NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

The day after a total thyroidectomy, a patient reports tingling around the mouth and in the fingers. What should the nurse do first?

1. AGive the patient’s routine oral iron supplement early
2. BReassure the patient that this is normal after neck surgery
3. CCheck for signs of low calcium and inform the provider
4. DEncourage deep breaths into a paper bag until it passes

रिपोर्ट के बाद नर्स को किस रोगी का आकलन सबसे पहले करना चाहिए?

1. Aपित्ताशय की सर्जरी के बाद दूसरा दिन: दर्द 6/10, अगला दर्दनाशक 30 मिनट में देय
2. Bटाइप 2 मधुमेह: दोपहर के भोजन से पहले ग्लूकोज़ 210 mg/dL (11.7 mmol/L), कोई लक्षण नहीं
3. Cफ़ेमोरल कार्डियक कैथेटराइज़ेशन के 1 घंटे बाद: नया पीठ दर्द, नाड़ी 118/मिनट, BP 92/58 mmHg
4. D2 L/min ऑक्सीजन पर COPD: SpO₂ 90%, श्वसन दर 22/मिनट, सामान्य आधार रेखा पर

A patient with a respiratory infection has a raised procalcitonin level. What does this most suggest?

1. AA purely viral illness
2. BDehydration from poor intake
3. CA bacterial rather than a viral infection
4. DAn allergic reaction to a recent medication

A nurse often skips barcode scanning to save time, as many colleagues do. In a just culture, how is this behavior classed?

1. AAt-risk behavior, managed by coaching and fixing the system pressures behind it
2. BReckless behavior, managed by immediate dismissal and reporting to the licensing board
3. CSimple human error, managed only by consoling the nurse and moving on
4. DAcceptable behavior, because it is common on the unit

डिगॉक्सिन देय रोगी का पोटैशियम 3.1 mEq/L है। यह परिणाम महत्वपूर्ण क्यों है?

1. Aकम पोटैशियम डिगॉक्सिन विषाक्तता का जोखिम बढ़ाता है
2. Bकम पोटैशियम हृदय को डिगॉक्सिन के दुष्प्रभावों से बचाता है
3. Cपोटैशियम और डिगॉक्सिन में कोई पारस्परिक क्रिया नहीं होती
4. Dकम पोटैशियम डिगॉक्सिन को निष्प्रभावी बना देता है, इसलिए खुराक दोगुनी करनी चाहिए

A patient on high-dose dexamethasone has a white cell count of 15 × 10³/µL, mostly mature neutrophils with no bands. They have no fever and no signs of infection. What is the most likely explanation?

1. AA new leukemia that is confirmed by this result alone
2. BCertain sepsis that needs antibiotics started without delay
3. CA steroid effect that moves neutrophils into the circulating blood
4. DA laboratory error, because steroids always lower the white count

A patient with Guillain–Barré syndrome has weakness spreading upwards from the legs. Which monitoring is most important?

1. AWeekly weight
2. BVisual acuity
3. CBreathing function, such as forced vital capacity
4. DBlood glucose, measured once a day before breakfast

A patient going home with a leg cast is taught about cast care. Which statement shows a need for further teaching?

1. A"I can push a knitting needle down the cast to scratch an itch."
2. B"I will keep my leg raised on pillows for the first few days."
3. C"I will keep the cast dry."
4. D"I will come back if my toes go numb or turn blue."

A nurse measures blood pressure on a large upper arm using a cuff that is too small. What effect will this have?

1. AThe reading will be falsely high
2. BThe reading will be falsely low
3. CThe reading will be accurate but slower
4. DOnly the pulse rate will be affected

A woman starting rifampicin (rifampin) for tuberculosis uses a combined oral contraceptive pill. What advice is correct?

1. AStop all contraception during TB treatment, as pregnancy cannot occur
2. BTake two pills a day to make up for the drug
3. CUse another reliable method, as rifampicin reduces the pill's effect
4. DContinue the pill as usual, because there is no interaction with TB drugs

Several hours after a carotid endarterectomy, which finding needs the most urgent action?

1. AA blood pressure slightly above the baseline
2. BA small amount of dried blood on the dressing
3. CMild pain at the incision site
4. DAn expanding neck swelling with noisy breathing

A patient with Parkinson's disease becomes agitated and confused at night. Which newly prescribed drug should the nurse question?

1. AMelatonin
2. BHaloperidol
3. CLactulose
4. DParacetamol (acetaminophen)

सामान्य एनेस्थीसिया के बाद मरीज़ के रिकवरी में पहुँचने पर पहली प्राथमिकता क्या है?

1. Aघाव की ड्रेसिंग और ड्रेन
2. Bवायुमार्ग और साँस
3. Cदवाओं का इतिहास
4. Dएक गिलास पानी

A patient on warfarin has a major upper GI bleed with an INR of 5. Which treatment should the nurse anticipate to reverse the warfarin?

1. AProthrombin complex concentrate with IV vitamin K
2. BMore warfarin to stabilise the INR
3. CProtamine sulfate on its own
4. DOral aspirin to balance the clotting system quickly