NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

Which practice makes a shift handover safest?

1. AA structured format, such as SBAR, with time for questions
2. BLeaving a sticky note on the computer screen for the next nurse
3. CHanding over only the patients who had problems during the shift
4. DA quick chat in the corridor with no notes taken

Four stable patients need routine morning care. To reduce the spread of infection, which patient should the nurse visit first?

1. AA patient with C. difficile diarrhea
2. BA patient with neutropenia after chemotherapy
3. CA patient with influenza on droplet precautions
4. DA patient with an MRSA wound infection

Which measure is part of the bundle for inserting a central venous catheter to prevent bloodstream infection?

1. AGiving antibiotics to every patient before insertion
2. BChlorhexidine-alcohol skin antisepsis and maximal sterile barrier precautions
3. CChoosing the femoral vein as the first site in adults
4. DRoutine replacement of the catheter on a fixed schedule, such as every three days

In START triage at a mass-casualty incident, a casualty cannot walk, breathes 20 times a minute, has a radial pulse and follows simple commands. Which category applies?

1. ABlack (expectant or dead)
2. BRed (immediate)
3. CYellow (delayed)
4. DGreen (minor)

A nurse completed the hepatitis B vaccine series. Which result shows protective immunity?

1. AA positive IgM anti-HBc
2. BA positive HBsAg test
3. CAnti-HBs of 10 mIU/mL or more
4. DA raised ALT level

तेज़ी से बढ़ने वाले लिम्फ़ोमा के कीमोथेरेपी के बाद, परिणामों का कौन-सा पैटर्न ट्यूमर लाइसिस सिंड्रोम का संकेत देता है?

1. Aउच्च पोटैशियम, उच्च फ़ॉस्फ़ेट, उच्च यूरिक एसिड और कम कैल्शियम
2. Bकम पोटैशियम, कम फ़ॉस्फ़ेट, कम यूरिक एसिड और बढ़ा हुआ कैल्शियम
3. Cकेवल उच्च सोडियम और कम ग्लूकोज़
4. Dउच्च हीमोग्लोबिन के साथ सामान्य इलेक्ट्रोलाइट

हृदय विफलता वाले मरीज़ का वज़न दो दिन में 2 kg बढ़ गया। इसका सबसे संभावित अर्थ क्या है?

1. Aमांसपेशी द्रव्यमान बढ़ना
2. Bनिर्जलीकरण
3. Cद्रव का रुकना
4. Dसफल उपचार

A patient has a full-thickness burn all the way round the forearm. Which complication must be watched for closely?

1. ADelayed hair growth on the arm
2. BLoss of circulation to the hand as swelling builds under tight burned skin
3. CExcessive bleeding from the burn surface needing an urgent blood transfusion
4. DHypoglycaemia caused by the body using glucose to heal the burn

शिरापरक पैर के अल्सर के लिए कम्प्रेशन चिकित्सा लगाने से पहले कौन-सा आकलन आवश्यक है?

1. Aकल्चर और सेंसिटिविटी के लिए घाव का स्वैब
2. Bछाती का एक्स-रे और ECG
3. Cपूर्ण रक्त गणना और CRP
4. Dएंकल–ब्रैकियल प्रेशर इंडेक्स (ABPI)

A smoker has severe shoulder and arm pain, a drooping eyelid, a small pupil and reduced sweating on the same side of the face. What should be suspected?

1. AA simple migraine
2. BA tumour at the apex of the lung (Pancoast tumour)
3. CA frozen shoulder with referred pain to the face
4. DA stroke affecting the brainstem on the opposite side

After a kidney biopsy, which observation is most important?

1. AThe patient's appetite at the next meal
2. BThe colour of the patient's skin on the face
3. CThe temperature every four hours only
4. DSigns of bleeding, such as haematuria and a rising pulse

A patient with myasthenia gravis is admitted with pneumonia. Which newly prescribed antibiotic should the nurse question?

1. ACeftriaxone
2. BAmoxicillin
3. CBenzylpenicillin
4. DGentamicin

What is anticipatory nausea in chemotherapy?

1. ANausea caused only by the smell of food
2. BNausea triggered by reminders of treatment before it is given
3. CNausea that starts about a week after each cycle and lasts for days
4. DNausea caused by low blood glucose

A patient with diabetes has rapidly spreading redness around a small wound, severe pain out of proportion, fever and crackling under the skin. What should the nurse suspect?

1. AA simple insect bite
2. BMild contact dermatitis
3. CA healing venous ulcer
4. DNecrotising fasciitis