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

A patient has just died. What should the nurse find out before starting last offices?

1. AThe patient's favourite food
2. BThe family's religious and cultural wishes
3. CWhether the patient's bills had all been paid
4. DThe patient's blood group

What is the best way to check that a patient has learned to use an inhaler correctly?

1. AAsk them to repeat the drug's name
2. BAsk whether they have any questions
3. CAsk whether they have read the leaflet
4. DAsk the patient to show how they use it

When should a nurse call the rapid response team?

1. AOnly when the provider has written an order for a rapid response call in the chart
2. BOnly when the patient’s family makes a complaint
3. CWhen a patient shows an acute decline, such as new confusion or a sharp change in vital signs
4. DOnly after a patient has had a cardiac or respiratory arrest on the ward

A toddler has bruises of different ages and a burn, and the parent’s explanation does not fit the injuries. What should the nurse do?

1. AConfront the parent and ask them to admit to abuse
2. BDocument only and say nothing to anyone
3. CReport the concern following child-protection (safeguarding) procedures
4. DWait until there is clear proof of abuse before reporting anything at all

A patient on a medical unit tells the nurse he has a plan to end his life and has saved tablets at home. What is the priority action?

1. AAsk him to promise he will not harm himself
2. BReassure him that things usually look better in the morning after some sleep
3. CEnsure constant observation and remove anything he could use to harm himself
4. DArrange a psychiatry appointment for next week

An adult has burns over 40% of the body with no signs of airway injury. Which treatment is the priority during the first hours?

1. ALarge-volume IV fluids with close monitoring of urine output
2. BGiving a high-protein meal to support healing
3. CApplying antibiotic cream to all the burns before anything else
4. DStarting physiotherapy to prevent contractures straight away

During a vesicant chemotherapy infusion, the patient reports burning and swelling at the cannula site. What should the nurse do first?

1. AFlush the cannula hard with saline
2. BIncrease the rate so that the infusion finishes as quickly as possible
3. CApply a warm pack and continue the infusion
4. DStop the infusion straight away and follow the extravasation protocol

After a head injury, a patient has clear fluid leaking from the nose. What does this most likely suggest?

1. AAllergic rhinitis triggered by the hospital environment
2. BA base-of-skull fracture with a cerebrospinal fluid leak
3. CA normal and harmless response to head trauma
4. DAcute sinusitis

दीर्घकालिक गुर्दा रोग वाले रोगी को फ़ॉस्फ़ेट बाइंडर, जैसे कैल्शियम एसीटेट या सेवेलामर, कब लेना चाहिए?

1. Aभोजन के साथ
2. Bखाली पेट सोते समय
3. Cकेवल जब रोगी अस्वस्थ महसूस करे
4. Dकेवल सप्ताह में एक बार

A man of Mediterranean descent develops dark urine, jaundice and a falling hemoglobin a few days after eating fava beans. Which condition is most likely?

1. ASickle cell crisis with vaso-occlusion
2. BIron-deficiency anemia from poor diet
3. CVitamin B₁₂ deficiency anemia
4. DG6PD deficiency with acute hemolysis

A patient starting sulfasalazine should be told about which harmless effect?

1. AGreen colouring of the sweat
2. BWhite spots on the nails
3. COrange-yellow colouring of the urine
4. DBlue colouring of the tongue and gums

A patient with angina is taught to use sublingual glyceryl trinitrate (nitroglycerin). Which statement shows a need for further teaching?

1. A"I will replace my tablets before the expiry date."
2. B"If the pain is no better after one tablet, I will wait an hour before calling for help."
3. C"I will sit down before I take the tablet, because it can make me feel faint or dizzy."
4. D"I may get a headache after taking it."

How does varenicline help people stop smoking?

1. AIt speeds the clearance of nicotine by the liver
2. BIt makes cigarettes taste of metal so smoking feels unpleasant
3. CIt partly stimulates and partly blocks nicotine receptors
4. DIt replaces nicotine through the skin, like a nicotine patch

A patient with pneumonia has a heart rate of 118/min, BP 86/50 mmHg, RR 28/min and a high lactate. Sepsis is recognised. Which action should not be delayed?

1. AGive oral antibiotics and reassess the next day
2. BDelay fluids until a chest X-ray has been reported
3. CWait for the sputum culture result before choosing an antibiotic
4. DTake blood cultures and give IV antibiotics within the first hour

Which measure best detects a decline in breathing in a patient with Guillain–Barré syndrome?

1. APeak flow before and after a bronchodilator
2. BRegular forced vital capacity measurements
3. COxygen saturation alone
4. DDaily chest X-rays

The day after a lumbar puncture, a patient has a headache that is severe when standing and almost gone when lying flat. Temperature and neck movement are normal. What is the most likely cause?

1. AA subarachnoid haemorrhage
2. BBacterial meningitis from the procedure
3. CPost-dural puncture headache
4. DA migraine triggered by stress

Why is a urinary catheter usually inserted in a patient with a major burn?

1. AIt is needed to give medicines into the bladder
2. BThe catheter prevents wound infection
3. CHourly urine output guides fluid resuscitation
4. DBurns always cause the bladder to rupture

पेट की सर्जरी के बाद एपिड्यूरल लगे मरीज़ का BP 82/48 mmHg, नाड़ी 70/min है और पैर गर्म हैं। रक्तस्राव को बाहर किया जा चुका है। सबसे संभावित कारण क्या है?

1. Aरक्तस्राव से हाइपोवोलेमिक शॉक
2. Bस्थानीय एनेस्थेटिक के प्रति एनाफ़िलैक्सिस
3. Cसर्जरी के बाद कार्डियोजेनिक शॉक
4. Dएपिड्यूरल से सिम्पैथेटिक ब्लॉक

Low-dose aspirin may be prescribed from early pregnancy to a woman with a high risk of:

1. AHyperemesis gravidarum
2. BPlacenta praevia
3. CGestational diabetes
4. DPre-eclampsia

A labouring woman has had an epidural for 3 hours. The fundus is displaced and a bulge is seen above the pubic bone. What should the nurse do?

1. AIncrease the rate of the epidural
2. BStart an oxytocin infusion
3. CPrepare her for an emergency caesarean
4. DCheck for bladder distension and empty the bladder

Ten minutes into a blood transfusion, a child develops fever, chills and back pain. What should the nurse do first?

1. AFinish the unit quickly, then report it
2. BSlow the transfusion and give paracetamol (acetaminophen)
3. CGive an antihistamine and continue
4. DStop the transfusion

During an insulin infusion for diabetic ketoacidosis, why is potassium monitored closely?

1. AInsulin causes the kidneys to hold on to potassium, so blood levels rise dangerously
2. BInsulin moves potassium into the cells, so blood potassium can fall sharply
3. CPotassium is needed to dissolve the insulin in the drip
4. DPotassium has no role in DKA; it is a routine test only

Which findings suggest recent cannabis use?

1. ADilated pupils, high fever and severe muscle rigidity
2. BSlow heart rate, constricted pupils, drooling and watery eyes
3. CRed eyes, increased appetite, dry mouth and a fast heart rate
4. DPinpoint pupils, slow breathing and drowsiness

A voluntary patient asks to leave the ward now. While talking, he says he plans to jump from a bridge on the way home. What should the nurse do?

1. AAsk him to promise that he will not jump, and then let him go home on his own
2. BLet him leave, because voluntary patients can always go when they want
3. CStay with him and inform the team at once, so he can be urgently assessed under mental health law
4. DTell him to go home now and come back tomorrow morning when he feels calmer and safer

अभ्यास प्रश्न (काल्पनिक मान, नैदानिक मार्गदर्शन नहीं)। एक छोटे इंजेक्शन की खुराक गणना से 0.92756 mL आता है। इस अभ्यास का नियम है कि 1 mL से कम के आयतन निकटतम mL के सौवें भाग तक पूर्णांकित किए जाते हैं। आप कौन-सा मान x दर्ज करेंगे?

अभ्यास प्रश्न (काल्पनिक मान, नैदानिक मार्गदर्शन नहीं)। एक इन्फ्यूज़न 19:30 पर शुरू होता है और अगली सुबह 07:25 पर समाप्त होता है (24-घंटे की घड़ी)। यह कितने घंटे t चला? उत्तर घंटों में दशमलव के रूप में, दो दशमलव स्थान तक पूर्णांकित करके दीजिए।

एक रोगी का वज़न 90 kg है। निर्धारित खुराक 2 mg/kg प्रति दिन है, 4 बराबर खुराकों में। प्रति खुराक कितने मिलीग्राम D दिए जाते हैं?

आपको 25% (w/v) स्टॉक घोल से 1% (w/v) घोल का 250 mL तैयार करना है। आपको स्टॉक का कितना आयतन V₁ चाहिए?

10 घंटों में 1000 mL का आदेश दिया गया था। 3 घंटे बाद आप पाते हैं कि बैग में अभी 760 mL बचा है, और आदेश को फिर भी समय पर पूरा होना है। पंप को mL/h में किस दर R पर फिर से सेट करना होगा?

एक बैग में 250 mL में 1 g दवा है। आदेश 1.5 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। IV इन्फ्यूज़न पूरी शिफ़्ट में दिखाई गई दर पर चला। द्रव संतुलन B = अंतर्ग्रहण − निर्गम mL में ज्ञात कीजिए (ऋणात्मक उत्तर का अर्थ शुद्ध हानि है)। बर्फ़ के टुकड़ों को उनके आयतन के आधे के रूप में गिनें।

अभ्यास प्रश्न (काल्पनिक मान, नैदानिक मार्गदर्शन नहीं)। एक 500 mL इन्फ्यूज़न 12:00 पर 100 mL/h से शुरू होता है। 2 घंटे बाद दर बदलकर 125 mL/h की जाती है और फिर नहीं बदली जाती। शुरुआत के कितने घंटे t बाद बैग खाली होगा? एक दशमलव स्थान तक पूर्णांकित करें।

अभ्यास प्रश्न (काल्पनिक मान, नैदानिक मार्गदर्शन नहीं)। एक रोगी की नाड़ी 133/min और रक्तचाप 126/76 mmHg है। शॉक इंडेक्स SI = HR/SBP ज्ञात कीजिए। दो दशमलव स्थान तक पूर्णांकित कीजिए।

अभ्यास प्रश्न (काल्पनिक मान, नैदानिक मार्गदर्शन नहीं)। इन अवलोकनों के लिए NEWS2 चार्ट (SpO₂ स्केल 1) का उपयोग कीजिए: श्वसन दर 14/min, SpO₂ 98% कमरे की हवा में, रक्तचाप 222/134 mmHg, नाड़ी 58/min, सचेत, तापमान 36.7 °C। रोगी किस नैदानिक जोखिम समूह में आता है? उसे चुनिए।

1. 1निम्न
2. 2कम से मध्यम
3. 3मध्यम
4. 4उच्च