NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

A nurse teaches a patient about levothyroxine. Which statement shows a need for further teaching?

1. A“I will take it at the same time each morning.”
2. B“I will keep taking it even when I feel well.”
3. C“I will take it at breakfast with my calcium tablet.”
4. D“I will take it on an empty stomach with a glass of water.”

Four laboratory results come back at once. Which one should the nurse report first?

1. AHemoglobin 6.5 g/dL (65 g/L) in a patient with a GI bleed
2. BGlucose 180 mg/dL after a meal in a patient with diabetes
3. CCreatinine 1.3 mg/dL in an older adult, unchanged from last week
4. DPotassium 3.4 mEq/L in a patient on a diuretic

सीलबंद रेडियोधर्मी इम्प्लांट वाले मरीज़ की देखभाल के लिए किस नर्स को नियुक्त नहीं करना चाहिए?

1. Aविकिरण सुरक्षा में प्रशिक्षित नर्स
2. Bवह नर्स जो दो साल से यूनिट में काम कर रही है
3. Cडोसीमीटर बैज पहनने वाली नर्स
4. Dगर्भवती नर्स

A patient has a rash, and both smallpox and chickenpox are considered. Which finding suggests smallpox?

1. ASmall crops of new lesions appearing over several days in a row
2. BA rash that is very itchy and starts on the trunk
3. CLesions all at the same stage, most dense on the face and limbs
4. DLesions at different stages, most dense on the trunk

A patient has taken a proton pump inhibitor (such as omeprazole) for many years and now has muscle cramps and tremor. Which electrolyte is most likely to be low?

1. ASodium
2. BChloride
3. CMagnesium
4. DPhosphate

Ten days after chemotherapy, a patient has a platelet count of 9 × 10³/µL and reports a sudden severe headache and blurred vision. What is the priority?

1. AAssess neurological status and report it at once as possible brain bleeding
2. BEncourage the patient to drink more fluids and check the blood pressure later
3. CDim the lights and encourage rest, as headaches are common after chemotherapy
4. DGive acetaminophen (paracetamol) for the headache and reassess in 1 hour

After removing a peripheral IV cannula, what should the nurse check?

1. AThat the cannula is put back in its sterile packet for the next patient
2. BThat the cannula is intact, and apply pressure until bleeding stops
3. CThat the site is left uncovered and bleeding freely
4. DThat the patient's blood glucose is normal before removal

एक मरणासन्न मरीज़ को गले में स्रावों के कारण शोरयुक्त, खड़खड़ाती साँस है और वह अचेत है। कौन-सा दृष्टिकोण उपयुक्त है?

1. Aस्रावों को पतला करके साफ़ करने के लिए तेज़ अंतःशिरा द्रव शुरू करें
2. Bस्थिति बदलें, निर्धारित स्राव-रोधी दवाओं पर विचार करें और परिवार को सहारा दें
3. Cपूरी रात हर 10 मिनट पर गहरा ऑरोफ़ैरिंजियल सक्शन शुरू करें
4. Dपरिवार को बताएँ कि मरीज़ का दम घुट रहा है और उसे वेंटिलेशन चाहिए

एपिक्साबैन और रिवारोक्साबैन जैसे डायरेक्ट ओरल एंटीकोएगुलेंट के बारे में कौन-सा कथन सही है?

1. Aनियमित INR जाँच नहीं, पर खुराक गुर्दा कार्य पर निर्भर करती है
2. Bवारफ़रिन की तरह साप्ताहिक INR जाँच आवश्यक है
3. Cविटामिन K देने से उनका प्रभाव उलट जाता है
4. Dछूटी खुराकों से फ़र्क नहीं पड़ता क्योंकि वे हफ़्तों तक असर करते हैं

A patient taking ramipril and indapamide for hypertension starts regular ibuprofen for back pain. A week later, creatinine has risen sharply. What is the most likely cause?

1. AIbuprofen raising the blood pressure to levels that damage the kidneys
2. BBack pain causing kidney damage
3. CAn allergic reaction to the diuretic causing inflammation of the kidney
4. DAn ACE inhibitor, diuretic and NSAID together reducing kidney perfusion

An 82-year-old taking apixaban fell three weeks ago. Since then their family has noticed increasing confusion and headaches. Which condition is most likely?

1. ASubarachnoid haemorrhage from an aneurysm
2. BAcute extradural haematoma
3. CChronic subdural haematoma
4. DNormal ageing with mild memory loss

A patient received IV insulin and glucose for hyperkalaemia an hour ago. What must the nurse monitor over the next few hours?

1. APupils, for raised intracranial pressure
2. BUrine colour, for blood in the urine
3. CCapillary glucose, for hypoglycaemia
4. DSkin, for a drug rash

साइटोटॉक्सिक कीमोथेरेपी देते समय आमतौर पर कौन-से PPE अनुशंसित हैं?

1. Aकागज़ी सर्जिकल मास्क पर दस्ताने नहीं
2. Bकीमो-परीक्षित दस्ताने और अपारगम्य गाउन
3. Cकोई PPE नहीं, क्योंकि इन्फ़्यूज़न बैग सीलबंद है
4. Dसाधारण सूती दस्ताने और प्लास्टिक एप्रन

An older patient on regular opioids has small amounts of liquid stool leaking all day, but has not had a formed bowel movement for 6 days. What is the most likely cause?

1. AA flare of ulcerative colitis
2. BFaecal impaction with overflow
3. CNormal stool pattern on opioids
4. DAcute infective gastroenteritis