NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

A swimmer is found unresponsive after diving into shallow water. Which method should the nurse use to open the airway?

1. AHead-tilt, chin-lift with full neck extension
2. BJaw thrust, keeping the head and neck in line
3. CRaising the chin while bending the neck forward
4. DTurning the head to the side to drain water

एक रोगी को परिधीय लाइन से IV पोटैशियम क्लोराइड दिया जा रहा है और वह स्थल पर जलन की शिकायत करता है, जो लाल दिखता है। नर्स सबसे पहले क्या करती है?

1. Aइन्फ़्यूज़न रोकें और IV स्थल का आकलन करें
2. Bरोगी से कहें कि जलन अपेक्षित है और जारी रखें
3. Cगर्म पैक लगाएँ और इन्फ़्यूज़न जारी रखें
4. Dखुराक जल्दी खत्म करने के लिए इन्फ़्यूज़न दर बढ़ाएँ

Which drugs are used as antidotes for nerve agent poisoning?

1. AVitamin K and protamine
2. BAcetylcysteine and charcoal
3. CAtropine and pralidoxime
4. DNaloxone and flumazenil

The laboratory reports that a blood sample labeled with one patient’s name has a blood group different from that patient’s previous result. What is the most likely problem and response?

1. AA wrong-patient sample, so the test is repeated and the event reported
2. BA laboratory machine fault, so no action is needed
3. CA normal change in the patient’s blood group over the years since the last test
4. DThe previous result was wrong, so it is deleted

A young adult with new diabetes has a very low C-peptide level. What does this suggest?

1. AThe kidneys are excreting all of the patient's insulin in urine
2. BThe patient has high insulin resistance, as in type 2 diabetes
3. CThe pancreas is making very little insulin, as in type 1 diabetes
4. DThe patient is injecting too much insulin and needs a lower dose

A patient has fever, confusion, a platelet count of 15 × 10³/µL, anemia with fragmented red cells (schistocytes) and a raised creatinine. Clotting times are normal. Which condition should be suspected?

1. AThrombotic thrombocytopenic purpura (TTP)
2. BVitamin K deficiency with bleeding
3. CImmune thrombocytopenia (ITP)
4. DDisseminated intravascular coagulation

A dying patient can no longer drink and has a dry mouth. What is the most appropriate nursing care?

1. AStarting a fast intravenous infusion to correct the dryness
2. BInserting a nasogastric tube for fluids
3. CLeaving the mouth alone to avoid disturbing them
4. DFrequent mouth care that keeps the lips and mouth moist

A patient with several days of vomiting and diarrhoea has low blood pressure, low urine output and a rising creatinine. Which description fits best?

1. AChronic kidney disease, treated with long-term dialysis three times a week
2. BPre-renal acute kidney injury from poor perfusion, treated by restoring fluid volume
3. CIntrinsic kidney injury from glomerulonephritis, treated with high-dose steroids
4. DPost-renal acute kidney injury from obstruction, treated with a catheter

Why does a large, rapidly forming pericardial effusion lower the blood pressure?

1. AIt dilates the arteries throughout the body
2. BIt compresses the heart and stops the ventricles filling
3. CIt makes the heart muscle contract too strongly and too fast
4. DIt causes the aortic valve to leak backwards into the ventricle

A patient receiving noradrenaline (norepinephrine) through a peripheral cannula has pale, cold skin around the site. What should the nurse do?

1. AStop it at that site, inform the team and follow the extravasation policy
2. BMassage the area firmly to spread the drug out into the surrounding tissue
3. CContinue the infusion, as this is expected
4. DIncrease the rate so the drug enters the vein faster and leaks less

स्ट्रोक के लिए IV थ्रोम्बोलाइसिस से पहले रक्तचाप की कौन-सी सीमा आमतौर पर उपयोग होती है?

1. Aरक्तचाप की कोई सीमा नहीं है
2. Bलगभग 185/110 mmHg से कम
3. Cलगभग 200/120 mmHg से ऊपर
4. Dलगभग 90/60 mmHg से कम

Three days after a stroke, a patient with dysphagia on a modified diet has a temperature of 38.2 °C (100.8 °F), a respiratory rate of 24/min and crackles at the right lung base. What should the nurse do?

1. ARecord the findings and recheck them at the next routine observation
2. BEncourage more fluids by mouth to treat the fever
3. CSuspect aspiration pneumonia, stop oral intake and escalate for review
4. DGive paracetamol (acetaminophen) and continue the modified diet as before

Which measure helps reduce the risk of delirium in an older surgical patient?

1. AMoving them to a new bed space each night to reduce boredom
2. BGiving a sleeping tablet every night
3. CKeeping the room dark during the day
4. DMaking sure they have their glasses and hearing aids

A patient with facial burns from a house fire was talking normally on arrival. Two hours later, the voice is hoarse and there is stridor. What should the nurse do?

1. AGive a warm drink to soothe the throat
2. BLay the patient flat to help them sleep
3. CCall for urgent anaesthetic help, as the airway is swelling
4. DEncourage the patient to rest the voice and reassess tomorrow