NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

A woman calls to say her husband suddenly has a drooping face and slurred speech. What should the nurse advise?

1. ALet him lie down and see if it improves
2. BCall emergency services now and note the time it started
3. CBook an appointment with his doctor next week
4. DDrive him to the hospital yourself after he has eaten dinner

Four laboratory results come back at once. Which one should the nurse report first?

1. APotassium 3.4 mEq/L in a patient on a diuretic
2. BCreatinine 1.3 mg/dL in an older adult, unchanged from last week
3. CHemoglobin 6.5 g/dL (65 g/L) in a patient with a GI bleed
4. DGlucose 180 mg/dL after a meal in a patient with diabetes

What is the main aim of purposeful hourly rounding?

1. ATo check pain, toileting, position and personal items before the patient needs to ask
2. BTo wake the patient every hour to check orientation
3. CTo replace the need for a call light
4. DTo count the patient’s medications every hour and check that none are missing

A patient has signed a surgical consent form but tells the nurse, “I don’t really understand what they are going to do.” What should the nurse do?

1. AExplain the risks and benefits in place of the surgeon
2. BInform the surgeon so the procedure can be explained again before any sedation
3. CReassure the patient that the surgeon knows best and continue with the preparation
4. DGive the preoperative sedative so the patient relaxes

सिरोसिस वाले रोगी का एल्ब्यूमिन 2.2 g/dL (22 g/L) है। कौन-सा निष्कर्ष सबसे संभावित रूप से इससे संबंधित है?

1. Aहाइपरकैलेमिया
2. Bउच्च रक्तचाप
3. Cमूत्र निर्गम में वृद्धि
4. Dसूजन (एडिमा) और जलोदर

नए गहरी शिरा थ्रॉम्बोसिस वाले रोगी को हेपरिन इन्फ़्यूज़न पर रखा गया है और वारफ़ेरिन अभी शुरू की गई है। हेपरिन कई दिनों तक क्यों जारी रखी जाती है?

1. Aवारफ़ेरिन तभी काम करती है जब हेपरिन साथ में दी जाए
2. Bहेपरिन वारफ़ेरिन के दुष्प्रभावों को रोकती है
3. Cहेपरिन आँत से वारफ़ेरिन का अवशोषण बढ़ाती है
4. Dवारफ़ेरिन को पूर्ण थक्कारोधी प्रभाव तक पहुँचने में कई दिन लगते हैं

Modern wound care generally aims to keep a healing wound bed:

1. AMoist but not wet
2. BTightly packed with dry gauze
3. CSoaked in antiseptic solution every day
4. DCompletely dry and open to the air

A patient is admitted with suspected meningococcal disease. Which infection control measure is usually needed?

1. AAirborne precautions with a negative-pressure room for the whole hospital stay
2. BNo precautions, because it is not contagious
3. CIsolation only after the patient has gone home
4. DDroplet precautions until 24 hours of effective antibiotics have been given

The telemetry monitor suddenly shows a chaotic waveform resembling ventricular fibrillation, but the patient is talking and brushing their teeth. What should the nurse do first?

1. AStart chest compressions straight away and call the arrest team
2. BDeliver an immediate defibrillation shock before checking anything
3. CCheck the patient and the electrodes, as this is likely artefact
4. DGive IV amiodarone as a bolus

Two adults with cystic fibrosis are admitted to the same ward. What is the correct infection-control plan?

1. AUse standard precautions only, as CF is not infectious
2. BPut them in the same bay so they can support each other
3. CLet them share physiotherapy sessions and equipment
4. DNurse them in separate single rooms and keep them apart

A patient with Alzheimer's disease starts donepezil. Which side effects should the nurse look for?

1. AWeight gain, high glucose and swollen ankles
2. BNausea, diarrhoea and a slow heart rate
3. CDry mouth, constipation and a fast heart rate
4. DA persistent dry cough and a raised potassium

During haemodialysis, a patient suddenly becomes breathless with chest pain, and air is seen in the line. What should the nurse do first?

1. ASit the patient upright and give a drink of water
2. BContinue the session and recheck in 30 minutes
3. CClamp the lines and lay the patient left side down, head low
4. DSpeed up the pump to clear the air into the patient

Which change suggests that a burn wound is becoming infected?

1. AThe wound becoming pink and a little smaller at each dressing change
2. BLess exudate on each dressing change
3. CA partial-thickness burn becoming deeper, with new discolouration
4. DDry, healing skin with mild itching

सामान्य एनेस्थीसिया के दौरान मरीज़ में जबड़े की कठोरता, बढ़ता एंड-टाइडल CO₂ और टैकीकार्डिया विकसित होते हैं, फिर तापमान तेज़ी से बढ़ता है। विशिष्ट उपचार कौन-सी दवा है?

1. Aडैन्ट्रोलीन
2. Bपैरासिटामोल
3. Cनैलोक्सोन
4. Dसक्सामेथोनियम