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

How should an unconscious patient be positioned for mouth care?

1. AOn their side with the head turned, with suction ready
2. BFlat on their back with the head tilted back
3. CSitting fully upright with the head bent forwards
4. DProne with the face in the pillow

A patient has been taught to walk with underarm crutches. Which statement shows a need for further teaching?

1. A"I'll rest my weight on the tops of the crutches under my arms."
2. B"I'll take my weight through my hands on the hand grips."
3. C"I'll keep the crutch tips about a step out to the side and front."
4. D"I'll check the rubber tips regularly for wear."

A family member tells the nurse, “My father is not himself. Something is wrong.” The hospital has a family-activated rapid response system. What is correct?

1. AThe family can call the rapid response team if they are worried and staff have not responded
2. BThe family should call emergency services from outside the hospital
3. CThe family must wait for the next scheduled ward round to raise the concern with a doctor
4. DOnly doctors may call the rapid response team

A patient’s blood splashes onto a nurse’s forearm. The skin is intact. What is the correct response?

1. AStart HIV post-exposure prophylaxis right away, before any other step is taken
2. BScrub the area with undiluted bleach
3. CWash the area with soap and water, then follow the reporting policy
4. DDo nothing, because intact skin cannot be contaminated

One day after surgery, a patient walked safely with the RN this morning. The RN now asks a nursing assistant to walk her again. Which instruction is most important?

1. A“Stop and call me at once if she feels dizzy or short of breath.”
2. B“Try to finish the walk before the lunch trays arrive.”
3. C“Make sure she wears her own slippers if she has them.”
4. D“Walk her to the end of the corridor and back twice before lunch.”

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. ANot witness the consent and inform the surgeon
2. BWitness it and write “sedated” beside the signature
3. CWitness it quickly before the sedative takes full effect
4. DAsk a family member to sign on the patient’s behalf

Which group of symptoms suggests hypercalcaemia?

1. AWeight gain, feeling cold and a slow pulse
2. BThirst, constipation, confusion and abdominal pain
3. CTingling lips, muscle cramps and spasms of the hands and feet
4. DSweating, tremor and sudden hunger

A patient with long-standing COPD has an arterial blood gas with pH 7.37, a raised PaCO₂ and a raised bicarbonate. How is this best described?

1. AMixed metabolic and respiratory alkalosis
2. BAcute respiratory acidosis
3. CCompensated respiratory acidosis
4. DUncompensated metabolic alkalosis

A healthy patient's result is slightly outside the laboratory reference range, and all other results are normal. Which statement best explains why this can happen?

1. ARanges cover about 95% of healthy people, so some fall outside
2. BReference ranges include every healthy person without exception
3. CAny result outside the range always means disease is present
4. DReference ranges are the same in every laboratory worldwide

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"

During an infusion of a vesicant chemotherapy drug, the patient reports burning, and the site is swollen. What should the nurse do first?

1. AFlush the line with a large volume of saline
2. BStop the infusion, leave the cannula in and follow the protocol
3. CRemove the cannula at once and massage the area firmly
4. DIncrease the infusion rate to finish quickly

A teenager took a large overdose of diphenhydramine. He is agitated, hot, flushed and confused, with dry skin, dilated pupils and a full bladder. What is this pattern?

1. AAnticholinergic toxidrome
2. BSerotonin syndrome
3. CCholinergic toxidrome
4. DOpioid toxidrome

A patient with an implantable cardioverter-defibrillator asks what to do if it fires. Which teaching is correct?

1. AOne shock and well: contact the device clinic; repeated shocks or unwell: call emergency services
2. BRemove the device battery at home if it fires more than once
3. CIgnore any shock at all, because the device is designed to fire every day and needs no follow-up
4. DDrive straight to hospital alone after any shock so the device can be checked by the team

A patient has sudden severe chest pain spreading to the back between the shoulder blades. Which finding most supports aortic dissection rather than myocardial infarction?

1. APain that started at rest
2. BA heart rate of 104/min and a respiratory rate of 22/min
3. CSweating, nausea and pallor that started with the pain
4. DA large difference in blood pressure between the arms

A patient with type 1 diabetes plans a long cycle ride. Which advice is most appropriate?

1. ASkip breakfast so the exercise burns body fat
2. BAvoid checking glucose until the ride is over
3. CTake an extra dose of rapid-acting insulin before setting off
4. DCheck glucose before and after, and carry fast-acting carbohydrate

A patient on IV gentamicin has a rising creatinine and a high trough level. What should the nurse do?

1. AEncourage more fluids and give the dose as planned
2. BStop measuring the drug levels
3. CHold the next dose and inform the prescriber
4. DGive the next dose early to clear the infection quickly

What is a Curling's ulcer?

1. AA leg ulcer caused by venous disease after long bed rest
2. BA burn on the sole of the foot
3. CA pressure ulcer under a splint that has been left on too long
4. DA stress ulcer of the stomach or duodenum after a major burn

A patient with long-standing chronic pancreatitis now has weight loss, thirst and passing large volumes of urine. What should the nurse check first?

1. ACapillary blood glucose
2. BPeak expiratory flow
3. CAbdominal girth
4. DSerum amylase level

कौन-सा समूह बायोफ़िज़िकल प्रोफ़ाइल के घटकों को सूचीबद्ध करता है?

1. Aनॉन-स्ट्रेस टेस्ट, भ्रूण की श्वसन गति, भ्रूण की गतिविधियाँ, भ्रूण की पेशी टोन और उल्बीय द्रव की मात्रा
2. BAPGAR स्कोर, नाल रक्त गैसें, जन्म का वज़न, लंबाई और सिर का आकार
3. Cफंडल ऊँचाई, भ्रूण की स्थिति (लाई), स्टेशन, ऐफ़ेसमेंट और फैलाव
4. Dभ्रूण की हृदय गति का पैटर्न, माँ का रक्तचाप, रक्त ग्लूकोज़, वज़न और मूत्र प्रोटीन

A woman needs an emergency caesarean under general anaesthesia. Why is she given an antacid such as sodium citrate before induction?

1. ATo lower her blood pressure before surgery
2. BTo prevent nausea after the operation
3. CTo speed up gastric emptying for surgery
4. DTo make aspirated stomach contents less acidic

18 महीने की जाँच में कौन-सा निष्कर्ष विकासात्मक आकलन के लिए रेफ़रल माँगता है?

1. Aबच्चा केवल कुछ शब्द बोलता है
2. Bबच्चा अजनबियों से डरता है
3. Cबच्चा अभी स्वतंत्र रूप से नहीं चल रहा
4. Dबच्चा अन्य बच्चों के साथ नहीं, बल्कि उनके पास खेलता है

A boy with haemophilia A bumps his head hard on a table. He seems well. What should the nurse advise?

1. ANo action is needed, because head bleeds are rare in haemophilia
2. BWatch him at home for a week and bring him in only if he vomits or has a headache
3. CGive aspirin for the pain and apply ice to the bump
4. DSeek urgent care, as factor replacement may be needed before symptoms appear

Which nursing action at mealtimes is most appropriate for a patient with anorexia nervosa?

1. ALet the patient eat alone in her room for privacy
2. BTalk with the patient at length about calories during the meal
3. CSupervise the meal and observe the patient for an agreed period afterwards
4. DAllow the patient to choose to skip meals if she says she feels full or unwell

For 8 months, a woman has worried about her job, money and family's health nearly every day. She has muscle tension, tiredness and poor sleep, but no sudden attacks of fear. Which diagnosis fits best?

1. APanic disorder
2. BGeneralised anxiety disorder
3. CAcute stress disorder after a recent trauma
4. DSpecific phobia

अभ्यास प्रश्न (काल्पनिक मान, नैदानिक मार्गदर्शन नहीं)। एक खुराक 4:25 AM पर चार्ट की गई है। 24-घंटे की घड़ी में वही समय कौन-सी प्रविष्टि है? उसे चुनिए।

1. 103:25
2. 204:25
3. 316:25
4. 405:25

अभ्यास प्रश्न (काल्पनिक मान, नैदानिक मार्गदर्शन नहीं)। एक नुस्खे में 14 दिनों के लिए मौखिक सस्पेंशन हर 8 घंटे की 1 tsp लिखी है। सस्पेंशन 100 mL की बोतलों में आता है। 1 tsp = 5 mL का उपयोग करके कोर्स पूरा करने के लिए कितनी पूरी बोतलें N देनी होंगी?

32 kg वज़न वाले बच्चे को किसी दवा की 10 mg/kg खुराक निर्धारित की गई है। स्टॉक घोल में 50 mg/mL है। खुराक खींचें: आप कितना आयतन V देते हैं?

एक रोगी का भार 77 lb है। निर्धारित खुराक एकल खुराक के रूप में 1 mg/kg है, और स्टॉक में 1 mL में 100 mg है। 1 kg = 2.2 lb लेते हुए, आप कितना आयतन V देंगे?

60 बूँद/mL वाले सेट से 250 mL को 3 घंटों में दें। ड्रिप दर R बूँद प्रति मिनट में ज्ञात करें। निकटतम पूर्ण संख्या तक पूर्णांकित कीजिए।

एक बैग में 500 mL में 4 g दवा है। आदेश 4 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 108 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 इन्फ्यूज़न 10:00 पर 120 mL/h से शुरू होता है। 3 घंटे बाद दर बदलकर 100 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)। इन अवलोकनों के लिए NEWS2 चार्ट (SpO₂ स्केल 1) का उपयोग कीजिए: श्वसन दर 18/min, SpO₂ 99% कमरे की हवा में, रक्तचाप 150/90 mmHg, नाड़ी 70/min, नए सिरे से भ्रमित, तापमान 36.3 °C। NEWS2 का कुल स्कोर क्या है?

अभ्यास प्रश्न (काल्पनिक मान, नैदानिक मार्गदर्शन नहीं)। टीम का लक्ष्य कम से कम 65 mmHg का माध्य धमनी दाब है। एक रोगी का सिस्टोलिक दाब 123 mmHg है। MAP = (SBP + 2·DBP)/3 का उपयोग करके, सबसे कम डायस्टोलिक दाब DBP क्या है जो फिर भी 65 mmHg का MAP देता है?