NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

A patient is admitted with diabetic ketoacidosis. Which prescribed treatment is usually started first?

1. AIV isotonic fluid such as 0.9% sodium chloride
2. BA high-carbohydrate meal
3. CSubcutaneous long-acting insulin only, given once
4. DOral potassium tablets

Which assignment by the charge nurse should be changed?

1. AAn LPN/LVN is assigned to give oral medications to stable patients
2. BAn RN is assigned to a patient receiving a blood transfusion
3. CAn LPN/LVN is assigned to admit a new patient from the emergency department
4. DA nursing assistant is assigned to help several stable patients with their meals

Which instruction about using a standard walker is correct?

1. APush up from the walker to stand from a chair
2. BMove the walker forward, then step into it
3. CCarry the walker and use it only when tired
4. DWalk well ahead of the walker for balance

A responsive 6-month-old infant is choking and cannot cry or cough. What should the rescuer do?

1. AGive back blows and chest thrusts in turn
2. BTurn the infant upside down and shake gently
3. CDo a blind finger sweep of the mouth
4. DGive abdominal thrusts as for an adult

An older adult takes lisinopril and furosemide and recently started daily ibuprofen for knee pain. The creatinine has risen from 1.0 to 1.8 mg/dL (88 to 159 µmol/L). What is the most likely cause?

1. ANormal aging of the kidneys over a period of a few weeks
2. BMore activity has increased the patient's muscle mass quickly
3. CA laboratory error, since ibuprofen has no effect on the kidney
4. DThe NSAID reduces kidney blood flow on top of the other two drugs

A young adult has fatigue, bruising and fever. The white cell count is 85 × 10³/µL with many blasts, the hemoglobin is 7.9 g/dL (79 g/L) and the platelets are 22 × 10³/µL. What is the most likely diagnosis?

1. AAcute leukemia
2. BIron-deficiency anemia
3. CAcute viral infection
4. DPolycythemia vera

A patient is receiving enteral feeding through a nasogastric tube. How should they be positioned during feeding?

1. AIn any position, as long as the feed runs slowly
2. BLying completely flat
3. CLying on the left side with the head down to help the feed drain
4. DWith the head of the bed raised to at least 30 degrees

A patient with hyperkalaemia is given IV insulin with glucose. What is the purpose, and what must be monitored?

1. ATo treat hidden diabetes; HbA1c must be checked daily
2. BTo shift potassium into cells; blood glucose must be monitored for hypoglycaemia
3. CTo protect the heart muscle directly; the patient must be kept nil by mouth
4. DTo remove potassium from the body; urine output must be stopped for a time

एक मरीज़ को सीने के बीच में दर्द है और ECG पर STEMI है। इसमें आमतौर पर क्या आवश्यक है?

1. Aकिसी भी उपचार निर्णय से पहले ट्रोपोनिन परिणाम की प्रतीक्षा करना
2. Bआपातकालीन रीपरफ़्यूज़न, अधिमानतः प्राइमरी PCI द्वारा
3. Cभर्ती करना और अगली सुबह दोबारा ECG करना
4. Dमौखिक बीटा-ब्लॉकर देना और दर्द ठीक हो जाए तो छुट्टी देना

A patient with crushing chest pain has ST elevation in leads V1–V4. Which coronary artery is most likely blocked?

1. AThe left subclavian artery
2. BThe right coronary artery and its branches
3. CThe circumflex artery
4. DThe left anterior descending artery

Which CSF result is most typical of bacterial meningitis?

1. ACloudy fluid, many neutrophils, low glucose and high protein
2. BClear fluid with normal cells, glucose and protein
3. CClear fluid, many lymphocytes, normal glucose and slightly raised protein
4. DBlood-stained fluid that clears in later tubes

A nurse teaches a patient with Hashimoto's thyroiditis about levothyroxine. Which statement shows a need for further teaching?

1. A"I will report palpitations or chest pain."
2. B"I will take the tablets at the same time each day."
3. C"I will have regular blood tests to check my dose."
4. D"I can stop the tablets once I feel back to normal."

इलियल कंड्यूट (यूरोस्टॉमी) वाला मरीज़ मूत्र में म्यूकस को लेकर चिंतित है। सही व्याख्या क्या है?

1. Aयह सामान्य है, क्योंकि कंड्यूट छोटी आंत से बनाया जाता है
2. Bयह गुर्दे की पथरी का संकेत है और आज ही सूचित किया जाना चाहिए
3. Cयह दिखाता है कि आंत अवरोध विकसित हो रहा है
4. Dइसका अर्थ है कि स्टोमा विफल हो रहा है और सर्जरी चाहिए

A patient with facial burns from a house fire was talking normally on arrival. Two hours later, the voice is hoarse and there is stridor. What should the nurse do?

1. AEncourage the patient to rest the voice and reassess tomorrow
2. BGive a warm drink to soothe the throat
3. CCall for urgent anaesthetic help, as the airway is swelling
4. DLay the patient flat to help them sleep