NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

Which two patients can most safely share a room?

1. AA patient with MRSA in a wound and a patient after surgery
2. BA patient with chickenpox and a patient on chemotherapy
3. CTwo patients who both have C. difficile infection
4. DA patient with influenza and a patient with COPD

नर्स को लगता है कि निर्धारित खुराक असुरक्षित है। निर्धारक कहता है कि फिर भी दें। नर्स को क्या करना चाहिए?

1. Aखुराक दें, क्योंकि अब उसके लिए निर्धारक ज़िम्मेदार है
2. Bटकराव से बचने के लिए चुपचाप खुराक छोड़ दें और कुछ न कहें
3. Cखुराक रोक दें और कमान की श्रृंखला (चेन ऑफ़ कमांड) के माध्यम से मामला आगे बढ़ाएँ
4. Dसमझौते के रूप में आधी खुराक दें और कारण दर्ज करें

A patient on nasal cannula oxygen has dry lips. Which product should the nurse offer?

1. AA scented petroleum ointment
2. BA water-based lip lubricant
3. CAn oil-based lip balm
4. DPetroleum jelly

A nurse teaches parents about using an infant car seat. Which statement shows a need for further teaching?

1. A“We will put the rear-facing seat in the front so we can see the baby.”
2. B“We will install the seat in the back seat, facing the rear.”
3. C“We will use the car seat for every trip, even short ones.”
4. D“We will make sure the harness straps are snug against the baby’s chest.”

पिट्यूटरी सर्जरी के बाद रोगी प्रति घंटे लगभग 400 mL हल्के रंग का मूत्र त्यागता है जिसका विशिष्ट गुरुत्व 1.002 है, और सोडियम बढ़कर 149 mEq/L हो गया है। कौन-सी स्थिति सबसे अधिक संभावित है?

1. Aकीटोएसिडोसिस के साथ हाइपरग्लाइसीमिया
2. Bडायबिटीज़ इन्सिपिडस
3. Cऑलिगुरिया के साथ तीव्र गुर्दा क्षति
4. DSIADH

A patient's bedside glucose meter shows "HI" (above its measuring range). The patient is drowsy. What should the nurse do?

1. ARecord "HI" and repeat the meter test at the next scheduled time
2. BAssume the meter is broken and give the usual insulin dose
3. CSend a venous sample to the lab and inform the provider at once
4. DGive oral glucose in case the reading is wrong and the patient is low

Why are alternate sutures sometimes removed first when taking out stitches?

1. ATo check the wound stays closed before removing the rest
2. BBecause the remaining sutures dissolve on their own within a day
3. CTo make the procedure faster
4. DTo reduce the cost of dressings

A patient has a blood pressure of 220/130 mmHg with headache, confusion and visual disturbance. Why is the blood pressure lowered in a controlled way rather than as fast as possible?

1. ARapid lowering causes hyperglycaemia
2. BRapid lowering always causes the hypertension to come back much worse
3. CA sudden drop can reduce blood flow to the brain, heart and kidneys
4. DBlood pressure cannot be lowered with drugs

मॉनिटर पर वेंट्रिकुलर फ़िब्रिलेशन दिख रहा है। मरीज़ अनुत्तरदायी है और सामान्य रूप से साँस नहीं ले रहा। मुख्य उपचार क्या है?

1. AIV एट्रोपिन और बाहरी पेसिंग
2. Bतेज़ IV एडेनोसिन और उसके बाद फ़्लश
3. CCPR और यथाशीघ्र डीफ़िब्रिलेशन
4. Dगहरी बेहोशी में सिंक्रोनाइज़्ड कार्डियोवर्शन

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

A patient with multiple sclerosis says their symptoms get worse after a hot bath. What should the nurse explain?

1. AHot baths cause new areas of damage in the brain
2. BHeat can briefly worsen MS symptoms, which settle when they cool down
3. CThis shows that the disease has entered a new progressive stage
4. DThey should take very cold baths to reverse the damage

The nurse has four patients with diabetes. Which one needs to be seen first?

1. AA patient with a glucose of 14 mmol/L (252 mg/dL) who feels well and is eating
2. BA patient waiting for a routine HbA1c test
3. CA newly diagnosed patient asking about which foods to eat
4. DA patient with a glucose of 2.8 mmol/L (50 mg/dL) who is sweaty and confused

A dying patient can no longer drink. Which mouth care is most appropriate?

1. ANo mouth care, to avoid disturbing the patient
2. BFrequent, gentle moistening of the mouth and lips
3. CLemon and glycerine swabs every hour to stimulate saliva
4. DBrushing hard with a stiff toothbrush twice a day

On day 3 after surgery, a patient has a temperature of 38.6 °C, respiratory rate 24/min, pulse 118/min, BP 92/58 mmHg and new confusion. What should the nurse do?

1. ARecord the observations and continue routine care
2. BGive paracetamol and recheck in four hours
3. CEncourage oral fluids and wait for the doctor's round
4. DEscalate urgently and start the sepsis pathway