NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

When making patient assignments, what should the charge nurse consider first?

1. AGiving the newest staff the most complex patients
2. BLetting staff choose the patients they prefer
3. CGiving each nurse patients in rooms next to each other
4. DMatching each patient’s needs to staff competence

A patient is going home on a new oral anticoagulant. There is only a short time for teaching. Which topic is most important?

1. AWhich television programs help with relaxation
2. BHow to cook low-fat meals
3. CHow to choose comfortable walking shoes
4. DSigns of bleeding and when to seek help

A nurse cleans an IV pump with a disinfectant wipe. What must happen for the disinfectant to work?

1. AThe surface is dried with a clean towel right after wiping
2. BThe wipe is used on many pumps to save product
3. CThe surface stays wet for the contact time on the product label
4. DThe surface is wiped once lightly without pressure

एक यूनिट सांद्र पोटैशियम क्लोराइड की वायल वार्ड के स्टॉक अलमारी में रखती है। कई सुरक्षा दिशानिर्देश इसके विरुद्ध सलाह क्यों देते हैं?

1. Aपोटैशियम क्लोराइड हमेशा मुँह से दिया जाना चाहिए
2. Bगलती से बिना तनु किया सांद्र घोल दिया जाए तो हृदय रुक सकता है
3. Cपोटैशियम क्लोराइड की वायल खोलने के एक दिन के भीतर समाप्त हो जाती हैं
4. Dपोटैशियम क्लोराइड सामान्य वार्ड स्टॉक के रूप में रखने के लिए बहुत महँगा है

A patient taking a statin reports new, unexplained muscle pain and weakness. Which laboratory test would the nurse expect to be ordered?

1. ASerum lipase
2. BCardiac troponin
3. CSerum ammonia
4. DCreatine kinase (CK)

Two days after bowel surgery, a patient with nasogastric suction has a distended abdomen, absent bowel sounds and muscle weakness. The potassium is 2.8 mEq/L. Which interpretation is best?

1. AHyperkalemia from tissue damage is causing the bowel to stop
2. BHypokalemia from gastric losses is contributing to paralytic ileus
3. CThe low potassium is due to the patient drinking too much water
4. DThe potassium is normal for the second day after surgery

What should a nurse do during a generalised tonic-clonic seizure?

1. AHold the limbs firmly to stop the jerking and prevent injury
2. BGive the patient a drink of water
3. CProtect the head, time the seizure and do not put anything in the mouth
4. DPut a tongue depressor between the teeth so that the tongue is not bitten

A patient who speaks little English needs to give consent for a procedure. Their 14-year-old child offers to interpret. What is the best action?

1. ALet the child interpret to save time
2. BArrange a professional interpreter
3. CUse gestures and proceed
4. DAsk the patient to sign the form without explanation

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. BGive IV amiodarone as a bolus
3. CDeliver an immediate defibrillation shock before checking anything
4. DCheck the patient and the electrodes, as this is likely artefact

A 74-year-old man with a known abdominal aortic aneurysm suddenly has severe back and abdominal pain. His heart rate is 128/min and BP 82/50 mmHg. What is the priority?

1. AArrange a routine outpatient ultrasound scan of the aneurysm
2. BEncourage him to walk to ease the back pain
3. CCall for emergency help and prepare for urgent vascular surgery
4. DGive oral analgesia and reassess the pain in an hour

Why is pyridostigmine often taken about 30–60 minutes before meals by patients with myasthenia gravis?

1. ATo stop the drug from irritating an empty stomach later on
2. BTo lower the blood glucose rise after eating a meal
3. CTo improve the strength of chewing and swallowing at mealtimes
4. DTo reduce stomach acid so the food is digested better

C5 मेरुरज्जु चोट के दो दिन बाद मरीज़ घबराया हुआ है, श्वसन दर 30/min है और वाइटल कैपेसिटी गिर रही है। नर्स को क्या करना चाहिए?

1. Aतुरंत आगे बढ़ाना: रज्जु की सूजन से श्वसन विफलता हो सकती है
2. Bसाँस धीमी करने और घबराहट कम करने के लिए शामक दवा देना
3. Cवायुमार्ग खोलने के लिए मरीज़ को सिर पीछे झुकाकर सीधा लिटाना
4. Dलगभग 12 घंटे बाद वाइटल कैपेसिटी दोबारा जाँचना

Which wound drain observation should be reported immediately?

1. AA sudden large volume of fresh red blood
2. BA little dried blood around the drain site
3. CSmall amounts of pink serous fluid
4. DDrainage slowly falling each day

A patient's long-standing groin hernia has become tender, red and irreducible, and they are vomiting. What should the nurse do?

1. AKeep them nil by mouth and arrange urgent surgical review
2. BApply a hot water bottle and give a laxative
3. CPush the hernia firmly back in, then discharge home
4. DAdvise the patient to wear a tight truss and rest