NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

A patient has a tonic-clonic seizure in bed. What should the nurse do first?

1. APlace a tongue depressor between the teeth
2. BHold the arms and legs down firmly to stop the jerking movements quickly
3. CProtect the head and turn the patient on their side when possible
4. DGive a drink of water to help the patient wake

A patient with SIADH has a serum sodium of 120 mEq/L and is newly confused. Which nursing action has priority?

1. ATeaching the patient about a low-sodium diet at home
2. BHelping the patient to walk in the corridor alone
3. CSeizure precautions and close neurological checks
4. DEncouraging the patient to drink plenty of water

How should a newborn be moved through hospital corridors?

1. AIn the arms of any visitor who offers to help
2. BOn the mother’s lap in a wheelchair, without staff
3. CIn a bassinet, not carried in the arms
4. DCarried in the nurse’s arms for comfort

एक भ्रमित मरीज़ बार-बार नेज़ोगैस्ट्रिक ट्यूब खींचता है। पहले कौन-सा तरीका आज़माया जाना चाहिए?

1. Aएक शामक दवा, ताकि मरीज़ रात भर शांति से सोए
2. Bटीम से परामर्श किए बिना ट्यूब निकाल देना
3. Cट्यूब की रक्षा के लिए तुरंत कलाई के रिस्ट्रेंट
4. Dकम प्रतिबंधात्मक उपाय, जैसे पुनः दिशा-बोध कराना और सिटर

In the third trimester of pregnancy, a woman's alkaline phosphatase (ALP) is about twice the usual adult range, and the other liver tests are normal. What is the best interpretation?

1. AA sign of new bone cancer
2. BA normal rise from placental ALP
3. CA sign of blocked bile ducts
4. DA sign of acute viral hepatitis

हृदय विफलता वाले रोगी का BNP भर्ती पर बहुत उच्च था और मूत्रवर्धक उपचार के बाद अब गिर रहा है। यह सबसे अधिक संभावना से क्या दर्शाता है?

1. Aकि मूत्रवर्धक तुरंत बंद करनी चाहिए
2. Bहृदय पर कम खिंचाव, जो सुधार से मेल खाता है
3. Cमूत्रवर्धक से हुई नई गुर्दा विफलता
4. Dबिगड़ती हृदय विफलता जिसे अधिक द्रव चाहिए

A patient with sickle cell disease is admitted with a painful crisis. What is a key early nursing priority?

1. AApplying cold packs to the painful areas
2. BDelaying pain relief until a diagnosis is confirmed
3. CRestricting oral fluids
4. DGiving prompt, effective analgesia

A nurse teaches a patient with reflux disease. Which statement shows a need for further teaching?

1. A"I will cut down on alcohol."
2. B"I will try to lose some weight over the next months."
3. C"A big meal just before bed is fine if I take my tablet."
4. D"I will raise the head of my bed with blocks."

Why is a non-selective beta-blocker such as propranolol usually avoided in a patient with asthma?

1. AIt raises the heart rate sharply during an acute asthma attack
2. BIt thickens airway mucus by drying the airways
3. CIt makes inhaled corticosteroids work too strongly
4. DIt can cause bronchospasm by blocking beta-2 receptors

A patient receiving weeks of IV antibiotics through a PICC line in the left arm develops swelling and aching of that arm and neck veins that look fuller on the left. What should the nurse suspect?

1. ALymphoedema from lying in bed
2. BA local skin allergy to the dressing
3. CA catheter-related deep vein thrombosis
4. DAn expected effect of the antibiotic

A urine dipstick is positive for nitrites. What does this suggest?

1. ABacteria that convert nitrate are present
2. BThe urine has a lot of glucose in it
3. CThe kidneys are losing too much protein
4. DThe patient is dehydrated and needs more fluid

During a TURP, a patient becomes confused and nauseated, with a slow pulse and a raised BP. The sodium is 121 mmol/L. What is most likely?

1. AA normal reaction to the spinal anaesthetic
2. BTURP syndrome from absorbed irrigation fluid
3. CAn allergic reaction to the catheter
4. DHypoglycaemia from fasting for many hours before surgery

Which advice helps a person with diabetes prevent foot ulcers?

1. AWear tight shoes to support the ankles
2. BCheck the feet every day and never walk barefoot
3. CCut corns off at home with a sharp blade
4. DSoak the feet in very hot water every evening

A few hours after thyroid surgery, a patient's neck swells rapidly and they become short of breath with stridor. What is most likely?

1. AA haematoma pressing on the airway
2. BLow blood calcium from the surgery
3. CNormal swelling after neck surgery
4. DAn allergy to the wound dressing