the pain. What should the nurse do?

1. AUse an observational pain tool, give analgesia and reassess
2. BAssume there is no pain because none is reported
3. CWait until a relative can confirm the pain
4. DGive a sedative to treat the agitation and avoid giving any analgesia