NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

A patient with severe neutropenia needs a room. Which roommate is the safest choice?

1. AA patient with an infected, draining leg wound
2. BA patient after a knee replacement with no signs of infection
3. CA patient with C. difficile diarrhea
4. DA patient with influenza

A patient on peritoneal dialysis has cloudy fluid draining out and abdominal pain. What does this most likely mean?

1. AToo much fluid left in the abdomen after the drain
2. BPeritonitis, which needs prompt reporting and a fluid sample
3. CConstipation that will settle with a laxative later today or tomorrow
4. DA normal finding at the end of each exchange

Why is “QD” (once daily) on The Joint Commission’s “Do Not Use” list?

1. AIt can be misread as QID or QOD, so the drug is given too often or too rarely
2. BIt means “every day at bedtime” in some hospitals
3. CIt is a Latin abbreviation, and only plain English abbreviations may be used
4. DIt is only allowed for intravenous medicines

A competent adult patient with pneumonia wants to leave the hospital against medical advice. What should the nurse do?

1. AExplain the risks, notify the provider and follow the policy for leaving against advice
2. BHide the patient’s clothes and belongings so that they cannot leave the ward
3. CLock the doors so the patient cannot leave
4. DApply wrist restraints until the provider arrives to speak with the patient

A patient's potassium is unexpectedly 5.8 mEq/L. The sample was taken after the tourniquet was on for several minutes while the patient pumped their fist. What is the best interpretation?

1. AThe result may be falsely high and should be repeated with better technique
2. BThe result confirms true hyperkalemia and needs no further checking
3. CFist pumping lowers potassium, so the true level is even higher
4. DTourniquet time affects only the glucose result, not the potassium

A patient with thalassemia major has received regular red cell transfusions for years. The ferritin is now very high. What does this most likely show, and what treatment is used?

1. AIron deficiency, treated with IV iron supplements
2. BLiver failure, treated with a liver transplant at once
3. CAcute infection, treated with broad-spectrum antibiotics
4. DIron overload, treated with iron chelation therapy

A very anxious patient breathes rapidly for a long period. Which change is expected?

1. ARespiratory alkalosis from a low PaCO₂
2. BMetabolic alkalosis from vomiting
3. CRespiratory acidosis from a high PaCO₂
4. DMetabolic acidosis from a low bicarbonate

An arterial blood gas shows a low PaO₂ with a low or normal PaCO₂. How is this classified?

1. AMetabolic acidosis
2. BNormal blood gas
3. CType 2 respiratory failure
4. DType 1 respiratory failure

A patient takes both digoxin and furosemide. Why does the nurse watch the potassium level closely?

1. ALow potassium makes digoxin stop working completely
2. BPotassium has no link with either medicine
3. CHigh potassium is the main effect of furosemide
4. DLow potassium increases the risk of digoxin toxicity

During a cardiac arrest, the monitor shows an organised rhythm, but there is no pulse. What should the team do?

1. AContinue CPR and give adrenaline (epinephrine), as the rhythm is non-shockable
2. BDeliver an unsynchronised shock at once and then check the pulse
3. CGive adenosine to slow the rhythm down
4. DStop CPR, because an organised rhythm on the monitor means recovery

A patient is starting lamotrigine. Which teaching point is most important?

1. AReport any skin rash promptly, especially in the first weeks
2. BDouble the dose if a seizure happens
3. CTake it with a glass of grapefruit juice to improve its absorption
4. DExpect an orange tint to tears and urine

एक दौरा 12 मिनट से चल रहा है। बेंज़ोडायज़ेपीन की दो खुराकें दी जा चुकी हैं, और दौरा जारी है। वायुमार्ग और ऑक्सीजन प्रबंधित हैं। सामान्य प्रोटोकॉल में अगला कदम क्या है?

1. Aमरीज़ के निगल सकने पर मौखिक एंटीसीज़र गोलियाँ देना
2. Bयह देखने के लिए कि दौरा रुकता है या नहीं, और 30 मिनट प्रतीक्षा करना
3. Cलेवेटिरासेटम या फ़ेनिटॉइन जैसी द्वितीय-पंक्ति IV दवा
4. Dहर दो मिनट में बेंज़ोडायज़ेपीन की तीसरी और चौथी खुराक

नमी की आवश्यकता वाले सूखे, स्लफ़ युक्त घाव के लिए आमतौर पर कौन-सी ड्रेसिंग उपयुक्त है?

1. Aएल्जिनेट
2. Bफ़ोम
3. Cसूखी गॉज़
4. Dहाइड्रोजेल

Why is an SGLT2 inhibitor such as dapagliflozin usually withheld before surgery?

1. AIt causes the surgical wound to bleed more
2. BIt raises the risk of ketoacidosis, even with near-normal glucose
3. CIt makes the patient's potassium dangerously high
4. DIt interacts with all general anaesthetic gases and stops them working