NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

A patient with schizophrenia says voices are telling him to hurt his roommate. What is the priority?

1. AAsk the roommate to stay in the room with him and help calm him down
2. BTell him the voices are not real and leave him alone
3. CIgnore the comment, because voices are part of his illness
4. DKeep everyone safe and tell the team, as the risk of harm is high

A patient takes lithium. Which statement shows a need for further teaching?

1. A“I will take ibuprofen every day for my headaches.”
2. B“I will keep my daily salt intake about the same as usual.”
3. C“I will go for my blood tests as planned.”
4. D“I will drink enough fluid every day.”

A woman who is pregnant asks for the MMR vaccine because she is not immune to rubella. What is correct?

1. AMMR should be given as soon as possible in the first trimester to protect the baby
2. BMMR is safe at any stage of pregnancy
3. CMMR is a live vaccine and is not given during pregnancy, but can be given after delivery
4. DMMR is only given to pregnant women who work in hospitals

जिस नर्स को कोल्ड सोर (हर्पीज़ लेबियलिस) है, उसे नवजात शिशु वार्ड में नियुक्त किया गया है। सबसे उपयुक्त क्या है?

1. Aकिसी को न बताना, और पाली के दौरान घाव को मेकअप से ढक लेना
2. Bदस्ताने पहनना और हमेशा की तरह काम जारी रखना
3. Cसामान्य रूप से काम करना, क्योंकि कोल्ड सोर बहुत आम हैं
4. Dप्रबंधक को सूचित करना, जो फ़िलहाल नर्स को दूसरी जगह लगा सकता है

A patient with recurrent gout starts allopurinol. Which laboratory result shows that the treatment is achieving its goal?

1. AA rising white cell count
2. BA rising serum calcium
3. CA falling serum uric acid
4. DA falling serum potassium

A patient with blood pressure that is hard to control has a potassium of 2.9 mEq/L, a sodium of 144 mEq/L and a raised serum bicarbonate, without taking a diuretic. Which condition is most likely?

1. APrimary hyperaldosteronism
2. BSyndrome of inappropriate ADH
3. CCentral diabetes insipidus
4. DPrimary adrenal insufficiency

Which advice is important for a patient on long-term oral corticosteroids?

1. ADo not stop them suddenly
2. BTake them on an empty stomach at night
3. CDouble the dose if a dose is missed
4. DTake them only when symptoms flare

A patient with new fast atrial fibrillation has chest pain, a blood pressure of 75/40 mmHg and is confused. What does this indicate?

1. AHaemodynamic instability needing urgent treatment, possibly electrical cardioversion
2. BAnxiety about the new diagnosis that will settle with reassurance and rest alone
3. CA normal response to atrial fibrillation needing no action
4. DA stable rhythm that can safely be reviewed at the next routine ward round

A patient uses a salbutamol (albuterol) inhaler and a steroid inhaler at the same times each day. Which order is usually taught?

1. ASteroid first, then salbutamol straight afterwards
2. BThe order makes no difference to either drug
3. CSalbutamol first, then the steroid after a short wait
4. DBoth inhalers puffed together in one breath

A nurse reviews inhaler use with a patient who has asthma and uses a separate steroid preventer inhaler and a salbutamol reliever. Which statement shows a need for further teaching?

1. A"I use my steroid inhaler when I start to wheeze."
2. B"I use my steroid inhaler every day, even when I feel well."
3. C"I rinse my mouth after the steroid inhaler."
4. D"I carry my blue reliever inhaler with me."

A patient is due a rapid-acting insulin dose before lunch, but the meal trays are delayed. What should the nurse do?

1. AWait to give the insulin until the meal arrives
2. BGive the insulin now and the meal when it comes
3. CGive the insulin with a glass of water instead
4. DOmit the dose entirely for the rest of the day

A 66-year-old smoker has had two episodes of painless red urine. Urine cultures are negative. Which plan is most appropriate?

1. AUrgent referral for cystoscopy and imaging
2. BAnother course of antibiotics for a UTI
3. CAdvise more fluids and review in a year
4. DReassure him, because the blood has stopped

A patient takes co-codamol at home (a combination tablet sold under different names in different countries). Why should the nurse check this before giving regular paracetamol (acetaminophen)?

1. ACo-codamol stops paracetamol from working
2. BCo-codamol must be stopped a week before any paracetamol
3. CIt already contains paracetamol, so overdose could occur
4. DParacetamol and codeine cause a severe allergic reaction when combined

A patient with bone metastases is starting regular zoledronic acid. Which advice is important?

1. AAvoid all physical activity for six months
2. BHave a dental check and report jaw pain or loose teeth
3. CStop drinking all fluids on the day of each infusion
4. DTake extra calcium only on the day of infusion