NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

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

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

A day after a femur fracture, a young patient becomes confused and breathless, with small red spots on the chest. What should the nurse suspect?

1. AAn allergic reaction to the cast
2. BFat embolism syndrome
3. CNormal pain after a fracture
4. DAlcohol withdrawal

A patient has leftover opioid tablets after surgery. Which advice about disposal is best?

1. AGive them to a friend or relative who has back pain
2. BReturn them to a pharmacy or an approved take-back site
3. CKeep them in an unlocked drawer at home in case of future pain
4. DLeave them in the bathroom cabinet indefinitely

A patient’s white cell differential shows a raised eosinophil count. Which cause is most consistent with this finding?

1. AAn acute bacterial infection
2. BA viral infection such as a cold
3. CBone marrow suppression from chemotherapy
4. DAn allergic reaction or a parasitic infection

A trauma patient receives 2 L of IV crystalloid. The hemoglobin falls from 13.0 to 11.4 g/dL (130 to 114 g/L), and the vital signs are now stable. Which explanation is most likely?

1. AIncreased red cell production
2. BA sudden failure of the bone marrow
3. CA laboratory error in the first sample
4. DDilution of the blood by the IV fluid

A patient has a positive hepatitis C antibody (anti-HCV) test. What is the most appropriate next step?

1. AGive hepatitis C vaccine to prevent further infection
2. BRepeat the antibody test, as a positive test is always false
3. CTest for HCV RNA to find out whether infection is current
4. DTell the patient they definitely have chronic hepatitis C

A patient has a fentanyl patch for chronic pain. Which advice is correct?

1. AApply the patch to broken skin for faster effect
2. BCut the patch in half if the pain improves, to lower the dose
3. CKeep using the old patch with the new one
4. DAvoid heat sources such as hot water bottles over the patch

कुल कूल्हा प्रतिस्थापन (total hip replacement) के बाद एक मरीज़ को अचानक कूल्हे में तेज़ दर्द होता है, पैर छोटा हो जाता है और घूमा हुआ होता है। सबसे संभावित जटिलता क्या है?

1. Aकृत्रिम अंग (prosthesis) का विस्थापन
2. Bघाव संक्रमण
3. Cमूत्र प्रतिधारण
4. Dपिंडली में डीप वेन थ्रॉम्बोसिस

How does varenicline help people stop smoking?

1. AIt makes cigarettes taste of metal so smoking feels unpleasant
2. BIt replaces nicotine through the skin, like a nicotine patch
3. CIt partly stimulates and partly blocks nicotine receptors
4. DIt speeds the clearance of nicotine by the liver

A nurse teaches a patient who is starting warfarin. Which statement shows a need for further teaching?

1. A"If I miss a dose, I will take two the next day."
2. B"I will have regular INR blood tests."
3. C"I will check before taking any new medicines or herbal remedies."
4. D"I will tell my dentist that I take warfarin."

CKD वाले मरीज़ भोजन के साथ फ़ॉस्फ़ेट बाइंडर क्यों लेते हैं?

1. Aवे भोजन के उस फ़ॉस्फ़ेट को बाँधते हैं जिसे गुर्दे उत्सर्जित नहीं कर सकते
2. Bवे आँत में भोजन से फ़ॉस्फ़ेट का अवशोषण बढ़ाते हैं
3. Cवे गायब हार्मोन एरिथ्रोपोइटिन की जगह लेते हैं
4. Dवे आँत में पोटैशियम को बाँधकर रक्त पोटैशियम घटाते हैं

A nurse teaches a patient with Hashimoto's thyroiditis about levothyroxine. Which statement shows a need for further teaching?

1. A"I will have regular blood tests to check my dose."
2. B"I will take the tablets at the same time each day."
3. C"I can stop the tablets once I feel back to normal."
4. D"I will report palpitations or chest pain."

Why should metoclopramide not be used for nausea in mechanical bowel obstruction?

1. AIt always causes severe diarrhoea
2. BIt increases gut movement against the blockage
3. CIt blocks the effect of all opioids
4. DIt makes the bowel stop moving completely

A patient with diabetes has rapidly spreading redness around a small wound, severe pain out of proportion, fever and crackling under the skin. What should the nurse suspect?

1. AA healing venous ulcer
2. BA simple insect bite
3. CMild contact dermatitis
4. DNecrotising fasciitis