NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

सामान्य जीवन-संकेतकों वाले एक स्थिर वयस्क के हाथ पर कटा है जिसे टाँकों की आवश्यकता है और कुछ नहीं। कौन-सा ESI स्तर उपयुक्त है?

1. Aस्तर 5
2. Bस्तर 4
3. Cस्तर 3
4. Dस्तर 2

A patient with major depression has been withdrawn for weeks but is suddenly calm and cheerful and gives away her belongings. What should the nurse suspect?

1. AA full recovery, so observation can be reduced
2. BA side effect of her antidepressant medicine that needs no special action
3. CThat she is getting ready for discharge as planned
4. DA raised risk of suicide, because she may have made a decision

A patient on oxygen is being taken to another department by wheelchair. What should the nurse check first?

1. AThat the portable cylinder has enough oxygen for the whole trip
2. BThat the oxygen is turned off during the transfer to save the supply in the tank
3. CThat the cylinder is the largest size available
4. DThat the cylinder is placed on the patient’s lap

A nurse teaches a patient about care of a surgical incision at home. Which statement shows a need for further teaching?

1. A“I will call the clinic if I get a fever or more pain around the wound.”
2. B“I will wash my hands with soap before I touch or change the dressing.”
3. C“If the wound gets red and drains pus, I will wait for my appointment next month.”
4. D“I will keep the dressing clean and dry as I was shown.”

A patient receiving chemotherapy has an ANC of 300/µL and a new temperature of 38.3 °C (100.9 °F). What should the nurse do first?

1. AGive acetaminophen (paracetamol) and recheck the temperature in 4 hours
2. BReport it at once so cultures and antibiotics start quickly
3. CEncourage oral fluids and record the fever in the chart
4. DRemove extra blankets and offer a tepid sponge bath

A patient receiving parenteral nutrition with lipid emulsion has a triglyceride level of 620 mg/dL (7.0 mmol/L). Why is this result important?

1. AIt raises the risk of acute pancreatitis
2. BIt is a normal fasting value for adults
3. CIt means the patient needs more lipid
4. DIt shows the nutrition is fully effective

After removing a peripheral IV cannula, what should the nurse check?

1. AThat the cannula is put back in its sterile packet for the next patient
2. BThat the patient's blood glucose is normal before removal
3. CThat the site is left uncovered and bleeding freely
4. DThat the cannula is intact, and apply pressure until bleeding stops

Several hours after thyroid surgery, a patient has increasing neck swelling, stridor and difficulty breathing. What is most likely?

1. AA thyroid storm
2. BA haematoma compressing the airway
3. CHypocalcaemia from parathyroid damage
4. DNormal postoperative swelling

Unless fluids are restricted, why are patients with pneumonia encouraged to drink plenty?

1. ATo make the cough completely stop
2. BTo prevent dehydration and keep secretions thinner
3. CTo lower the temperature by diluting the blood plasma
4. DTo flush the bacteria out through the urine

Minutes after an IV antibiotic is started, a patient has wheeze, swollen lips, a rash and BP 78/44 mmHg. The infusion has been stopped and help called. What is the next priority?

1. AGive a nebulised salbutamol dose only
2. BGive intramuscular adrenaline (epinephrine)
3. CRestart the infusion at a slower rate
4. DGive an oral antihistamine tablet and observe for an hour

After a change in the levothyroxine dose, when is the TSH usually rechecked?

1. AAfter about 6–8 weeks
2. BAfter about 2 years of treatment
3. CAfter 3 days
4. DAfter 24 hours

A patient with a known ureteric stone develops a fever of 39 °C (102.2 °F) and rigors. Scanning shows a blocked, swollen kidney. What is needed?

1. AUrgent drainage of the kidney plus IV antibiotics
2. BOral antibiotics and waiting for the stone to pass
3. CStrong pain relief alone, then discharge
4. DA fluid restriction to reduce the swelling

स्टोमा उपकरण का छेद कितना बड़ा काटा जाना चाहिए?

1. Aकसी सील के लिए स्टोमा से थोड़ा छोटा
2. Bस्टोमा से चारों ओर लगभग 2 cm बड़ा
3. Cस्टोमा से चारों ओर लगभग 2–3 mm बड़ा
4. Dकोई भी आकार, बशर्ते स्टोमा ढका हो

On day 3 after laparoscopic cholecystectomy, a patient has abdominal pain, fever and mild jaundice, and green fluid is draining from the drain. What is most likely?

1. AUrinary retention
2. BA bile leak
3. CA wound haematoma
4. DNormal post-operative drainage