NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

A patient has a tonic-clonic seizure in bed. What should the nurse do first?

1. AHold the arms and legs down firmly to stop the jerking movements quickly
2. BPlace a tongue depressor between the teeth
3. CGive a drink of water to help the patient wake
4. DProtect the head and turn the patient on their side when possible

A patient admitted with suspected appendicitis says the pain suddenly got better, but now the abdomen is rigid and the heart rate is rising. What does this suggest?

1. AThe appendicitis is getting better without surgery
2. BThe patient’s analgesic has finally started to work
3. CThe pain has moved to a different, harmless place
4. DThe appendix may have ruptured, causing peritonitis

मरीज़ के बिस्तर पर रहते हुए उसके कमरे में कचरे के डिब्बे में छोटी आग लग जाती है। नर्स सबसे पहले क्या करती है?

1. Aजाकर निकटतम अग्निशामक ढूँढ़ना
2. Bमरीज़ को तत्काल खतरे से हटाना
3. Cआग की सूचना देने के लिए प्रबंधक को फ़ोन करना
4. Dधुआँ हटाने के लिए खिड़कियाँ खोलना

A patient with fever and a spreading rash is suspected of having smallpox. Which precautions are needed?

1. ADroplet precautions with a surgical mask
2. BAirborne and contact precautions
3. CContact precautions only
4. DStandard precautions only

A patient takes low-dose methotrexate weekly for rheumatoid arthritis. Which laboratory tests are monitored regularly?

1. ASerum amylase, lipase and blood ketones
2. BTroponin, creatine kinase and myoglobin
3. CComplete blood count, liver tests and kidney function
4. DSerum lithium, sodium and urine specific gravity

The nurse teaches a patient with iron-deficiency anemia who is starting oral iron. Which statement shows a need for further teaching?

1. A"My stools may look darker while I take the tablets"
2. B"I'll take my iron tablet with a big glass of milk"
3. C"I can take it with orange juice to help absorption"
4. D"I'll keep the tablets out of reach of the children"

Why are patients encouraged to use an incentive spirometer after abdominal surgery?

1. ATo strengthen the abdominal muscles around the wound
2. BTo lower their heart rate before mobilising
3. CTo encourage deep breaths that prevent atelectasis and chest infection
4. DTo measure their lung function so the result can go in the discharge letter

A patient faints during cannulation, with a slow pulse and pallor, and recovers quickly when laid flat. There is no rash, wheeze or swelling. What is most likely?

1. AAnaphylaxis
2. BVasovagal syncope
3. CA stroke
4. DA hypoglycaemic coma

लगभग 5 L/min से कम ऑक्सीजन प्रवाह के साथ साधारण फ़ेस मास्क का उपयोग क्यों नहीं करना चाहिए?

1. Aकम प्रवाह पर ऑक्सीजन को नम नहीं किया जा सकता
2. Bकम प्रवाह पर इलास्टिक पट्टा बहुत ढीला हो जाता है
3. Cकम प्रवाह पर मास्क बहुत अधिक ऑक्सीजन देता है
4. Dछोड़ी गई CO₂ मास्क में जमा होकर दोबारा साँस में जा सकती है

After chest trauma, a patient is hypotensive with reduced breath sounds on the left. Which finding suggests a haemothorax rather than a tension pneumothorax?

1. ADullness to percussion on the affected side
2. BHyper-resonance on the affected side
3. CDistended neck veins
4. DTrachea pushed away from the affected side

A patient with multiple sclerosis says their symptoms get worse after a hot bath. What should the nurse explain?

1. AHot baths cause new areas of damage in the brain
2. BThis shows that the disease has entered a new progressive stage
3. CHeat can briefly worsen MS symptoms, which settle when they cool down
4. DThey should take very cold baths to reverse the damage

Two days after surgery, an 80-year-old woman is quiet, sleepy, slow to answer and eating little. Her daughter says she is "not herself". What should the nurse suspect?

1. AThe start of Alzheimer's disease
2. BSimple low mood about being in hospital
3. CHypoactive delirium
4. DNormal tiredness after an operation

How should a patient use an incentive spirometer after surgery?

1. ABreathe in slowly and deeply, then hold briefly
2. BBreathe quickly in and out ten times in a row
3. CBlow out as hard and as fast as possible
4. DUse it once a day, just before going to sleep at night

A nurse finds a dislodged sealed radiation source in the bed of a patient receiving brachytherapy. What should the nurse do?

1. AUse long-handled forceps to put it in the lead container; report it
2. BPick it up with gloved hands and put it in the nearest sharps bin quickly
3. CLeave it in the bed until the end of the shift
4. DThrow it in the clinical waste bag