NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

A patient receives hemodialysis this morning. Which type of medication is often held before dialysis, as prescribed?

1. AEye drops for glaucoma
2. BAntihypertensive drugs
3. CInhaled bronchodilators
4. DTopical skin creams

A patient has a chest drain for a pneumothorax. The nurse sees constant bubbling in the water-seal chamber. What does this most likely mean?

1. AThe lung has fully re-expanded, so the drain is ready to come out
2. BAn air leak in the patient or the system that needs checking
3. CThe drain is working normally and no action is needed
4. DThe suction is set too low and needs to be turned up

Why can side rails be dangerous for a confused, restless patient?

1. ASide rails make the bed move by itself
2. BThe patient may climb over them or get trapped in gaps
3. CSide rails always cause pressure injuries
4. DSide rails stop staff from reaching the patient in an emergency

चेचक/छोटी माता वाला एक बच्चा भर्ती होता है। बच्चे की देखभाल के लिए सबसे अच्छा कर्मचारी कौन-सा है?

1. Aऐसी नर्स जिसे न कभी चेचक हुआ और न टीका लगा
2. Bगर्भवती नर्स, जिसे अपनी प्रतिरक्षा के बारे में निश्चितता नहीं है
3. Cअज्ञात प्रतिरक्षा वाला नर्सिंग छात्र
4. Dवैरिसेला के प्रति प्रलेखित प्रतिरक्षा वाली नर्स

रोगी की श्वेत कोशिका गणना 16 × 10³/µL है और अपरिपक्व न्यूट्रोफ़िल (बैंड) का अनुपात अधिक है। यह सबसे अधिक संभावना से क्या दर्शाता है?

1. Aकेवल दीर्घकालिक विषाणु रोग
2. Bतीव्र जीवाणु संक्रमण
3. Cआयरन-अभाव एनीमिया
4. Dसामान्य परिणाम

Two days after bowel surgery, a patient with nasogastric suction has a distended abdomen, absent bowel sounds and muscle weakness. The potassium is 2.8 mEq/L. Which interpretation is best?

1. AThe low potassium is due to the patient drinking too much water
2. BThe potassium is normal for the second day after surgery
3. CHyperkalemia from tissue damage is causing the bowel to stop
4. DHypokalemia from gastric losses is contributing to paralytic ileus

How does CPAP help a patient with obstructive sleep apnoea?

1. AIt keeps the upper airway open during sleep with continuous air pressure
2. BIt strengthens the breathing muscles during the day
3. CIt removes excess carbon dioxide from the lungs by gentle suction
4. DIt delivers bronchodilator drugs deep into the lungs overnight

एक मरणासन्न मरीज़ को गले में स्रावों के कारण शोरयुक्त, खड़खड़ाती साँस है और वह अचेत है। कौन-सा दृष्टिकोण उपयुक्त है?

1. Aपूरी रात हर 10 मिनट पर गहरा ऑरोफ़ैरिंजियल सक्शन शुरू करें
2. Bस्रावों को पतला करके साफ़ करने के लिए तेज़ अंतःशिरा द्रव शुरू करें
3. Cस्थिति बदलें, निर्धारित स्राव-रोधी दवाओं पर विचार करें और परिवार को सहारा दें
4. Dपरिवार को बताएँ कि मरीज़ का दम घुट रहा है और उसे वेंटिलेशन चाहिए

A patient on theophylline develops nausea, vomiting, a fast heart rate and restlessness. What should the nurse suspect?

1. AA theophylline allergy causing a rash
2. BHypoglycaemia caused by the drug
3. CTheophylline toxicity
4. DAn expected sign that the drug is working

Seconds after an intramuscular injection, a patient becomes pale, sweaty and faint, with a heart rate of 48/min. There is no rash, wheeze or swelling, and they recover quickly when laid flat. What is the most likely cause?

1. AAnaphylaxis
2. BA myocardial infarction
3. CA tension pneumothorax
4. DA vasovagal reaction

Why is good blood pressure control important in chronic kidney disease?

1. AIt slows the decline in kidney function
2. BIt raises the haemoglobin level in the blood
3. CIt cures chronic kidney disease
4. DIt lowers the blood glucose

A patient with Addison's disease has been vomiting for a day. They are confused, with BP 78/40 mmHg, sodium 126 mmol/L and potassium 6.0 mmol/L. What is the priority?

1. AA fluid restriction for the low sodium
2. BOral hydrocortisone and an antiemetic by mouth
3. CIV hydrocortisone straight away, plus IV fluids
4. DIV potassium to correct the electrolytes

साइटोटॉक्सिक कीमोथेरेपी देते समय आमतौर पर कौन-से PPE अनुशंसित हैं?

1. Aसाधारण सूती दस्ताने और प्लास्टिक एप्रन
2. Bकोई PPE नहीं, क्योंकि इन्फ़्यूज़न बैग सीलबंद है
3. Cकीमो-परीक्षित दस्ताने और अपारगम्य गाउन
4. Dकागज़ी सर्जिकल मास्क पर दस्ताने नहीं

A patient with three fractured ribs is taking shallow breaths because of pain. Why is effective analgesia a priority?

1. ARib pain always means the heart is damaged
2. BPain relief is only needed for the patient's comfort
3. CGood analgesia makes rib fractures heal fully within a few days
4. DShallow breathing can lead to atelectasis and pneumonia