NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

A patient’s chest tube becomes disconnected from the drainage system. What should the nurse do first?

1. AClamp the tube for the rest of the shift
2. BWait for the provider to arrive before doing anything else
3. CRemove the tube and cover the site
4. DPlace the end of the tube in a bottle of sterile water

A patient has peripheral arterial disease with a non-healing ulcer on the toe. Which advice about leg position is correct?

1. AKeep the legs level or slightly lowered, not raised
2. BKeep the legs raised above the heart as much as possible
3. CSit with the legs crossed to improve blood flow
4. DWrap the legs tightly with compression bandages

A patient with a fever and a cough arrives in a crowded clinic waiting room. What should the nurse do?

1. AGive everyone else in the waiting room a mask instead
2. BGive the patient a mask and seat them apart from others
3. CDo nothing until the patient is seen by the provider
4. DAsk the patient to wait outside in the car park

During a procedure, a nurse sees that the team is about to start without a time-out. What should the nurse do?

1. ASay nothing, because the surgeon is responsible for the procedure
2. BWait and raise the issue after the procedure is finished
3. CReport it to the manager at the end of the week
4. DSpeak up clearly and stop the start until the time-out is done

A patient with suspected pulmonary TB needs sputum samples for acid-fast bacilli. Which instruction is correct?

1. AGive several samples of nasal mucus blown into a tissue
2. BGive several deep-cough samples, often first thing in the morning
3. CGive one sample of saliva collected from the mouth at any time of day
4. DGive one sample after brushing with mouthwash so it is clean

After a crush injury, a patient's urine dipstick is strongly positive for blood, but microscopy shows almost no red cells. CK is very high. What best explains this?

1. ABleeding is coming from the bladder lining
2. BThe sample was contaminated with menstrual blood
3. CA kidney stone is scraping the ureter lining
4. DMyoglobin from damaged muscle is in the urine

What is the best way to protect the heels of a bed-bound patient from pressure damage?

1. AOffload the heels so they do not touch the mattress
2. BMassage the heels firmly several times a day to help circulation
3. CApply a tight bandage to the heels
4. DRest the heels on a rolled-up towel

सांद्र पोटैशियम क्लोराइड को कभी भी तेज़ नस इंजेक्शन के रूप में क्यों नहीं देना चाहिए?

1. Aयह जानलेवा हृदय अतालता कर सकता है
2. Bतेज़ी से देने पर इसका कोई असर नहीं होता
3. Cयह तुरंत गुर्दा विफलता करता है
4. Dयह नस में क्रिस्टल बनकर कैनुला को रोक देता है

Rheumatic heart disease most often follows which infection?

1. AA viral infection of the upper airway
2. BStaphylococcal infection of the skin
3. CA fungal infection of the lungs
4. DA group A streptococcal throat infection

An adult inhales a peanut while laughing and now has a persistent cough and wheeze on one side. Where is the peanut most likely to have lodged?

1. AThe oesophagus
2. BThe left main bronchus
3. CThe right main bronchus
4. DThe nasal cavity

Before checking a capillary glucose, why should the patient wash their hands with soap and water?

1. AWashing prevents all infection from the lancet
2. BWashing lowers the glucose in the blood
3. CSugar on the skin can give a falsely high reading
4. DSoap makes the blood flow faster from the finger

An 89-year-old with stage 5 CKD and severe heart failure, who has capacity, decides not to start dialysis. What is the nurse's best response?

1. AStop all care, because nothing more can be done
2. BRespect the decision and support symptom-focused care
3. CAsk the family to change the patient's mind
4. DTell the patient they must start dialysis by law

Which initial treatment is usual for symptomatic hypercalcaemia of malignancy?

1. AFluid restriction and a thiazide diuretic
2. BOral calcium tablets and vitamin D
3. CA high-calcium diet with extra milk
4. DIV fluids followed by an IV bisphosphonate

दीर्घकालिक दर्द के लिए लंबे समय से ओपिऑइड ले रहा मरीज़ सर्जरी के लिए भर्ती होता है। कौन-सा कथन सही है?

1. Aउन्हें ओपिऑइड-नाइव मरीज़ों से कम सर्जरी-पश्चात ओपिऑइड खुराक की आवश्यकता होती है
2. Bसामान्य ओपिऑइड जारी रखा जाता है, साथ में सहनशीलता के कारण अतिरिक्त दर्द-निवारण दिया जाता है
3. Cलत रोकने के लिए भर्ती पर सभी ओपिऑइड बंद कर देने चाहिए
4. Dऑपरेशन के बाद उन्हें केवल पैरासिटामोल मिलनी चाहिए