NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

A nursing assistant tells the RN that a patient’s IV pump is alarming. What is the best response?

1. A“Silence the alarm and I will check it at the end of the shift.”
2. B“I will come and check the pump and the IV site now.”
3. C“Increase the rate a little so the alarm clears.”
4. D“Turn the pump off and on again until it stops.”

After cardiac surgery, a patient becomes hypotensive with distended neck veins and muffled heart sounds, and chest drain output has suddenly stopped. What should the nurse suspect?

1. AHypovolemic shock from dehydration
2. BA blocked urinary catheter
3. CCardiac tamponade
4. DLeft-sided heart failure

मरीज़ के कलाई के रिस्ट्रेंट में होने के दौरान कौन-सा आकलन सबसे महत्वपूर्ण है?

1. Aरिस्ट्रेंट के आगे रक्त संचार, संवेदना और त्वचा
2. Bमरीज़ की ऊँचाई और वज़न
3. Cदिन भर के लिए मरीज़ की खान-पान की पसंद
4. Dघड़ी की टिक-टिक से दोनों कानों की सुनने की क्षमता

A patient dies after a wrong-drug error, and the hospital carries out a root cause analysis. What is its main focus?

1. AEstimating the legal costs for the hospital
2. BIdentifying which staff member made the error and should be disciplined
3. CDeciding whether to tell the family about the error
4. DFinding the system and process weaknesses that allowed the error

A patient with joint aches has a positive antinuclear antibody (ANA) test. Which statement is correct?

1. AA positive ANA rules out all other autoimmune diseases
2. BA positive ANA proves the patient has rheumatoid arthritis
3. CA positive ANA means the patient has a viral infection
4. DA positive ANA supports lupus but does not diagnose it alone

A patient stopped long-term prednisone suddenly a week ago. Now: blood pressure 78/46 mm Hg, sodium 128 mEq/L, potassium 4.6 mEq/L, glucose 58 mg/dL (3.2 mmol/L). Which condition is most likely?

1. ACushing syndrome from steroid excess
2. BPrimary hyperaldosteronism (Conn syndrome)
3. CSyndrome of inappropriate ADH (SIADH)
4. DAcute adrenal insufficiency (adrenal crisis)

Why must levodopa for Parkinson's disease be given at the exact times prescribed in hospital?

1. AEarly doses cause severe low blood glucose and sweating attacks
2. BLate doses cause dangerous high potassium
3. CThe drug only works if taken at midnight
4. DDelays can quickly worsen rigidity, immobility and swallowing

A postoperative patient on IV fluids has a sodium of 128 mmol/L and is becoming confused. Which fluid could make this worse if given in large amounts?

1. A5% glucose (D5W)
2. BHuman albumin solution
3. CHartmann's solution (similar to lactated Ringer's)
4. D0.9% sodium chloride

A patient has exercise-induced asthma. Which advice is most appropriate?

1. ATake a beta-blocker before exercise
2. BUse the reliever inhaler shortly before exercise and warm up
3. CExercise only in cold, dry air to toughen the airways
4. DAvoid all forms of exercise permanently to prevent attacks

A patient with a confirmed type A aortic dissection is hypertensive and tachycardic while awaiting surgery. Which drug class is usually given first to lower the heart rate and blood pressure?

1. AAn intravenous fluid bolus
2. BAn intravenous beta-blocker
3. COral aspirin
4. DAn intravenous thrombolytic

स्ट्रोक के लिए IV थ्रोम्बोलाइसिस से पहले रक्तचाप की कौन-सी सीमा आमतौर पर उपयोग होती है?

1. Aलगभग 90/60 mmHg से कम
2. Bरक्तचाप की कोई सीमा नहीं है
3. Cलगभग 185/110 mmHg से कम
4. Dलगभग 200/120 mmHg से ऊपर

A patient with type 1 diabetes is vomiting at home. Their glucose is 12 mmol/L (216 mg/dL), and blood ketones are 3.5 mmol/L. What advice is correct?

1. AWait until the glucose is above 20 mmol/L (360 mg/dL)
2. BDrink less fluid to stop the vomiting
3. CSeek urgent hospital assessment for possible DKA
4. DStop insulin until the vomiting has settled

Which is a recognised cause of anaphylaxis during surgery?

1. AThe patient's own blood from cell salvage
2. BSterile normal saline
3. CChlorhexidine skin preparation
4. DA warmed blanket

A patient's platelet count is 18 × 10⁹/L (18,000/µL). Which order should the nurse question?

1. AOral paracetamol for headache
2. BA soft diet with mouthwashes
3. CAn intramuscular injection
4. DDaily full blood count