NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

Which two patients can most safely share a room?

1. AA patient with influenza and a patient with COPD
2. BA patient with MRSA in a wound and a patient after surgery
3. CTwo patients who both have C. difficile infection
4. DA patient with chickenpox and a patient on chemotherapy

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

A patient with a severe latex allergy is booked for surgery. Which measure is commonly used?

1. AWrap latex items in plastic before use
2. BGive the patient antihistamines before surgery and then use the normal supplies
3. CUse latex-free supplies and schedule the patient as the first case of the day
4. DUse latex gloves only for short procedures

जब मूत्र कैथेटर की स्पष्ट आवश्यकता हो, तब कैथेटर-संबंधित मूत्र मार्ग संक्रमण को रोकने का सबसे अच्छा तरीका कौन-सा है?

1. Aबैग को बिस्तर पर, मूत्राशय के बराबर स्तर पर रखना
2. Bऐसेप्टिक तरीके से डालना, बंद प्रणाली रखना और आवश्यकता की रोज़ समीक्षा करना
3. Cबैग को खाली करना आसान बनाने के लिए उसे नियमित रूप से अलग करना
4. Dकैथेटर को साफ़ और पपड़ी-मुक्त रखने के लिए रोज़ बदलना

A patient with a potassium of 2.8 mEq/L has potassium chloride prescribed IV. Which statement about giving it is correct?

1. AIt is always diluted and given by infusion pump, never as an IV push
2. BIt may be given as a slow IV push over one minute if the level is very low
3. CIt is added to the IV bag without mixing, so it stays at the bottom
4. DIt is given as an undiluted bolus into a large vein to avoid irritation

After lying on the floor for many hours, a patient has a CK of 40,000 U/L, a potassium of 6.1 mEq/L and dark urine. Which prescribed treatment is the priority?

1. AFluid restriction to protect the heart from overload
2. BLarge-volume IV fluids with cardiac monitoring
3. CHigh-dose NSAIDs for the muscle pain
4. DAn oral potassium supplement with each meal

संदिग्ध सेप्सिस वाले मरीज़ में सीरम लैक्टेट क्यों मापा जाता है?

1. Aयह पुष्टि करता है कि कौन-सा एंटीबायोटिक देना है
2. Bबढ़ा हुआ लैक्टेट ऊतकों में कमज़ोर रक्त-प्रवाह और उच्च जोखिम दर्शाता है
3. Cयह मरीज़ की रक्त शर्करा मापता है
4. Dयह दिखाता है कि मरीज़ को मूत्र मार्ग संक्रमण है या नहीं

A patient with poorly controlled hyperthyroidism develops a high fever, very fast heart rate, agitation and vomiting during an infection. What is likely?

1. AAddisonian crisis
2. BHypoglycaemia
3. CMyxoedema coma
4. DThyroid storm

A patient taking simvastatin drinks a large glass of grapefruit juice every morning. Why is this a concern?

1. AIt turns the statin into a blood thinner
2. BIt causes the cholesterol level to rise sharply
3. CIt raises statin levels and the risk of muscle damage
4. DIt stops the statin from being absorbed from the gut at all

अस्थमा वाले मरीज़ को एस्पिरिन लेने के बाद घरघराहट का इतिहास है। सर्जरी के बाद के दर्द के लिए इबुप्रोफ़ेन निर्धारित है। नर्स को क्या करना चाहिए?

1. Aउसे देना, क्योंकि इबुप्रोफ़ेन एस्पिरिन से संबंधित नहीं है
2. Bउसे केवल तब देना जब दर्द स्कोर 8/10 से ऊपर हो
3. Cउसे रोकना और विकल्प माँगना
4. Dउसे रिलीवर इन्हेलर के साथ एक ही समय पर देना

A kidney transplant recipient asks about travel vaccines. Which statement is correct?

1. AAll vaccines are completely safe after a transplant
2. BOnly live vaccines are effective after a transplant
3. CLive vaccines are usually avoided
4. DVaccines will cause the kidney to be rejected

A patient with a cervical spinal cord injury is helped to sit up for the first time. They become dizzy and pale, and the BP falls from 110/70 to 78/46 mmHg. What should the nurse do?

1. AStand the patient up to improve the blood flow to the legs
2. BLower the patient back towards lying, then raise them gradually later
3. CContinue sitting them upright, because it will pass in an hour
4. DGive a large meal and a strong coffee to raise the blood pressure

How is an uncomplicated sigmoid volvulus often first treated?

1. AA barium meal given by mouth to untwist the bowel slowly
2. BDecompression with a flexible sigmoidoscope and flatus tube
3. CEating a large high-fibre meal
4. DHigh-dose laxatives taken by mouth

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

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