NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

A patient is receiving opioids after surgery. Which finding usually comes before opioid-induced respiratory depression?

1. AA rise in blood pressure with flushed cheeks
2. BIncreasing sleepiness that is hard to rouse
3. CIncreased appetite and thirst
4. DA sudden rise in pain scores

A patient in acute mania paces constantly, has lost weight and will not sit down to eat. Which intervention is most helpful?

1. AInsist that the patient sits at the table until the meal is finished
2. BOffer high-calorie finger foods and drinks the patient can take while moving
3. CWait until the mania settles before worrying about nutrition
4. DLeave meals in the room and let the patient eat whenever and whatever they choose

A nurse finds an unlabeled syringe of clear fluid on the medication counter. What should the nurse do?

1. ALabel it with the most likely drug name
2. BGive it to the patient whose medication is due
3. CDiscard it, because its contents cannot be confirmed
4. DAsk nearby staff and use it if someone recognizes it

A nurse sees a doctor about to insert a central line without a sterile gown, and a polite comment was ignored. Which TeamSTEPPS phrase helps to stop the procedure?

1. A“I am concerned, I am uncomfortable, this is a safety issue.”
2. B“I will mention this to the manager at the next staff meeting.”
3. C“Let’s talk about it after you have finished.”
4. D“I am sure you know what you are doing.”

कम सीरम एल्ब्यूमिन वाले रोगी में कम कुल कैल्शियम की व्याख्या सावधानी से क्यों करनी चाहिए?

1. Aबहुत-सा कैल्शियम एल्ब्यूमिन से बँधा होता है, इसलिए आयनित कैल्शियम सामान्य होने पर भी कुल कैल्शियम घटता है
2. Bएल्ब्यूमिन और कैल्शियम एक ही रासायनिक अभिक्रिया से मापे जाते हैं, इसलिए वे हमेशा साथ घटते हैं
3. Cकम एल्ब्यूमिन हर कैल्शियम परीक्षण को गलत और बेकार बना देता है
4. Dकम एल्ब्यूमिन हमेशा वास्तविक, लक्षणयुक्त हाइपोकैल्सीमिया उत्पन्न करता है

The nurse teaches a patient who is collecting a 24-hour urine sample at home. Which statement shows a need for further teaching?

1. A"I'll ask whether any foods or drugs should be avoided first"
2. B"I'll keep the container cool as the laboratory told me to"
3. C"I'll empty my bladder at the end time and add that urine"
4. D"If I forget to save one void, I'll just carry on to the end"

Which blood result often rises in an upper GI bleed because blood is digested in the gut?

1. AGlucose
2. BCalcium
3. CUrea (blood urea nitrogen)
4. DSodium

A patient with a COPD exacerbation remains acidotic with a high PaCO₂ despite optimal medical treatment and controlled oxygen. Which treatment is usually considered next?

1. ANon-invasive ventilation
2. BSedation to slow the breathing
3. CStopping all oxygen therapy
4. D15 L/min oxygen via a non-rebreathe mask

Which patient is most typical of a primary spontaneous pneumothorax?

1. AA child with a viral sore throat
2. BA tall, thin young man who smokes
3. CA middle-aged woman with high blood pressure
4. DAn older woman with long-standing heart failure

Minutes after an IV antibiotic is started, a patient has wheeze, swollen lips, a rash and BP 78/44 mmHg. The infusion has been stopped and help called. What is the next priority?

1. AGive a nebulised salbutamol dose only
2. BGive intramuscular adrenaline (epinephrine)
3. CRestart the infusion at a slower rate
4. DGive an oral antihistamine tablet and observe for an hour

A patient taking warfarin is diagnosed with an intracerebral haemorrhage. What is the priority treatment?

1. AUrgent reversal of the anticoagulant effect
2. BDoubling the warfarin dose to stabilise the INR
3. CIV thrombolysis within 4.5 hours
4. DStarting aspirin to prevent further clots

A patient with polycystic kidney disease suddenly has the worst headache of their life and neck stiffness. What should the nurse suspect?

1. AA subarachnoid haemorrhage from a brain aneurysm
2. BPain spreading upwards from a kidney cyst
3. CA urinary infection that has spread
4. DA migraine linked to high blood pressure

Why are urinary catheters removed as early as possible after surgery?

1. ABecause catheters always cause kidney stones
2. BBecause patients cannot drink normally while a catheter is in place
3. CBecause the catheter stops the bowel working
4. DTo reduce the risk of catheter-associated infection

A patient with a toe ulcer says the leg pain is worse at night and eases when they hang the leg over the side of the bed. What does this suggest?

1. AVenous insufficiency
2. BArterial insufficiency
3. CNeuropathic itching
4. DLymphoedema