NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

मिश्रित मेडिकल इकाई में नर्स को किस रोगी को पहले देखना चाहिए?

1. Aहल्के तनाव सिरदर्द वाला रोगी जो एसिटामिनोफ़ेन माँग रहा है
2. Bकल के डिस्चार्ज के बारे में लिखित जानकारी माँगने वाला रोगी
3. Cउच्च रक्तचाप का रोगी जिसका रक्तचाप 136/84 mmHg है
4. Dअवसाद का रोगी जिसने अपना सामान दे दिया है और जिसकी आत्महत्या की योजना है

At the end of a shift, the nurse’s relief has not arrived and the patients are acutely ill. What should the nurse do?

1. ALeave on time, because the shift has officially ended
2. BAsk a nursing assistant to watch the patients until someone comes
3. CStay and tell the charge nurse, and hand over before leaving
4. DLeave a written note at the station and go home

एक मरीज़ को छाती के एक हिस्से पर शिंगल्स (हर्पीज़ ज़ोस्टर) है, उसकी प्रतिरक्षा सामान्य है और घाव पूरी तरह ढके जा सकते हैं। आमतौर पर कौन-सी सावधानियाँ आवश्यक हैं?

1. Aघावों को ढककर मानक सावधानियाँ
2. Bनेगेटिव-प्रेशर कमरे में वायुजनित सावधानियाँ
3. Cकेवल बूँद सावधानियाँ
4. Dपॉज़िटिव प्रेशर वाला सुरक्षात्मक वातावरण

A nurse teaches parents about using an infant car seat. Which statement shows a need for further teaching?

1. A“We will install the seat in the back seat, facing the rear.”
2. B“We will make sure the harness straps are snug against the baby’s chest.”
3. C“We will put the rear-facing seat in the front so we can see the baby.”
4. D“We will use the car seat for every trip, even short ones.”

निर्धारित IV पोटैशियम क्लोराइड देने से पहले कौन-सा आकलन सबसे महत्वपूर्ण है?

1. Aपुतली का आकार और प्रकाश पर प्रतिक्रिया
2. Bदोनों कानों की सुनने की क्षमता
3. Cअग्रबाहु पर त्वचा का तनाव (टर्गर)
4. Dमूत्र निर्गम और गुर्दा कार्य

A patient on IV gentamicin has a trough level above the target, and the creatinine has risen since yesterday. The next dose is due. What is the best action?

1. AGive the dose with extra oral fluids to protect the kidneys
2. BGive the dose now and recheck the levels next week
3. CGive half of the dose and document the reason for it
4. DHold the dose and report the results to the prescriber

Which drug is first-line in an acute asthma attack?

1. AA long-acting inhaled corticosteroid, used alone at a higher dose
2. BAn oral antihistamine such as cetirizine taken every few hours
3. CAn oral beta-blocker
4. DA nebulised or inhaled short-acting beta₂-agonist (salbutamol/albuterol)

A seriously ill patient asks the nurse, "Am I dying?" What is the best initial response?

1. AGently explore what the patient understands and what has prompted the question
2. BTell the patient not to think about such things and to stay positive
3. CChange the subject quickly to keep them cheerful and avoid upsetting them
4. DLeave and send the doctor without saying anything

Why is a raised serum lactate concerning in a patient with shock?

1. AIt suggests tissues are short of oxygen and using anaerobic metabolism
2. BIt means the kidneys are working harder than normal to clear fluid
3. CIt shows only that the patient has eaten a large meal in the past hour
4. DIt confirms a bacterial infection is present

A patient with a confirmed pulmonary embolism has BP 78/50 mmHg despite fluids, and the right ventricle is dilated on echocardiography. Which treatment is most likely?

1. AAn inhaled bronchodilator
2. BSystemic thrombolysis
3. COral apixaban only, started next week
4. DCompression stockings and bed rest

स्ट्रोक के बाद मरीज़ को होमोनिमस हेमियानोपिया है। नर्स को शुरू में कैसे मदद करनी चाहिए?

1. Aदृश्य उत्तेजना घटाने के लिए कमरे को अँधेरा रखना
2. Bप्रभावित ओर की आँख पर पट्टी बाँधना
3. Cप्रशिक्षण के लिए कॉल बेल और पेय उस ओर रखना जिधर दृष्टि नहीं है
4. Dदिखने वाली ओर से पहुँचना और देखने के लिए सिर घुमाना सिखाना

A patient with acromegaly snores loudly, stops breathing at times in sleep and is sleepy during the day. What is most likely?

1. AAn anxiety disorder
2. BNarcolepsy
3. CObstructive sleep apnoea
4. DNormal snoring

A patient had an upper GI endoscopy with a local anaesthetic throat spray. What must the nurse check before giving a drink?

1. AThat bowel sounds are present in all four quadrants
2. BThat the patient's blood glucose is above normal
3. CThat the patient has passed urine since the procedure
4. DThat swallowing and the gag reflex have returned

Two days after surgery, a patient on regular ibuprofen has a low urine output and a rising creatinine, and intake has been poor. What should the nurse do?

1. AGive the next dose with extra food
2. BIncrease the dose to treat the pain better and encourage fluids
3. CChange to a higher-strength NSAID tablet
4. DWithhold the next dose and report to the prescriber