NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

नर्स रक्त ग्लूकोज़ मापना एक प्रशिक्षित असिस्टेंट को सौंपती है पर परिणाम कभी नहीं पूछती। प्रत्यायोजन का कौन-सा सही (राइट) छूट रहा है?

1. Aकार्य के लिए सही व्यक्ति
2. Bसही पर्यवेक्षण और मूल्यांकन
3. Cसही परिस्थिति
4. Dपरिवेश के लिए सही कार्य

एक रोगी को परिधीय लाइन से IV पोटैशियम क्लोराइड दिया जा रहा है और वह स्थल पर जलन की शिकायत करता है, जो लाल दिखता है। नर्स सबसे पहले क्या करती है?

1. Aइन्फ़्यूज़न रोकें और IV स्थल का आकलन करें
2. Bगर्म पैक लगाएँ और इन्फ़्यूज़न जारी रखें
3. Cरोगी से कहें कि जलन अपेक्षित है और जारी रखें
4. Dखुराक जल्दी खत्म करने के लिए इन्फ़्यूज़न दर बढ़ाएँ

A patient is admitted to an inpatient mental health unit. Why are personal belongings checked?

1. ATo remove items that could be used to harm self or others
2. BTo make a list of valuable items for insurance
3. CTo decide which family members may visit
4. DTo find out what the patient likes to wear during the hospital stay

The laboratory reports that a blood sample labeled with one patient’s name has a blood group different from that patient’s previous result. What is the most likely problem and response?

1. AThe previous result was wrong, so it is deleted
2. BA wrong-patient sample, so the test is repeated and the event reported
3. CA normal change in the patient’s blood group over the years since the last test
4. DA laboratory machine fault, so no action is needed

रोगी का सोडियम 152 mEq/L है। नर्स कौन-से निष्कर्ष अपेक्षित रखेगी?

1. Aमांसपेशियों का फड़कना और सकारात्मक ट्रूसो का चिह्न
2. Bटखनों में सूजन के साथ वज़न बढ़ना
3. Cनुकीली T तरंगों के साथ ब्रैडीकार्डिया
4. Dप्यास, सूखी श्लेष्मा झिल्लियाँ और बेचैनी

A patient has eaten very little for 2 weeks and has received broad-spectrum antibiotics. The INR is now 2.3 without warfarin, and the platelets are normal. What is the most likely cause?

1. AIron-deficiency anemia
2. BHemophilia A
3. CVitamin K deficiency
4. DImmune thrombocytopenia

Which pattern is typical of relapsing–remitting multiple sclerosis?

1. AConstant weakness that starts in the feet and spreads upwards after a viral illness
2. BSudden severe headache with neck stiffness
3. CAttacks of symptoms, such as visual loss or numbness, that improve between relapses
4. DA single stroke that leaves permanent weakness

During CPR for asystole, when should adrenaline (epinephrine) be given according to standard adult guidelines?

1. AOnly after three shocks have been delivered by the defibrillator
2. BOnly once the patient has a pulse again
3. CNever, because asystole is not treated with drugs
4. DAs soon as IV or IO access is obtained, then every 3–5 minutes

Why must inspired air be humidified for a patient with a tracheostomy?

1. AThe nose and upper airway, which warm and moisten air, are bypassed
2. BHumidification prevents the cuff from deflating
3. CHumidified air contains more oxygen than dry air at the same flow
4. DDry air is needed to stop secretions forming in the trachea

Ten days after cardiac surgery, a patient has a fever, a red sternal wound with discharge and a clicking feeling in the chest when coughing. What should the nurse suspect?

1. ASternal wound infection with an unstable sternum
2. BCostochondritis caused by forceful coughing
3. CPericarditis from the operation
4. DNormal wound healing with some expected discharge

पिट्यूटरी सर्जरी के बाद मरीज़ तीन घंटे तक प्रति घंटे 400 mL मूत्र करता है और विशिष्ट गुरुत्व कम है। नर्स को किस पर संदेह होना चाहिए?

1. Aतीव्र गुर्दा क्षति
2. BSIADH
3. Cडायबिटीज़ इन्सिपिडस
4. Dसामान्य मूत्रलता

After a TURP, a patient on bladder irrigation has bladder spasms. The drainage has slowed and contains clots, and the bag holds less than the irrigant given. What should the nurse do first?

1. AGive an antispasmodic and recheck in four hours
2. BTurn off the irrigation and leave the catheter alone
3. CSuspect a clot in the catheter and follow the protocol
4. DEncourage the patient to strain to pass the clots

Which statement correctly describes physical dependence on opioids?

1. AThe drug no longer has any side effects
2. BThe patient always craves the drug and misuses it despite harm
3. CThe patient is allergic to opioids
4. DWithdrawal occurs if the drug is stopped suddenly

Four patients from a house fire arrive in the emergency department. Which should the nurse assess first?

1. ARedness on the backs of both hands, and very anxious
2. BCircumferential chest burns, with breathing becoming shallow and laboured
3. CPartial-thickness burns to both legs, with pain rated 8/10
4. DA blistered forearm burn and a small cut on the knee