NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

Which patient is most suitable for the nurse to assign to a nurse who has just finished orientation?

1. AA patient with stable cellulitis on scheduled IV antibiotics
2. BA patient with sepsis whose blood pressure is falling
3. CA patient with a new tracheostomy who needs frequent suctioning
4. DA patient on a continuous heparin infusion with rising aPTT values

Weeks after a kidney transplant, a patient has a fever, less urine and tenderness over the new kidney. What should the nurse suspect?

1. ARejection of the transplant
2. BDehydration from drinking too much
3. CA side effect of eating salty food
4. DNormal healing of the transplant

Why must visible dirt be removed from equipment before it is disinfected?

1. AOrganic matter can shield organisms and weaken the disinfectant
2. BDisinfectants only work on wet surfaces
3. CCleaning first is only needed for metal items
4. DDirt makes the disinfectant react and work too strongly on the surface

A visitor becomes very agitated and starts shouting at the nurse in a patient’s room. What should the nurse do first?

1. AKeep a safe distance and a clear exit, speak calmly and call security if needed
2. BTurn away from the visitor and continue with the patient’s care as normal
3. CRaise the voice to show who is in charge
4. DTouch the visitor’s arm to help them calm down

A patient scheduled for surgery this morning has a potassium of 3.0 mEq/L on pre-operative tests. What should the nurse do?

1. AReport it to the surgical team before surgery
2. BGive an oral potassium dose without a prescription
3. CRepeat the test after the surgery is finished
4. DSend the patient to surgery without comment

A stable patient's hemoglobin has been 13–14 g/dL for days. Today's result is 8.2 g/dL, but the patient feels well, the vital signs are normal and there is no bleeding. What should the nurse suspect first?

1. AAcute bone marrow failure overnight
2. BA normal day-to-day variation in Hb
3. CSudden massive internal bleeding
4. DA sample taken from the wrong patient

Why are older adults at higher risk of dehydration?

1. ATheir kidneys hold on to too much water
2. BTheir body water content increases with age
3. CThey always drink large amounts of tea
4. DTheir sense of thirst is often reduced

A healthcare assistant reports four observations. Which one needs the nurse's immediate action?

1. A"Mr Chen's blood pressure is 128/80 as usual."
2. B"Mrs Jones would like a cup of tea and her glasses cleaned."
3. C"Mr Patel's breathing rate is 8 a minute and he's hard to wake."
4. D"Ms Ali has walked to the bathroom on her own."

Unless fluids are restricted, why are patients with pneumonia encouraged to drink plenty?

1. ATo lower the temperature by diluting the blood plasma
2. BTo make the cough completely stop
3. CTo prevent dehydration and keep secretions thinner
4. DTo flush the bacteria out through the urine

A nurse receives handover on four patients. Which patient should be seen first?

1. AA patient on day 1 after surgery who is newly restless, RR 30/min, SpO₂ 88% on 4 L/min
2. BA patient with COPD on 1 L/min whose SpO₂ has been 89% and stable throughout the night
3. CA patient with asthma who wants a reliever inhaler before a walk
4. DA patient with pneumonia on IV antibiotics who now has a temperature of 38.2 °C

Why must Parkinson's medicines be given on time in hospital?

1. ALate doses can soon cause stiffness, falls and poor swallowing
2. BLate doses cause the patient to develop high blood glucose
3. CGiving them on time prevents the disease from getting worse
4. DLate doses build up in the blood and cause an overdose

DKA वाला मरीज़ सुधर रहा है: ग्लूकोज़ 9 mmol/L, कीटोन 0.4 mmol/L, pH 7.36। वह खा-पी रहा है। IV इंसुलिन कैसे बंद किया जाना चाहिए?

1. Aभोजन के साथ त्वचा के नीचे इंसुलिन देना, फिर ओवरलैप के बाद IV बंद करना
2. Bसारा इंसुलिन बंद करना, क्योंकि कीटोएसिडोसिस पूरी तरह ठीक हो गया है
3. CIV इंसुलिन अभी बंद करना और कल त्वचा के नीचे इंसुलिन शुरू करना
4. Dत्वचा के नीचे इंसुलिन केवल तब देना जब ग्लूकोज़ 20 mmol/L से ऊपर जाए

Why do patients usually have a dental review before radiotherapy to the head and neck?

1. ATeeth block the radiation beam completely
2. BThe dentist gives the radiotherapy
3. CRadiotherapy can only be given once all the teeth have been removed
4. DIt causes dry mouth and raises the risk of decay and jaw damage

After surgery, a patient keeps asking for analgesia before it is due, watches the clock and rates pain 8/10. What is the most appropriate interpretation?

1. AThe patient is addicted and should have analgesia withheld
2. BPain may be undertreated; reassess and ask for a review of the plan
3. CThe patient is exaggerating, so the pain scores should be ignored for now
4. DThe patient needs only distraction and no change in drugs