NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

Which patient should the RN see first after receiving a report from the night nurse?

1. ADay 4 after bowel surgery, waiting for discharge teaching
2. BDay 2 after bowel surgery, asking to start a soft diet
3. CDay 1 after bowel surgery, new chest pain and heart rate 110/min
4. DDay 3 after bowel surgery, wants a shower and hair wash before breakfast

A patient has a new spinal cord injury at C4. Which assessment is the priority?

1. ABowel sounds in all four abdominal quadrants
2. BSkin over the sacrum and heels
3. CAbility to feed themselves
4. DBreathing effort and ability to cough

A patient walking with a gait belt suddenly starts to fall. What should the nurse do?

1. AHold the belt, widen the stance and ease the patient gently to the floor
2. BLet go of the belt and run to call for help
3. CPull the patient backwards quickly toward the bed
4. DGrab the patient under both arms and try hard to keep them standing up

A flexible bronchoscope contacts mucous membranes but does not enter sterile tissue. Which level of processing is required at a minimum between patients?

1. AHigh-level disinfection
2. BLow-level disinfection
3. CWiping with an alcohol wipe
4. DCleaning with soap and water only

A pregnant woman's blood type is O Rh-negative, and her antibody screen (indirect Coombs test) is negative. What is usually offered at about 28 weeks?

1. AAn IV dose of vitamin K given for the fetus
2. BAnti-D immunoglobulin (Rho(D) immune globulin)
3. CDaily oral iron and folic acid supplements only
4. DA transfusion of group O Rh-positive red cells

A patient on warfarin with an INR of 3.6 fell and hit their head an hour ago. They now report a worsening headache and drowsiness. What is the priority?

1. AEncourage rest in a dark room to settle the pain
2. BGive acetaminophen (paracetamol) and recheck the INR tomorrow
3. CReport urgently for imaging and possible reversal
4. DHold warfarin for one dose and observe at home

Why are patients with atrial fibrillation often given anticoagulants?

1. ATo lower the blood pressure
2. BTo convert the rhythm back to normal
3. CTo reduce the risk of stroke from clots in the atria
4. DTo slow the heart rate directly and prevent palpitations

A catheterised postoperative patient has passed only 10 mL of urine in the last two hours. What should the nurse check first?

1. AThe patient's cholesterol level from the admission bloods
2. BWhether the patient has eaten breakfast
3. CThat the catheter and tubing are not kinked or blocked
4. DThe patient's weight from last year

Which finding shows that long-standing hypertension has caused target organ damage?

1. AA heart rate of 72/min
2. BLeft ventricular hypertrophy on the ECG
3. CA normal fasting glucose
4. DClear lung fields on the chest X-ray

A patient who has had a total laryngectomy becomes breathless and needs oxygen. How should it be given?

1. AVia a standard face mask over the nose and mouth
2. BVia a mask or humidified device over the neck stoma
3. CVia a non-rebreather mask over the mouth only
4. DVia nasal cannula at 2 L/min

Which measure best detects a decline in breathing in a patient with Guillain–Barré syndrome?

1. ADaily chest X-rays
2. BOxygen saturation alone
3. CPeak flow before and after a bronchodilator
4. DRegular forced vital capacity measurements

An 84-year-old man became more confused a week after starting oxybutynin. Infection has been ruled out. What should the nurse suspect?

1. AA sign that the drug dose is too low
2. BNormal ageing that needs no review
3. CAnticholinergic side effects of the drug
4. DA symptom of a high potassium from the drug

Which statement correctly describes physical dependence on opioids?

1. AWithdrawal occurs if the drug is stopped suddenly
2. BThe drug no longer has any side effects
3. CThe patient is allergic to opioids
4. DThe patient always craves the drug and misuses it despite harm

A patient's ileostomy output is 2.5 L a day. They feel tired and dizzy and are drinking large amounts of water. Which advice is usually appropriate?

1. ALimit plain drinks and use an oral rehydration solution
2. BDrink even more plain water and tea to replace the losses
3. CStop all drinking for 24 hours
4. DEat only fruit and fruit juice