NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

A nurse sees a nursing assistant leave a confused patient’s bed in the highest position after care. What should the nurse do?

1. AAsk the family to lower the bed when they next visit
2. BWrite it in the assistant’s yearly review only
3. CLeave it because the patient is asleep
4. DLower the bed now and remind the assistant why it matters

An 85-year-old resident becomes newly confused and is falling, but has no fever. Which cause should the nurse consider first?

1. ANormal aging that needs no assessment
2. BBoredom from not having enough activities
3. CAn infection, such as a urinary tract infection, presenting atypically
4. DA sudden worsening of long-standing dementia that needs no tests

A nurse gives part of a dose of an opioid from a vial and must discard the rest. What is correct?

1. AReturn the rest to the patient’s medication drawer
2. BKeep the rest for the patient’s next dose
3. CDiscard it alone in the sink and document the amount wasted later in the shift
4. DDiscard it in front of a second licensed (registered) nurse, who witnesses and documents it

A nurse teaches parents about using an infant car seat. Which statement shows a need for further teaching?

1. A“We will put the rear-facing seat in the front so we can see the baby.”
2. B“We will install the seat in the back seat, facing the rear.”
3. C“We will make sure the harness straps are snug against the baby’s chest.”
4. D“We will use the car seat for every trip, even short ones.”

When should a blood specimen tube be labeled?

1. AAt the bedside, in the patient's presence, using two identifiers
2. BAt the nurses' station, after all samples for the shift are drawn
3. CIn the laboratory, by the staff who receive the unlabeled sample
4. DBefore entering the room, so tubes are ready for the next patients

Four patients had a thyroidectomy earlier today. Which result should the nurse act on first?

1. AHemoglobin 12.1 g/dL (121 g/L) after surgery
2. BSodium 136 mEq/L on IV fluids after surgery
3. CCalcium 7.2 mg/dL (1.8 mmol/L) with tingling lips
4. DGlucose 145 mg/dL (8.0 mmol/L) after surgery

Which ECG change is typical of hypokalaemia?

1. ATall, peaked T waves
2. BST elevation in leads II, III and aVF
3. CFlattened T waves and prominent U waves
4. DA very short PR interval with a delta wave

A patient is taught to self-inject low-molecular-weight heparin. Which statement shows a need for further teaching?

1. A"I will inject into the fatty tissue of my abdomen."
2. B"I will report any unusual bleeding or bruising."
3. C"I will change the injection site each time."
4. D"I will rub the area firmly after the injection."

Which ECG pattern is typical of acute pericarditis?

1. AST elevation only in leads II, III and aVF with Q waves
2. BTall peaked T waves with a wide QRS
3. CA sawtooth baseline with a regular ventricular rate
4. DWidespread saddle-shaped ST elevation with PR depression

On day 2 after a surgical tracheostomy, the tube falls out. The patient is breathing but distressed. What should the nurse do first?

1. AForce the tube back through the stoma immediately with firm pressure
2. BCover the stoma completely with a sealed dressing and wait for help
3. CCall for expert help and give oxygen to both the face and the stoma
4. DLeave the patient alone while fetching a new tube

A patient takes an SGLT2 inhibitor. Which sick-day advice is correct?

1. AStop drinking fluids while taking the drug
2. BDouble the dose during illness to control the glucose
3. CKeep taking it as normal, whatever the illness
4. DPause the drug during illness with vomiting or poor intake

A 74-year-old falls forward and hits their chin. Their arms are much weaker than their legs, and they have burning pain in the hands. Which injury is most likely?

1. ACentral cord syndrome
2. BBrown-Séquard syndrome
3. CA complete lumbar cord injury
4. DCauda equina syndrome

Which lung problem is a known toxicity of bleomycin?

1. ALung cancer within weeks
2. BPneumothorax from coughing
3. CPulmonary fibrosis
4. DAsthma from pollen

सामान्य एनेस्थीसिया के दौरान मरीज़ में जबड़े की कठोरता, बढ़ता एंड-टाइडल CO₂ और टैकीकार्डिया विकसित होते हैं, फिर तापमान तेज़ी से बढ़ता है। विशिष्ट उपचार कौन-सी दवा है?

1. Aसक्सामेथोनियम
2. Bपैरासिटामोल
3. Cनैलोक्सोन
4. Dडैन्ट्रोलीन