NCLEX-PN-शैली के अभ्यास प्रश्न (LPN/LVN): क्रैम पैक

How is a 24-hour urine collection started?

1. AThe first urine of the morning is discarded and the time noted, then all urine is kept
2. BOnly urine passed at night is collected
3. CThe first urine of the morning is kept and the rest of the day's urine is discarded
4. DA sample is taken every four hours and the rest discarded

Which statement about the use of physical restraint is correct?

1. AIt is a last resort, uses the least restrictive option and needs regular checks
2. BIt is the best way to stop older patients from falling
3. CIt never needs to be documented if it is used only overnight
4. DIt can be used whenever a patient is confused, without further assessment

When is it appropriate to use the override function on an automated dispensing cabinet to take a drug before pharmacist review?

1. AOnly in an urgent situation where delay would harm the patient, per policy
2. BAt the start of each shift to save time later
3. CWhenever the pharmacist is slow to review new orders and the patient is waiting
4. DWhenever the nurse is sure of the dose

Minutes after the first IV dose of an antibiotic starts, the patient develops wheezing, hives and low blood pressure. What should the nurse do first?

1. ASlow the infusion rate
2. BGive an oral antihistamine
3. CStop the infusion
4. DRecord the new allergy in the chart

A nurse has given rapid-acting insulin, and then learns that the patient’s meal tray will be 45 minutes late. What should the nurse do?

1. ATell the patient to wait and do nothing until the tray comes
2. BGet the patient some carbohydrate food now and check the glucose
3. CAsk the patient to walk around the ward until the food arrives
4. DGive a second, smaller dose of insulin when the meal tray finally arrives

A child with sickle cell disease in a pain crisis develops chest pain, fever and an SpO₂ of 89%. What does this most likely mean?

1. AAn ordinary pain crisis that will improve with rest
2. BAcute chest syndrome, which needs urgent escalation and oxygen
3. CAnxiety that will settle with reassurance
4. DA minor chest infection that can safely wait until the morning round

एक बुज़ुर्ग मरीज़ को वार्ड में गिरने का उच्च जोखिम है। कौन-सी नर्सिंग कार्रवाई सबसे उपयुक्त है?

1. Aमरीज़ को हर समय बिस्तर तक सीमित रखें
2. Bकॉल बेल और सामान पहुँच में रखें और उनींदापन पैदा करने वाली दवाओं की समीक्षा करें
3. Cहर मरीज़ के लिए स्वतः बेड रेल का उपयोग करें
4. Dटूटने से बचाने के लिए मरीज़ का चश्मा हटा दें

A patient with several days of vomiting and diarrhoea has low blood pressure, low urine output and a rising creatinine. Which description fits best?

1. AIntrinsic kidney injury from glomerulonephritis, treated with high-dose steroids
2. BPre-renal acute kidney injury from poor perfusion, treated by restoring fluid volume
3. CChronic kidney disease, treated with long-term dialysis three times a week
4. DPost-renal acute kidney injury from obstruction, treated with a catheter

A nurse has a needlestick injury from a patient with unknown HIV status. Which test is usually done for the nurse as soon as possible?

1. AA serum lipase test
2. BA thyroid panel test
3. CA sweat chloride test
4. DA baseline HIV test

A patient on a stable dose of levothyroxine now has a TSH of 9.8 mIU/L. She recently started taking her calcium and iron supplements with her morning levothyroxine. What is the most likely explanation?

1. AThe TSH is low, showing that the dose is now too high
2. BThe supplements are causing an overactive thyroid gland
3. CThe result is normal for a person on levothyroxine therapy
4. DThe supplements are reducing levothyroxine absorption

Which patient should usually not receive a live vaccine?

1. AA healthy 1-year-old child
2. BA patient with mild seasonal allergies
3. CA patient receiving chemotherapy for leukaemia
4. DA healthy adult nurse who works on a children's ward

A nurse gave a patient ten times the prescribed dose of hydromorphone. The patient is currently alert. What is the most appropriate sequence of actions?

1. ASay nothing because the patient is alert
2. BMonitor closely, have naloxone ready, inform the prescriber and report
3. CGive another dose later to balance it out
4. DChange the chart so that it shows the correct dose, and continue to monitor

Which exercise advice is recommended for intermittent claudication?

1. ASupervised walking until pain is near maximal, then rest and repeat
2. BComplete bed rest until the leg pain has gone for at least a month
3. CWalking only on days when the legs feel warm and painless
4. DStopping walking at the very first twinge of pain each time

COPD वाला मरीज़ दीर्घकालिक ऑक्सीजन के साथ घर जा रहा है। सुरक्षा के लिए कौन-सा शिक्षण बिंदु सबसे महत्वपूर्ण है?

1. Aऑक्सीजन के पास कभी धूम्रपान न करें और खुली लौ न रखें
2. Bसूखी नाक को आराम देने के लिए पेट्रोलियम जेली का उपयोग करें
3. Cअतिरिक्त सिलिंडर चूल्हे के बगल में रखें
4. Dसाँस फूलने पर प्रवाह जितना ज़रूरी हो उतना बढ़ा दें

A bladder scan straight after voiding shows 450 mL of urine still in the bladder. What does this show?

1. AThe kidneys are making too little urine
2. BThe patient is passing urine normally
3. CThe bladder is not emptying properly
4. DThe patient has drunk too little fluid

An older man was found on the floor after lying there for many hours. His urine is dark brown, and his creatine kinase is very high. What is the main kidney risk and the key treatment?

1. AHypothermia, treated with a fluid restriction
2. BA kidney stone, treated with strong pain relief
3. CAKI from rhabdomyolysis, treated with generous IV fluids
4. DA urinary infection, treated with oral antibiotics only

मरीज़ों को खाँसते समय पेट के घाव को तकिए से सहारा देना क्यों सिखाया जाता है?

1. Aयह नियमित दर्द-निवारण की आवश्यकता को बदल देता है
2. Bयह त्वचा के किनारों का भरना तेज़ करता है
3. Cयह दर्द और खिंचाव घटाता है, जिससे वे अच्छी तरह खाँस सकते हैं
4. Dयह खाँसी को कमज़ोर करता है ताकि घाव जोखिम में न पड़े

During bowel preparation, an older patient becomes dizzy and confused. Blood tests show sodium 127 mmol/L. What should the nurse do?

1. AEncourage plain water only, as much as possible
2. BRecord it and continue as planned, as this is expected
3. CGive the rest of the preparation more quickly
4. DStop the preparation and escalate to the medical team

A baby has prolonged jaundice at 3 weeks with pale, chalky stools and dark urine. What should the nurse suspect?

1. APhysiological jaundice
2. BBiliary atresia
3. CErythema toxicum
4. DBreast milk jaundice

A newborn has cyanosis that improves when crying and worsens during feeding. Which condition should be suspected?

1. AChoanal atresia
2. BCleft lip only
3. CCongenital hip dysplasia
4. DOesophageal atresia

Until when is a child with chickenpox usually considered infectious?

1. AFor 6 weeks after the rash appears
2. BOnly during the day before the rash appears
3. CUntil all the blisters have crusted over
4. DUntil the fever has gone for 24 hours

Which treatment is not routinely recommended for a typical infant with bronchiolitis?

1. AOxygen if the saturation is persistently low
2. BBronchodilators or corticosteroids
3. CGentle nasal suction if the nose is blocked
4. DHelp with feeding or fluids if intake is poor

A patient from a culture in which communication with ancestors is common says she sometimes hears her late grandmother giving advice. What is the most appropriate nursing approach?

1. AAvoid asking about it, because culture is not relevant to mental health
2. BExplore the experience in her cultural context before calling it a symptom
3. CRecord it immediately as a command hallucination
4. DTell her that her beliefs are not real

A teenager says she cuts herself "to feel better, not to die." Which statement about this is correct?

1. ASelf-injury without suicidal intent shows that she has no mental health problems that need any treatment
2. BShe should be told that cutting is only attention-seeking behaviour
3. CSelf-injury without suicidal intent never needs any assessment
4. DNon-suicidal self-injury still increases the long-term risk of suicide, so risk is assessed each time

अभ्यास प्रश्न (काल्पनिक मान, नैदानिक मार्गदर्शन नहीं)। एक खुराक 7:15 PM पर चार्ट की गई है। 24-घंटे की घड़ी में वही समय कौन-सी प्रविष्टि है? उसे चुनिए।

1. 118:15
2. 219:15
3. 320:15
4. 407:15

अभ्यास प्रश्न (काल्पनिक मान, नैदानिक मार्गदर्शन नहीं)। एक नुस्खे में 7 दिनों के लिए मौखिक सस्पेंशन हर 12 घंटे की 2 tsp लिखी है। 1 tsp = 5 mL का उपयोग करके पूरे कोर्स के लिए कितने mL V चाहिए?

एक रोगी का वज़न 80 kg है। निर्धारित खुराक 15 mg/kg प्रति दिन है, 2 बराबर खुराकों में। प्रति खुराक कितने मिलीग्राम D दिए जाते हैं?

एक इन्फ्यूज़न में 250 mL में दवा की 50000 इकाइयाँ हैं। निर्धारित 1500 इकाइयाँ प्रति घंटा है। आप पंप को mL/h में किस दर R पर सेट करेंगे?

40 mL/h पर इन्फ्यूज़न का आदेश है, पर कोई पंप उपलब्ध नहीं है। यह 15 gtt/mL वाले गिविंग सेट से गुरुत्व द्वारा चलता है। ड्रिप दर R बूँद प्रति मिनट में ज्ञात कीजिए।

एक बैग में 500 mL में 1 g दवा है। आदेश 2 mg प्रति मिनट है। आप पंप को किस दर R पर, mL/h में, सेट करेंगे?

अभ्यास प्रश्न (काल्पनिक मान, नैदानिक मार्गदर्शन नहीं)। रिकॉर्ड एक 12-घंटे की शिफ़्ट के लिए रोगी का अंतर्ग्रहण और निर्गम दिखाता है। रोगी का भार 46 kg है। औसत मूत्र निर्गम U mL/kg/h में ज्ञात कीजिए। दो दशमलव स्थानों तक पूर्णांकित करें।

अभ्यास प्रश्न (काल्पनिक मान, नैदानिक मार्गदर्शन नहीं)। एक 1000 mL बैग पंप से 120 mL/h पर चल रहा है। 09:00 पर 800 mL पहले ही दिए जा चुके हैं। बैग खाली होने में कितने घंटे t लगेंगे? एक दशमलव स्थान तक पूर्णांकित करें।

अभ्यास प्रश्न (काल्पनिक मान, नैदानिक मार्गदर्शन नहीं)। एक अभ्यास रोगी का ब्रैडन स्केल से आकलन किया गया है: संवेदी बोध: पूरी तरह सीमित; नमी: कभी-कभी नम; सक्रियता: बिस्तर पर ही; गतिशीलता: कोई सीमा नहीं; पोषण: बहुत खराब; घर्षण और अपरूपण (शियर): कोई स्पष्ट समस्या नहीं। ब्रैडन कुल B ज्ञात कीजिए।

अभ्यास प्रश्न (काल्पनिक मान, नैदानिक मार्गदर्शन नहीं)। जन्म के 1 मिनट बाद, एक अभ्यास नवजात में गुलाबी शरीर और नीले हाथ-पैर, हृदय गति 80/min, उद्दीपन पर मुँह बनाना, सक्रिय गति और कमज़ोर रोने के साथ धीमी, अनियमित साँस है। APGAR का स्कोर निकालिए और चुनिए कि स्कोर की व्याख्या कैसे की जाती है।

1. 1आश्वस्त करने वाला
2. 2मध्यम रूप से असामान्य
3. 3निम्न