NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

A nurse sees a nursing assistant leave a confused patient’s bed in the highest position after care. What should the nurse do?

1. ALower the bed now and remind the assistant why it matters
2. BAsk the family to lower the bed when they next visit
3. CLeave it because the patient is asleep
4. DWrite it in the assistant’s yearly review only

LPN/LVN को कौन-सा आवंटन सबसे उपयुक्त है?

1. Aस्थिर COPD वाला रोगी जिसे निर्धारित नेबुलाइज़्ड ब्रोंकोडाइलेटर और मौखिक दवाएँ चाहिए
2. Bरोगी जिसे एक घंटे पहले गहन देखभाल से स्थानांतरित किया गया
3. Cरोगी जिसे नई शुरू हुई वारफ़ेरिन के लिए डिस्चार्ज शिक्षण चाहिए
4. Dनए एट्रियल फ़िब्रिलेशन वाला रोगी जिसे अभी IV डिल्टियाज़ेम इन्फ़्यूज़न शुरू हुआ है

Which measure reduces errors caused by interruptions during medication preparation?

1. AA quiet “no interruption” zone or signal while preparing medications
2. BPreparing medications at the busiest place on the ward
3. CPreparing medications for all patients at once
4. DAnswering phone calls and pages while counting tablets, to save time

Victims of a chemical spill arrive at the emergency department with liquid on their skin and clothing. What is the priority before they enter the building?

1. AGive them hospital gowns and seat them in triage
2. BDecontaminate them outside, with staff wearing appropriate PPE
3. CTake a full history in the waiting room
4. DTake them straight into the resuscitation room so treatment is not delayed

How should a blood sample for serum ammonia be handled?

1. ALeft at room temperature for several hours first
2. BPlaced on ice and sent to the laboratory at once
3. CShaken firmly to mix it before it is sent away
4. DKept warm and sent with the next routine batch

एक रोगी बड़ी मात्रा में रक्त की उल्टी के 30 मिनट बाद आता है। हृदय गति 125/मिनट है, पर पहला हीमोग्लोबिन 13.0 g/dL (130 g/L) है। हीमोग्लोबिन भ्रामक क्यों है?

1. Aआपातकालीन स्थितियों में यह परीक्षण कभी सटीक नहीं होता
2. Bसंपूर्ण रक्त खोया है, इसलिए स्तर केवल घंटों बाद गिरता है
3. Cरक्तस्राव के दौरान हीमोग्लोबिन बढ़ता है, जो हानि को छिपाता है
4. Dयह मान सिद्ध करता है कि कोई उल्लेखनीय रक्तस्राव नहीं है

A patient who injects drugs has a fever, a new heart murmur and small dark lines under the nails. What is the likely diagnosis?

1. AInfective endocarditis
2. BMyocardial infarction
3. CRheumatic fever
4. DPericarditis

Why might a patient with diabetes who takes a beta-blocker not notice hypoglycaemia early?

1. ABeta-blockers make the patient sleep through the night
2. BBeta-blockers raise blood glucose, so true hypoglycaemia cannot happen at all
3. CBeta-blockers can mask warning signs such as tremor and a fast heart rate
4. DBeta-blockers stop the liver from responding to insulin

A patient with COPD is prescribed long-term oxygen therapy. How many hours a day is it usually needed to improve survival?

1. AAbout one hour each morning
2. BOnly during meals
3. CAt least 15 hours a day
4. DOnly when walking outside

Why is the cuff pressure of an endotracheal or tracheostomy tube checked regularly?

1. AToo high a pressure damages the trachea; too low allows aspiration
2. BThe cuff pressure directly controls the patient's oxygen saturation
3. CThe cuff must be kept fully deflated in every ventilated patient
4. DThe cuff pressure sets the ventilator's breathing rate

थायरॉइड सर्जरी के एक सप्ताह बाद भी मरीज़ की आवाज़ भारी और कमज़ोर है। कौन-सी जटिलता सबसे संभावित है?

1. Aपैराथायरॉइड की चोट से कम कैल्शियम
2. Bसर्जरी से थायरॉइड स्टॉर्म
3. Cरिकरेंट लैरिंजियल तंत्रिका की क्षति
4. Dचिपकने वाली ड्रेसिंग टेप से एलर्जी प्रतिक्रिया

Weeks after starting insulin, a patient with newly diagnosed type 1 diabetes needs much less insulin and has frequent mild hypos. What is the most likely explanation?

1. AThe insulin has gone off and should be replaced
2. BA honeymoon phase, but insulin is still needed
3. CThe diabetes has been cured, so insulin can stop
4. DThe patient actually has type 2 diabetes

During the first infusion of a monoclonal antibody such as rituximab, which problem is most important to watch for?

1. AA rise in platelet count above normal
2. BSudden hair loss during the infusion
3. CAn infusion reaction, such as fever, rigors or breathlessness
4. DSevere constipation within the first hour of starting the infusion

A patient with cirrhosis takes spironolactone and furosemide. Which blood result should the nurse report before the next dose?

1. APotassium 4.2 mmol/L
2. BSodium 141 mmol/L
3. CSodium 138 mmol/L
4. DPotassium 6.0 mmol/L