NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

A patient with a spinal cord injury at T4 suddenly has a severe headache, flushing above the injury and a blood pressure of 200/110 mmHg. What does the nurse do first?

1. ASit the patient upright with the legs lowered
2. BApply extra blankets to keep the patient warm and calm
3. CLay the patient flat with the legs raised
4. DGive a warm drink and recheck the blood pressure in an hour

बड़ी सर्जरी के बाद के रोगी का दो घंटे से मूत्र निर्गम 15 mL/h है, हृदय गति 115/मिनट है और हाथ ठंडे हैं। नर्स को सबसे पहले क्या करना चाहिए?

1. Aरोगी को अधिक पानी पीने को प्रोत्साहित करें और बाद में दोबारा जाँचें
2. Bशॉक के संकेतों, जैसे रक्तस्राव, का आकलन करें और मामला आगे बढ़ाएँ
3. Cकैथेटर को फ़्लश करें और कल सुबह निर्गम दोबारा जाँचें
4. Dदेखने के लिए कि निर्गम सुधरता है या नहीं, दो घंटे और प्रतीक्षा करें

A parent calls because a toddler has swallowed some household cleaner. The child is awake and breathing normally. What should the nurse advise first?

1. AWait to see whether any symptoms develop over the next day
2. BContact the local poison advice service now for specific advice
3. CMake the child vomit, using a finger at the back of the throat
4. DGive syrup of ipecac from the medicine cabinet

During a disaster, the hospital needs to free beds quickly. Which patient is the best candidate for early discharge?

1. AA patient admitted overnight for observation who is now stable with normal tests
2. BA patient on an IV heparin infusion that is still being adjusted
3. CA patient with ongoing chest pain awaiting cardiac tests
4. DA patient on a ventilator in the intensive care unit who is slowly improving

A patient with an upper gastrointestinal bleed has a BUN of 48 mg/dL (urea 17 mmol/L) and a normal creatinine. What is the most likely explanation?

1. ASkeletal muscle is breaking down because of the blood loss
2. BThe liver has stopped making urea because of the bleeding
3. CDigested blood adds protein, which the liver turns into urea
4. DThe kidneys have suddenly lost most of their function

A patient's potassium is 7.2 mEq/L, and the monitor shows wide QRS complexes. Several treatments are prescribed. Which should be given first?

1. AIV furosemide (a loop diuretic)
2. BUrgent hemodialysis session
3. CIV calcium gluconate (or chloride)
4. DAn oral potassium binder dose

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

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

Why is morphine more likely to cause toxicity in a patient with severe kidney impairment?

1. AKidney disease makes the opioid receptors disappear
2. BThe kidneys normally activate morphine, so more of it becomes active
3. CIts active metabolites build up because the kidneys excrete them
4. DKidney failure makes the stomach absorb more morphine

Why must anti-embolism stockings be measured and fitted correctly?

1. ACorrect fit is needed only to improve the appearance
2. BLoose stockings make the patient's legs too warm at night
3. CPoorly fitting stockings can cause pressure damage
4. DTight stockings work better, so the smallest size is always best

1.5 L/दिन द्रव प्रतिबंध पर हृदय विफलता वाला मरीज़ तेज़ प्यास की शिकायत करता है। कौन-सा उपाय सबसे उपयुक्त है?

1. Aअसीमित पानी, क्योंकि प्यास हमेशा बुझाई जानी चाहिए
2. Bलार उत्तेजित करने और सूखापन दूर करने के लिए नमकीन नाश्ता
3. Cमुख की देखभाल, गिनकर बर्फ़ के टुकड़े और दिन भर में बँटे हुए तरल
4. Dअगली सुबह के वज़न तक बिल्कुल तरल नहीं

Why is pyridostigmine often taken about 30–60 minutes before meals by patients with myasthenia gravis?

1. ATo stop the drug from irritating an empty stomach later on
2. BTo improve the strength of chewing and swallowing at mealtimes
3. CTo lower the blood glucose rise after eating a meal
4. DTo reduce stomach acid so the food is digested better

एक मरीज़ को तेज़ सिरदर्द, पसीना, धड़कन और बहुत उच्च रक्तचाप के दौरे पड़ते हैं। किस स्थिति पर विचार किया जाना चाहिए?

1. Aहाइपोथायरॉइडिज़्म
2. Bफ़ियोक्रोमोसाइटोमा
3. Cडायबिटीज़ इन्सिपिडस
4. Dएडिसन रोग

Why is pethidine (meperidine) generally avoided for regular pain relief?

1. AIt always causes severe diarrhoea
2. BA metabolite can build up and cause seizures
3. CIt can only be given by mouth
4. DIt has no pain-relieving effect at all in adults

A patient with a permanent pacemaker is booked for surgery using monopolar diathermy. Why must the team know?

1. AThe pacemaker will always be removed during surgery
2. BThe patient cannot have any anaesthetic at all
3. CDiathermy can interfere with the pacemaker's function
4. DPacemakers stop all bleeding during surgery