NCLEX 风格的优先排序与委派：速成包

Which patient should the RN see first after receiving a report from the night nurse?

1. ADay 4 after bowel surgery, waiting for discharge teaching
2. BDay 2 after bowel surgery, asking to start a soft diet
3. CDay 3 after bowel surgery, wants a shower and hair wash before breakfast
4. DDay 1 after bowel surgery, new chest pain and heart rate 110/min

The charge nurse overhears four instructions from an RN to a nursing assistant. Which one needs to be corrected?

1. A“Walk him to the bathroom and back, and stay with him the whole time.”
2. B“Check his glucose and give the insulin according to the sliding scale.”
3. C“Help him wash and change, and tell me at once if you see any red or broken skin.”
4. D“Check his glucose before lunch and tell me the number straight away.”

How should a nurse handle soiled bed linen?

1. APut it on the floor until the bed is made
2. BShake it out first to check for lost items
3. CCarry it bundled against the body to the soiled utility room down the hall
4. DHold it away from the uniform and place it straight into a linen bag

A patient’s white cell differential shows a raised number of band (immature) neutrophils, called a “shift to the left”. What does this usually suggest?

1. AA long-standing parasitic infection
2. BA typical viral infection
3. CAn allergic reaction
4. DAn acute bacterial infection

A patient taking a statin reports new, unexplained muscle pain and weakness. Which laboratory test would the nurse expect to be ordered?

1. ACreatine kinase (CK)
2. BSerum lipase
3. CSerum ammonia
4. DCardiac troponin

The nurse teaches a patient with thrombocytopenia (platelets 25 × 10³/µL) about home safety. Which statement shows a need for further teaching?

1. A"I'll take aspirin if I get a headache"
2. B"I'll blow my nose gently, not forcefully"
3. C"I'll use an electric razor to shave"
4. D"I'll use a soft-bristled toothbrush"

病房中一名患者在首剂 β 受体阻滞剂后出现喘鸣和气短。哪种病史最可能导致这种情况？

1. A哮喘
2. B甲状腺功能减退
3. C偏头痛
4. D骨关节炎

A patient is taught to self-inject low-molecular-weight heparin. Which statement shows a need for further teaching?

1. A"I will report any unusual bleeding or bruising."
2. B"I will rub the area firmly after the injection."
3. C"I will inject into the fatty tissue of my abdomen."
4. D"I will change the injection site each time."

一名刚开始服用降压药的患者起床时感到头晕。正确的建议是什么？

1. A快速站起来，让血液保持流动
2. B不告诉医生或护士就停药
3. C第二天早上服用双倍剂量
4. D站起来之前先在床边坐一会儿

A 70-year-old man has a small abdominal aortic aneurysm found on screening and is placed under surveillance. Which advice is most important?

1. AHave the aneurysm repaired immediately, whatever its size or growth rate
2. BStop smoking, control BP and seek help at once for sudden back pain
3. CStop all blood pressure medicines to avoid low pressure
4. DAvoid all exercise and lifting for the rest of his life to protect the aorta

Why should long-term steroid treatment not be stopped suddenly?

1. AStopping suddenly makes the bones grow too quickly and then fracture
2. BThe steroids build up and become toxic after they are stopped
3. CStopping causes the blood glucose to fall sharply
4. DThe suppressed adrenal glands cannot make enough cortisol at once

A patient on warfarin starts levothyroxine for hypothyroidism. What should the nurse expect to monitor more closely?

1. AThe potassium, because it may rise
2. BThe INR, because it may rise
3. CThe urine output, because it may stop
4. DThe blood glucose, because it may fall

A patient with a new colostomy asks what to eat at home. Which advice is most appropriate?

1. ADrink as little fluid as possible to reduce output
2. BEat a normal, balanced diet and introduce foods gradually
3. CEat only liquids until the stoma is removed
4. DAvoid all fruit and vegetables for the rest of their life

A patient with cirrhosis takes spironolactone and furosemide. Which blood result should the nurse report before the next dose?

1. ASodium 138 mmol/L
2. BSodium 141 mmol/L
3. CPotassium 6.0 mmol/L
4. DPotassium 4.2 mmol/L