NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

A nursing assistant tells the RN that a patient’s IV pump is alarming. What is the best response?

1. A“Turn the pump off and on again until it stops.”
2. B“Increase the rate a little so the alarm clears.”
3. C“I will come and check the pump and the IV site now.”
4. D“Silence the alarm and I will check it at the end of the shift.”

A victim heavily contaminated with an industrial chemical arrives at the emergency department with stable vital signs. What should happen first?

1. AFull assessment inside the main department straight away
2. BDecontamination before the victim enters the treatment area
3. CPlacing the victim in the waiting room until a doctor is free
4. DTaking the victim straight to the X-ray department

Which patient has the highest risk of a burn from a heating pad?

1. AA patient recovering from a cold
2. BA patient with diabetic peripheral neuropathy
3. CA healthy young adult with a strained muscle
4. DA patient with a sprained wrist who is fully alert

A patient with dementia is often found at the exit doors trying to leave the unit. Which measure is most appropriate?

1. AGive a sedative each time the patient goes to the door
2. BUse an electronic wander alert, supervise closely and offer meaningful activity
3. CKeep the patient in a chair with a vest restraint
4. DLock the patient alone in a single room so that they cannot reach the exit doors

A healthy patient has a mildly raised CK after running a marathon yesterday, without dark urine or symptoms. What is the most likely explanation?

1. AThe patient has developed acute hepatitis
2. BAn acute myocardial infarction has occurred
3. CStrenuous exercise raised CK from skeletal muscle
4. DThe patient has developed acute pancreatitis

A patient with a large, fast-growing lymphoma will start chemotherapy tomorrow. Which plan best prevents tumor lysis syndrome?

1. AIV hydration, a uric acid-lowering drug and frequent electrolytes
2. BNo special measures, because the risk starts only after a week
3. CFluid restriction and a high-potassium diet before the treatment
4. DCalcium supplements and a high-phosphate diet during treatment

कीमोथेरेपी के बाद न्यूट्रोपीनिया वाले मरीज़ का तापमान 38.3 °C है। प्राथमिकता क्या है?

1. A24 घंटे प्रतीक्षा करके देखना कि बुख़ार उतरता है या नहीं
2. Bकेवल पैरासिटामोल देना और कल तापमान फिर से जाँचना
3. Cइसे न्यूट्रोपीनिक सेप्सिस मानकर तुरंत IV एंटीबायोटिक देना
4. Dमरीज़ को टहलने के लिए प्रोत्साहित करना

A patient has a swollen, warm, tender calf on one side. Which action should the nurse avoid?

1. AChecking whether VTE prophylaxis was given
2. BMassaging the calf
3. CMeasuring and comparing calf circumference
4. DReporting the findings to the doctor

A patient with bronchiectasis of the right lower lobe is taught postural drainage. How should they be positioned?

1. AFlat on the back with the arms raised
2. BWith the affected lobe lowest so it fills with mucus
3. CSitting fully upright at all times
4. DWith the affected lobe uppermost so gravity drains it

A frightened young woman is breathing fast and has tingling fingers. Her blood gas shows pH 7.50 and a low PaCO₂. SpO₂ is 99% on air. What does this show?

1. ARespiratory alkalosis from hyperventilation
2. BMetabolic acidosis from kidney failure
3. CRespiratory acidosis from hypoventilation
4. DMetabolic alkalosis from vomiting

Which statement about storing insulin is correct?

1. AAll insulin must be stored in the freezer to keep it stable
2. BUnopened insulin goes in the fridge and must never be frozen
3. CInsulin should be kept on a sunny windowsill to stay warm
4. DInsulin that has been frozen can be used once it has thawed

A patient with trigeminal neuralgia has lost weight and has poor oral hygiene. Which plan is most appropriate?

1. ATell the patient to stop brushing their teeth completely
2. BEncourage hard, crunchy foods to strengthen the jaw muscles
3. CAdvise very hot drinks to relax the facial nerves
4. DOffer soft, lukewarm food and advise chewing on the unaffected side

A patient on warfarin is booked for elective surgery with a high bleeding risk. What is usual practice?

1. ATake the usual dose on the morning of surgery
2. BDouble the dose for a week so the blood is ready for surgery
3. CStop it about 5 days before and check the INR
4. DSwap to aspirin on the morning of surgery

A patient's platelet count is 18 × 10⁹/L (18,000/µL). Which order should the nurse question?

1. AOral paracetamol for headache
2. BDaily full blood count
3. CA soft diet with mouthwashes
4. DAn intramuscular injection