NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

A nursing assistant tells the RN that a patient’s IV pump is alarming. What is the best response?

1. A“Turn the pump off and on again until it stops.”
2. B“I will come and check the pump and the IV site now.”
3. C“Silence the alarm and I will check it at the end of the shift.”
4. D“Increase the rate a little so the alarm clears.”

A child who had a tonsillectomy this morning is swallowing again and again while asleep. What should the nurse suspect?

1. ABleeding from the operation site
2. BA sore throat from the breathing tube
3. CNormal swallowing during sleep
4. DHunger after fasting for surgery

During routine handwashing with soap and water (medical asepsis), how are the hands held?

1. AHigher than the elbows, so water runs down the arms
2. BLevel with the shoulders, away from the sink
3. CTouching the inside of the sink for support
4. DLower than the elbows, so water runs off the fingertips

In a mass-casualty incident with limited resources, why may a critically injured patient with little chance of survival receive care after others?

1. AThe most severely injured are never given comfort care
2. BPatients are treated in the order they arrive
3. CResources go first to those most likely to survive with treatment
4. DCritical patients are always treated last in every situation, even outside disasters

A patient takes low-dose methotrexate weekly for rheumatoid arthritis. Which laboratory tests are monitored regularly?

1. ATroponin, creatine kinase and myoglobin
2. BSerum lithium, sodium and urine specific gravity
3. CComplete blood count, liver tests and kidney function
4. DSerum amylase, lipase and blood ketones

शराब उपयोग विकार वाले रोगी का दो दिन के प्रतिस्थापन के बावजूद पोटैशियम 3.0 mEq/L है। मैग्नीशियम 0.9 mEq/L है। सबसे उपयुक्त अगला कदम क्या है?

1. Aपोटैशियम की खुराक दोगुनी करें और मैग्नीशियम बाद के लिए छोड़ दें
2. Bअतिरिक्त मैग्नीशियम निकालने के लिए मूत्रवर्धक दें
3. Cमैग्नीशियम बदलें; कम मैग्नीशियम गुर्दों से पोटैशियम की हानि जारी रखता है
4. Dसभी इलेक्ट्रोलाइट प्रतिस्थापन 24 घंटे के लिए रोक दें और दोबारा जाँचें

When should discharge planning usually begin?

1. AOn the morning of discharge
2. BAfter the patient has been home for a week
3. COn or soon after admission
4. DOnly after the patient asks to go home

A patient with suspected appendicitis says the pain suddenly eased, but an hour later has pain all over the abdomen, a rigid abdomen and a fever. What is most likely?

1. AThe patient has developed gastroenteritis
2. BThe analgesia has started working
3. CThe appendix has perforated, causing peritonitis
4. DThe appendicitis has resolved without treatment

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

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

A 74-year-old man with a known abdominal aortic aneurysm suddenly has severe back and abdominal pain. His heart rate is 128/min and BP 82/50 mmHg. What is the priority?

1. ACall for emergency help and prepare for urgent vascular surgery
2. BEncourage him to walk to ease the back pain
3. CArrange a routine outpatient ultrasound scan of the aneurysm
4. DGive oral analgesia and reassess the pain in an hour

A patient with multiple sclerosis says their symptoms get worse after a hot bath. What should the nurse explain?

1. AThey should take very cold baths to reverse the damage
2. BThis shows that the disease has entered a new progressive stage
3. CHeat can briefly worsen MS symptoms, which settle when they cool down
4. DHot baths cause new areas of damage in the brain

A patient with SIADH needs IV fluid. Which fluid is most likely to worsen the hyponatraemia?

1. A20% human albumin
2. B8.4% sodium bicarbonate
3. C3% saline
4. D5% glucose (dextrose, D5W)

Why is pethidine (meperidine) generally avoided for regular pain relief?

1. AA metabolite can build up and cause seizures
2. BIt always causes severe diarrhoea
3. CIt can only be given by mouth
4. DIt has no pain-relieving effect at all in adults

A nurse teaches a patient going home between chemotherapy cycles. Which statement shows a need for further teaching?

1. A"I'll keep the emergency number and call if I feel shivery."
2. B"I'll wash my hands often and avoid people with infections."
3. C"I'll check my temperature whenever I feel hot, shivery or unwell."
4. D"If I get a fever, I'll take paracetamol and see if it settles."