NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

नर्सिंग असिस्टेंट सौंपा गया कार्य यह कहकर मना कर देती है कि उसे इसे करने का प्रशिक्षण नहीं मिला है। नर्स की सबसे अच्छी प्रतिक्रिया क्या है?

1. Aअसिस्टेंट से कहें कि यह उसके कार्य-विवरण में है और करना ही होगा
2. Bकार्य को अगली शिफ़्ट पर छोड़ दें, जब कोई प्रशिक्षित व्यक्ति ड्यूटी पर हो
3. Cकार्य से इनकार करने के लिए असिस्टेंट की शिकायत प्रबंधक से करें
4. Dअसिस्टेंट को धन्यवाद दें, सुनिश्चित करें कि कार्य सुरक्षित रूप से हो और प्रशिक्षण की व्यवस्था करें

During JumpSTART triage, a child who cannot walk is breathing 50 times a minute. Which category is the child given?

1. AGreen (minor)
2. BBlack (expectant)
3. CRed (immediate)
4. DYellow (delayed)

A patient with difficulty swallowing is prescribed an extended-release tablet. What should the nurse do?

1. AAsk the prescriber or pharmacist for another form and not crush the tablet
2. BCrush the tablet finely and mix it into a spoonful of applesauce or yogurt
3. CDissolve the tablet in a glass of hot water
4. DCut the tablet in half so it is easier to swallow

During a power cut in a US hospital, a ventilator must stay powered. Where should it be plugged in?

1. AInto a red outlet connected to the emergency generator
2. BInto the outlet that is closest to the bed, whatever its color
3. CInto any white outlet in the room
4. DInto an extension cord from the corridor

A patient with diabetes also takes propranolol. Why is regular glucose monitoring especially important?

1. AThe drug stops the meter from reading correctly
2. BThe drug causes very high glucose in all patients
3. CThe drug blocks the insulin injection site
4. DThe drug can mask warning signs of hypoglycemia

The nurse teaches a patient who is starting warfarin. Which statement shows a need for further teaching?

1. A"If I miss a dose, I will take two tablets the next day"
2. B"I will have my INR checked as often as I am told to"
3. C"I will keep my intake of green leafy vegetables about the same"
4. D"I will tell my dentist and pharmacist that I take warfarin"

Which instruction is correct for taking weekly alendronic acid (alendronate)?

1. AChew the tablet with breakfast and a cup of milky tea
2. BTake it with an antacid to protect the stomach
3. CTake it with a glass of milk at bedtime and then lie down straight away
4. DTake it with plain water on an empty stomach and stay upright for 30 minutes

A postoperative patient on IV fluids has a sodium of 128 mmol/L and is becoming confused. Which fluid could make this worse if given in large amounts?

1. A0.9% sodium chloride
2. BHuman albumin solution
3. C5% glucose (D5W)
4. DHartmann's solution (similar to lactated Ringer's)

Why is a higher level of HDL cholesterol considered protective?

1. AHDL thins the blood in the same way as an anticoagulant
2. BHDL carries cholesterol from the tissues back to the liver
3. CHDL lowers the blood pressure directly
4. DHDL is converted into vitamin D in the walls of the arteries

After four days of antibiotics for pneumonia, a patient still has fever and pleuritic pain. There is dullness and reduced breath sounds at the right base. What complication should be suspected?

1. AAsthma triggered by the infection
2. BA parapneumonic effusion or empyema
3. CNormal recovery from pneumonia
4. DAn allergic reaction to the antibiotic

A nurse is teaching a patient going home after a mild concussion. Which statement shows a need for further teaching?

1. A"I will return if my headache gets steadily worse."
2. B"Someone will stay with me for the first night."
3. C"A few drinks tonight will help me relax and sleep."
4. D"I will come back if I start vomiting again and again."

A man with chronic urinary retention is catheterised. Over the next hours he passes very large volumes of urine. What is the main nursing concern?

1. AFluid and electrolyte loss from post-obstructive diuresis
2. BA urinary infection caused by the high flow of urine
3. CA rise in blood glucose from the urine
4. DRupture of the bladder from the catheter

How is an uncomplicated sigmoid volvulus often first treated?

1. AEating a large high-fibre meal
2. BA barium meal given by mouth to untwist the bowel slowly
3. CDecompression with a flexible sigmoidoscope and flatus tube
4. DHigh-dose laxatives taken by mouth

ओपिऑइड PCA लेने वाले मरीज़ को मास्क से ऑक्सीजन दी जा रही है। SpO₂ 97% और श्वसन दर 11/min है, लेकिन उसे जगाना कठिन है। नर्स को क्या निष्कर्ष निकालना चाहिए?

1. Aमरीज़ को आरामदायक रखने के लिए PCA की खुराक बढ़ानी चाहिए
2. Bओपिऑइड विषाक्तता की संभावना है; ऑक्सीजन हाइपोवेंटिलेशन को छिपा रही हो सकती है
3. Cमरीज़ सुरक्षित है क्योंकि ऑक्सीजन संतृप्ति सामान्य है
4. Dमरीज़ बस अच्छी नींद ले रहा है क्योंकि दर्द नियंत्रित है