NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

During an IV vancomycin infusion, a patient develops flushing and itching of the face and neck. What should the nurse do first?

1. ASpeed up the infusion to finish it quickly
2. BApply a warm compress to the face and neck
3. CIgnore it, because flushing is always harmless and passes
4. DStop or slow the infusion and inform the provider

A nurse returns to the station to find four messages. Which one is answered first?

1. AThe pharmacy asks when the next delivery should be scheduled
2. BThe laboratory is calling with a critical potassium result of 2.6 mEq/L
3. CA colleague asks to swap shifts with them next week because of a family wedding
4. DA family member wants an update on their father’s progress

A nurse who wears prescription glasses must irrigate a wound where splashing is likely. Which eye protection is suitable?

1. AGoggles or a face shield worn over the glasses
2. BNo eye protection, if the nurse stands to one side
3. CThe glasses with a surgical mask
4. DThe prescription glasses alone

रात की नर्स सुझाव देती है कि शांत पर भटकने वाले मरीज़ को “आज रात कम स्टाफ़ से काम चलाने के लिए” संयमित किया जाए। कौन-सी प्रतिक्रिया सही है?

1. Aयदि सुबह हटा दिए जाएँ तो रिस्ट्रेंट स्वीकार्य हैं
2. Bयदि परिवार पहले लिखित सहमति दे तो रिस्ट्रेंट स्वीकार्य हैं
3. Cसंयम कभी कर्मचारियों की सुविधा के लिए नहीं होता; राउंडिंग या सिटर का उपयोग करें
4. Dजब स्टाफ़ कम हो तो रात में रिस्ट्रेंट स्वीकार्य हैं

रोगी के बाएँ अग्रबाहु में IV द्रव चल रहा है। नर्स को रक्त का नमूना कहाँ से लेना चाहिए?

1. Aउसी बाँह में IV स्थल के ठीक ऊपर से
2. Bकिसी भी शिरा से, क्योंकि द्रव परिणामों को प्रभावित नहीं करता
3. Cद्रव चलते समय IV कैन्युला से
4. Dदूसरी बाँह से

A patient's creatinine was 0.9 mg/dL (80 µmol/L) on admission and is 1.3 mg/dL (115 µmol/L) 36 hours later. Using the common KDIGO criteria, what does this show?

1. ANo kidney injury, because the creatinine is still within the normal range
2. BA laboratory error, because creatinine cannot change within 2 days
3. CAcute kidney injury, because it rose by at least 0.3 mg/dL within 48 hours
4. DChronic kidney disease, because creatinine has risen above baseline

A patient is admitted with cellulitis of the leg. Why might the nurse mark the edge of the redness on the skin?

1. ATo show the surgeon exactly where to make the incision
2. BTo monitor whether the infection is spreading or improving
3. CTo help the patient find the sore area
4. DTo mark the site for an injection

A patient with suspected appendicitis says the pain suddenly eased, but an hour later has pain all over the abdomen, a rigid abdomen and a fever. What is most likely?

1. AThe appendix has perforated, causing peritonitis
2. BThe analgesia has started working
3. CThe patient has developed gastroenteritis
4. DThe appendicitis has resolved without treatment

During airway suctioning, when should suction be applied?

1. AOnly while withdrawing the catheter
2. BOnly while inserting the catheter
3. CContinuously for at least 30 seconds
4. DBefore the catheter enters the airway

ज्ञात परिधीय धमनी रोग वाले मरीज़ का पैर अचानक ठंडा, सफ़ेद, दर्दनाक हो जाता है, नाड़ी नहीं मिलती और उँगलियाँ सुन्न हैं। प्राथमिकता क्या है?

1. Aपैर को तकियों पर उठाना और गर्म पानी की बोतल से गर्म करना
2. Bरक्त संचार सुधारने के लिए कम्प्रेशन बैंडेज लगाना
3. Cसंपार्श्विक (कोलैटरल) संचार खोलने के लिए चलने को प्रोत्साहित करना
4. Dतुरंत आपातकाल के रूप में आगे बढ़ाना; पैर को समतल रखना, गर्मी नहीं

A patient with Alzheimer's disease starts donepezil. Which side effects should the nurse look for?

1. ADry mouth, constipation and a fast heart rate
2. BWeight gain, high glucose and swollen ankles
3. CNausea, diarrhoea and a slow heart rate
4. DA persistent dry cough and a raised potassium

A nurse teaches a carer to give buccal midazolam for prolonged seizures. Which statement shows a need for further teaching?

1. A"I will put something between his teeth so he does not bite his tongue."
2. B"I will give it into the space between his gum and cheek."
3. C"I will call an ambulance if the care plan tells me to."
4. D"I will write down the time the seizure started and the time I gave the dose."

A patient is starting regular oral morphine. Which bowel advice is most appropriate?

1. AWait until there has been no stool for a week
2. BTake a bulk-forming laxative only with very little water
3. CStop eating fibre completely
4. DStart a regular laxative at the same time

A patient who takes NSAIDs suddenly develops severe epigastric pain, a rigid abdomen and shoulder-tip pain. Which finding would most support the likely diagnosis?

1. AFree air under the diaphragm on an erect chest X-ray
2. BFluid levels in the bladder on an ultrasound scan
3. CTall, peaked T waves on a 12-lead ECG
4. DA raised serum lipase three times the upper limit