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. AInhaled bronchodilators
2. BEye drops for glaucoma
3. CTopical skin creams
4. DAntihypertensive drugs

रिपोर्ट के बाद नर्स को किस रोगी का आकलन सबसे पहले करना चाहिए?

1. Aफ़ेमोरल कार्डियक कैथेटराइज़ेशन के 1 घंटे बाद: नया पीठ दर्द, नाड़ी 118/मिनट, BP 92/58 mmHg
2. Bपित्ताशय की सर्जरी के बाद दूसरा दिन: दर्द 6/10, अगला दर्दनाशक 30 मिनट में देय
3. Cटाइप 2 मधुमेह: दोपहर के भोजन से पहले ग्लूकोज़ 210 mg/dL (11.7 mmol/L), कोई लक्षण नहीं
4. D2 L/min ऑक्सीजन पर COPD: SpO₂ 90%, श्वसन दर 22/मिनट, सामान्य आधार रेखा पर

In the US (EPA/OSHA) hazmat system, which level of PPE gives the highest level of protection?

1. ALevel C
2. BLevel A
3. CLevel D
4. DLevel B

An audit shows poor hand hygiene compliance on a ward. Which plan is most likely to improve it?

1. AA combined approach with education, hand rub at every bedside, regular audits and feedback
2. BA single poster about hand hygiene placed in the staff room
3. CDisciplining staff who are seen not cleaning their hands, with no other change
4. DRemoving all sinks so staff must use hand rub

A patient has taken hydrochlorothiazide for several years. Which laboratory change is a recognized effect of this drug?

1. AA fall in blood glucose
2. BA fall in serum calcium
3. CA rise in serum potassium
4. DA rise in serum uric acid

A woman with preeclampsia is receiving IV magnesium sulfate. Her urine output has fallen and her creatinine is rising. Why is this a concern?

1. AMagnesium causes potassium loss, so the kidneys release more fluid
2. BMagnesium is broken down by the liver, so it will stop working soon
3. CPoor kidney function makes the magnesium level fall quickly
4. DMagnesium is excreted by the kidneys, so it can build up to toxic levels

Why is oxygen often humidified for a patient with a tracheostomy?

1. AThe tube bypasses the nose, which normally warms and moistens air
2. BHumidity is needed for the oxygen to work as a drug
3. CDry oxygen causes high blood glucose
4. DHumidification lowers the oxygen concentration to a safer level

A patient taking dapagliflozin is vomiting and unwell, with high blood ketones and a blood glucose of only 11 mmol/L (198 mg/dL). What should be suspected?

1. AHypoglycaemia
2. BSimple gastroenteritis with no further concern
3. CEuglycaemic diabetic ketoacidosis
4. DHyperosmolar hyperglycaemic state

Why must intravenous potassium chloride never be given as a rapid push or undiluted?

1. AIt turns into solid crystals inside the vein and blocks it
2. BA sudden high potassium level can cause cardiac arrest
3. CIt immediately lowers the blood glucose to dangerous levels
4. DIt works only when given by mouth

A fit 24-year-old marathon runner has a resting heart rate of 46/min on admission for minor surgery. He has no dizziness, chest pain or breathlessness, and his BP is 118/70 mmHg. What is the appropriate response?

1. AStart chest compressions
2. BGive IV atropine straight away to bring the rate above 60/min
3. CDocument and report it, as this is often normal in an athlete
4. DCancel the surgery and arrange a permanent pacemaker urgently

Which blood gas pattern is typical of acute kidney injury?

1. ALow pH and high carbon dioxide only
2. BHigh pH and high bicarbonate
3. CHigh pH and low carbon dioxide
4. DLow pH and low bicarbonate

A patient who has taken prednisolone daily for years is vomiting and cannot keep tablets down. What should the nurse do?

1. AGive the next dose with a glass of milk
2. BGive the tablets again after every vomit
3. CEscalate urgently for steroid by injection
4. DOmit the steroid until the vomiting stops

Which instruction is important during bowel preparation for colonoscopy?

1. ADrink plenty of clear fluids while taking the preparation
2. BAvoid all fluids for 24 hours before the test
3. CTake the preparation only if the bowels have not opened
4. DEat a high-fibre meal the evening before the test

A patient with a severe flare of ulcerative colitis develops abdominal distension, fever and tachycardia, and the stool frequency has dropped. What should the nurse suspect?

1. AHaemorrhoids caused by diarrhoea
2. BToxic megacolon
3. CThe flare is getting better
4. DSimple constipation from low intake