NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

A pregnant nurse is on the unit. Which patient should the charge nurse avoid assigning to her?

1. AA patient after a hip replacement
2. BA patient with a sealed radioactive implant for cervical cancer
3. CA patient with a fractured wrist
4. DA patient with type 2 diabetes who needs insulin teaching before discharge

During JumpSTART triage, a child is not breathing after the airway is opened but has a palpable pulse. What is the next step?

1. AStart full CPR on the child and stay with them until more help arrives
2. BGive five rescue breaths; if breathing starts, tag the child red
3. CTag the child green and return to them after the others
4. DTag the child black at once and move on to the next victim

A person in scrubs without a hospital ID badge asks to take a newborn to the nursery. What should the nurse do?

1. ALet the parents decide whether to hand the baby over
2. BHand over the baby if the person seems confident
3. CRefuse, keep the baby with the mother and alert security
4. DAsk the person their name and then give them the baby

संपर्क सावधानियों पर रखे मरीज़ के साथ काम करते हुए नर्स को पता चलता है कि गाउन की आस्तीन पर फटन है। नर्स को क्या करना चाहिए?

1. Aकाम जारी रखना, क्योंकि फटन छोटी है और केवल आस्तीन पर है
2. Bमरीज़ से दूर हटना, दरवाज़े पर PPE को सुरक्षित तरीके से उतारना, हाथ साफ़ करना और फिर से गाउन पहनना
3. Cफटे गाउन के ऊपर दूसरा गाउन पहन लेना
4. Dफटन को टेप की पट्टी से ढककर काम जारी रखना

रोगी का हेमैटोक्रिट 54%, BUN उच्च और मूत्र विशिष्ट गुरुत्व 1.034 है। यह पैटर्न क्या दर्शाता है?

1. Aद्रव अधिभार
2. Bतनु मूत्र के साथ गुर्दा विफलता
3. Cरक्त के गाढ़ेपन के साथ निर्जलीकरण
4. Dतनुकरण के साथ तीव्र रक्त हानि

A patient has eaten very little for 2 weeks and has received broad-spectrum antibiotics. The INR is now 2.3 without warfarin, and the platelets are normal. What is the most likely cause?

1. AVitamin K deficiency
2. BIron-deficiency anemia
3. CImmune thrombocytopenia
4. DHemophilia A

Why is continuous bladder irrigation used after a transurethral resection of the prostate (TURP)?

1. ATo stop blood clots from blocking the catheter
2. BTo stretch the bladder back to its normal size
3. CTo give antibiotics directly into the kidneys
4. DTo measure the patient's kidney function

तीव्र GI रक्तस्राव वाले एक मरीज़ की हृदय गति 120/min और रक्तचाप 90/60 mmHg है। सहायता बुलाने के बाद नर्सिंग प्राथमिकता क्या है?

1. Aअकेले बाथरूम तक चलने को प्रोत्साहित करें
2. Bमल का रंग जाँचने तक कार्रवाई टालें
3. Cबड़े-छिद्र (large-bore) IV पहुँच सुरक्षित करें और द्रव या रक्त प्रतिस्थापन की तैयारी करें
4. Dऊर्जा लौटाने के लिए भारी भोजन दें

एपिक्साबैन और रिवारोक्साबैन जैसे डायरेक्ट ओरल एंटीकोएगुलेंट के बारे में कौन-सा कथन सही है?

1. Aनियमित INR जाँच नहीं, पर खुराक गुर्दा कार्य पर निर्भर करती है
2. Bविटामिन K देने से उनका प्रभाव उलट जाता है
3. Cवारफ़रिन की तरह साप्ताहिक INR जाँच आवश्यक है
4. Dछूटी खुराकों से फ़र्क नहीं पड़ता क्योंकि वे हफ़्तों तक असर करते हैं

A one-way speaking valve is fitted to a patient's tracheostomy tube while the cuff is still inflated. What is the danger?

1. AThe patient cannot breathe out and may suffocate
2. BThe valve will humidify the air too much
3. CThere is no danger, as the valve works with any cuff
4. DThe patient will speak too loudly

A patient with CKD is booked for a CT scan with iodinated contrast. Which measure helps protect the kidneys?

1. AGood hydration around the scan, often with IV fluids
2. BGiving a dose of ibuprofen before the scan
3. CDoubling the dose of contrast for a clearer image
4. DRestricting all fluids for 24 hours before the scan

A patient with stable epilepsy on phenytoin started a new medicine last week. They now have nystagmus, an unsteady gait and slurred speech. What should the nurse do?

1. ASuspect phenytoin toxicity, hold the next dose and ask for a drug level
2. BGive the next phenytoin dose early to prevent a seizure
3. CEncourage the patient to walk more to improve their balance
4. DSuspect a new stroke and give aspirin straight away before any scan

Which is correct when caring for a patient with a PICC line?

1. AFlush the line only when it blocks
2. BAvoid taking blood pressure on the arm with the line
3. CUse the PICC arm for heavy lifting to keep it flexible
4. DLeave the external length unchecked once it is placed

During radiotherapy to the chest, a patient develops pain on swallowing and is eating less. What is the most likely cause and nursing focus?

1. AA heart attack; give aspirin and arrange an ECG
2. BRadiation oesophagitis; analgesia, soft food and nutrition support
3. CA stomach ulcer; give an antacid after meals only
4. DNormal ageing; no action needed