NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

A pregnant nurse is on the unit. Which patient should the charge nurse avoid assigning to her?

1. AA patient after a hip replacement
2. BA patient with a fractured wrist
3. CA patient with type 2 diabetes who needs insulin teaching before discharge
4. DA patient with a sealed radioactive implant for cervical cancer

A patient taking an MAO inhibitor antidepressant is taught about diet. Which statement shows a need for further teaching?

1. A“I will check with the pharmacist before cold remedies.”
2. B“A sudden severe headache is a warning sign.”
3. C“I can still eat aged cheese and cured salami.”
4. D“I will avoid tap beer and red wine.”

When is a prophylactic antibiotic usually given to prevent a surgical site infection?

1. AOne week before surgery
2. BOnly if a fever develops after surgery
3. CWithin about 60 minutes before the incision
4. DThe day after surgery, once the wound is closed

A patient asks for a pain tablet. The record shows none has been given, but the patient says, “The other nurse gave me one earlier.” What should the nurse do?

1. AGive the tablet, because the record shows none was given
2. BTell the patient they must be confused
3. CCheck with the other nurse and the records before giving another dose
4. DGive half a tablet now, to be safe, and the other half later if needed

A patient's potassium is 7.0 mEq/L. Which ECG change would the nurse expect?

1. ATall, peaked T waves
2. BProminent U waves
3. CDelta waves before the QRS
4. DFlattened T waves

मेटास्टैटिक स्तन कैंसर वाले रोगी का कैल्शियम 13.2 mg/dL (3.3 mmol/L) है, वह भ्रमित है और उसे कब्ज़ है। नर्स कौन-सा निर्धारित उपचार सबसे पहले शुरू होने की अपेक्षा करेगी?

1. Aकड़ा बिस्तर आराम
2. Bमौखिक कैल्शियम सप्लीमेंट
3. CIV 0.9% सोडियम क्लोराइड
4. Dथियाज़ाइड मूत्रवर्धक

Which adverse effects should be monitored for in a patient receiving IV gentamicin?

1. AHyperglycaemia and tremor
2. BConstipation and urinary retention
3. CKidney damage and hearing loss
4. DHair loss and weight gain

ट्रायाज में सबसे पहले किस मरीज़ को देखना चाहिए?

1. Aदोबारा पर्चा माँगने वाला मरीज़
2. Bमूँगफली खाने के बाद आवाज़ वाली साँस और सूजे होठों वाला मरीज़
3. Cदो दिन से गले में ख़राश वाला मरीज़
4. Dमोच आए टखने और हल्की सूजन वाला मरीज़

Why is a shock for cardioversion synchronised with the QRS complex?

1. ATo avoid delivering the shock during the T wave
2. BTo keep the pads from burning the skin
3. CTo make the shock less painful for the patient
4. DTo allow the use of a lower battery charge

A woman starting rifampicin (rifampin) for tuberculosis uses a combined oral contraceptive pill. What advice is correct?

1. AStop all contraception during TB treatment, as pregnancy cannot occur
2. BUse another reliable method, as rifampicin reduces the pill's effect
3. CContinue the pill as usual, because there is no interaction with TB drugs
4. DTake two pills a day to make up for the drug

A patient with untreated hyperthyroidism is losing weight. Which diet is most appropriate until the condition is controlled?

1. AA high-calorie diet with enough protein
2. BA strict low-protein diet
3. CA low-calorie diet to protect the heart
4. DA diet very high in caffeine for energy

A patient with nephrotic syndrome suddenly has loin pain, blood in the urine and a rise in creatinine. What is a likely cause?

1. AA simple bladder infection
2. BNormal fluctuation in the disease
3. CToo much dietary protein
4. DRenal vein thrombosis

In the SBAR communication tool, what belongs under "A"?

1. AThe nurse's assessment of what the problem is
2. BThe patient's admission date only
3. CThe address and phone number of the patient's next of kin
4. DA list of the patient's allergies only

A patient with a platelet count of 8 × 10⁹/L (8,000/µL) develops a sudden severe headache and confusion. What should the nurse suspect?

1. AIntracranial bleeding
2. BDehydration from poor intake
3. CA tension headache from stress
4. DNormal effects of chemotherapy