NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

When making patient assignments, what should the charge nurse consider first?

1. AGiving the newest staff the most complex patients
2. BLetting staff choose the patients they prefer
3. CMatching each patient’s needs to staff competence
4. DGiving each nurse patients in rooms next to each other

Which finding after a laparoscopic cholecystectomy is expected and needs only reassurance and comfort measures?

1. AA heart rate of 125/min with a falling blood pressure
2. BYellow skin with dark urine on the second day
3. CIncreasing abdominal pain with a temperature of 39 °C
4. DRight shoulder pain from the gas used during surgery

Which measure reduces errors caused by interruptions during medication preparation?

1. APreparing medications for all patients at once
2. BAnswering phone calls and pages while counting tablets, to save time
3. CPreparing medications at the busiest place on the ward
4. DA quiet “no interruption” zone or signal while preparing medications

A patient dies after a wrong-drug error, and the hospital carries out a root cause analysis. What is its main focus?

1. ADeciding whether to tell the family about the error
2. BFinding the system and process weaknesses that allowed the error
3. CEstimating the legal costs for the hospital
4. DIdentifying which staff member made the error and should be disciplined

How does the nurse start a 24-hour urine collection at 08:00?

1. ASave the 08:00 urine as the first sample, then collect until 08:00 the next day
2. BSave three samples spread across the day and discard all of the urine passed at night
3. CCollect only the first urine passed on waking, and repeat this the next morning
4. DHave the patient void and discard that urine, then save all urine until 08:00 the next day

A patient on clozapine for 2 years has been stable. Which statement shows a need for further teaching?

1. A"I'll tell other doctors that I take clozapine"
2. B"I can stop my blood tests since I feel well"
3. C"I'll report a sore throat or fever at once"
4. D"I'll keep all my scheduled blood test visits"

What is the recommended first aid for a thermal burn?

1. ABurst any blisters to release the fluid
2. BCool it under cool running water for about 20 minutes
3. CSpread butter or oil over the burn
4. DApply ice directly to the burn until the pain stops completely

एक मरीज़ का मूत्र उत्पादन 12 घंटों से बहुत कम है और क्रिएटिनिन तेज़ी से बढ़ा है। चार्ट पर किस दवा की समीक्षा की सबसे अधिक आवश्यकता है?

1. Aएक विटामिन सप्लीमेंट
2. Bआइबुप्रोफ़ेन जैसी नॉन-स्टेरॉयडल सूजनरोधी दवा
3. Cसामान्य ख़ुराक पर पैरासिटामोल
4. Dएक मॉइस्चराइज़िंग (emollient) क्रीम

गंभीर COPD वाले मरीज़ों को छोटे, बार-बार भोजन करने के लिए क्यों प्रोत्साहित किया जाता है?

1. Aबार-बार भोजन सीधे छाती के संक्रमणों को रोकता है
2. Bबड़े भोजन वायुमार्गों को स्थायी रूप से संकरा कर देते हैं
3. Cछोटे भोजन से इन्हेलर की ज़रूरत कम बार पड़ती है
4. Dभरा पेट डायाफ़्राम को सीमित करता है और खाना थकाने वाला होता है

A patient with pneumonia has a temperature of 39 °C, pain and a sinus tachycardia of 122/min. BP is normal. What is the best way to manage the heart rate?

1. AArrange urgent electrical cardioversion to restore a normal rate
2. BGive a beta-blocker to bring the heart rate below 100/min
3. CGive IV adenosine
4. DTreat the fever, pain and possible dehydration, then reassess

A patient has just started haemodialysis. What usually happens to their protein needs?

1. AThey stay exactly the same as they were before dialysis
2. BThey fall to almost zero to rest the kidneys
3. CProtein must be replaced only by IV infusion
4. DThey increase, because dialysis removes amino acids

A patient with a known ureteric stone develops a fever of 39 °C (102.2 °F) and rigors. Scanning shows a blocked, swollen kidney. What is needed?

1. AUrgent drainage of the kidney plus IV antibiotics
2. BOral antibiotics and waiting for the stone to pass
3. CA fluid restriction to reduce the swelling
4. DStrong pain relief alone, then discharge

द्रव पुनर्जीवन के लिए जलन का क्षेत्र निकालते समय सतही जलनों (केवल लालिमा, धूप से झुलसने जैसी) को क्यों नहीं गिना जाता?

1. Aवे हमेशा एक दिन के भीतर पूरी तरह ठीक हो जाती हैं
2. Bवे हमेशा इतनी छोटी होती हैं कि चार्ट पर सटीक नहीं मापी जा सकतीं
3. Cत्वचा की बाधा अक्षुण्ण है, इसलिए कम द्रव खोता है
4. Dवे किसी भी अन्य गहराई से अधिक द्रव हानि करती हैं

A patient with cirrhosis and ascites has a falling urine output and a rising creatinine. They have not received nephrotoxic drugs and are not dehydrated. Which complication is likely?

1. ANephrotic syndrome
2. BUrinary tract infection
3. CPolycystic kidney disease
4. DHepatorenal syndrome