NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

नर्स उस रोगी के नियमित जीवन-संकेतक नर्सिंग असिस्टेंट को सौंपती है जिसका रक्तचाप पिछले एक घंटे से गिर रहा है। प्रत्यायोजन का कौन-सा सही (राइट) पूरा नहीं होता?

1. Aसही निर्देश और संवाद
2. Bसही परिस्थिति
3. Cसही व्यक्ति
4. Dसही कार्य, क्योंकि जीवन-संकेतक कभी सौंपे नहीं जा सकते

A provider asks a nurse to perform a procedure that is outside the nurse’s scope of practice. What should the nurse do?

1. ADo it just this once and promise the provider not to do it again
2. BDecline, explain why and suggest who can safely do it
3. CDo it, because the provider gave the instruction
4. DAsk a nursing assistant to do it instead

A child has swallowed a button battery. Why is this urgent?

1. AThe only risk is poisoning from heavy metals years later
2. BIt can burn through the lining of the esophagus within hours
3. CIt is only harmful if several batteries are swallowed
4. DIt always passes through the gut without harm

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

A patient on warfarin has an INR of 7.8 and a nosebleed. Which medication would the nurse expect the provider to prescribe?

1. AAcetylcysteine
2. BNaloxone hydrochloride
3. CVitamin K (phytonadione)
4. DProtamine sulfate

A patient with jaundice and nausea has a positive IgM antibody to hepatitis A virus (IgM anti-HAV). What does this show?

1. APast hepatitis B infection that has cleared
2. BA current or recent hepatitis A infection
3. CChronic hepatitis A lasting many years
4. DImmunity from hepatitis A vaccine long ago

टाइप 2 मधुमेह वाला एक मरीज़ तीव्र रूप से अस्वस्थ है, बहुत निर्जलित है और बिना उल्लेखनीय कीटोन के उसकी रक्त शर्करा 40 mmol/L है। सबसे संभावित निदान क्या है?

1. Aडायबिटीज़ इन्सिपिडस
2. Bहाइपरऑस्मोलर हाइपरग्लाइसेमिक स्थिति (HHS)
3. Cहाइपोग्लाइसीमिया
4. Dनिर्जलीकरण के साथ डायबिटिक कीटोएसिडोसिस

A catheterised postoperative patient has passed only 10 mL of urine in the last two hours. What should the nurse check first?

1. AThat the catheter and tubing are not kinked or blocked
2. BWhether the patient has eaten breakfast
3. CThe patient's weight from last year
4. DThe patient's cholesterol level from the admission bloods

A patient who had a stroke has a weak swallow. Which measure most reduces the risk of aspiration pneumonia?

1. AGiving thin fluids quickly through a straw between meals
2. BLying flat for 30 minutes after eating to aid digestion
3. CGiving meals while the patient is drowsy
4. DA swallowing assessment and sitting upright for meals

After a pneumonectomy, how is the patient usually positioned?

1. AOn the back or the operated side, not fully on the remaining lung
2. BFlat and prone for the whole of the first day after surgery
3. CHead down with the legs raised, to drain secretions from the lung
4. DFully on the non-operated side, to help drain the empty space

Which signs suggest rejection of a kidney transplant?

1. AA cough, wheeze and a runny nose with sneezing
2. BMore urine, a falling creatinine and weight loss
3. CLess urine, a rising creatinine and a tender graft
4. DA rash on the face after sun exposure

A patient with suspected meningitis has a GCS of 9 and pupils that have become unequal. A doctor plans an immediate lumbar puncture. What is the main concern?

1. AThe patient is too confused to stay still, so it is not needed
2. BThere is no concern, because the lumbar puncture lowers pressure safely
3. CA lumbar puncture would spread the infection to the blood
4. DRaised pressure in the skull, so the procedure could cause herniation

Why is an ankle-brachial pressure index (ABPI) measured before compression bandaging for a leg ulcer?

1. ATo exclude significant arterial disease
2. BTo find the bacteria in the wound
3. CTo check for a leg bone fracture
4. DTo find out how deep the ulcer is

A category (stage) 4 pressure ulcer is now healing and shallower. How should it be documented according to standard guidance?

1. AAs a category 1 pressure ulcer now
2. BAs a category 2 pressure ulcer now
3. CAs a healing category 4 pressure ulcer
4. DAs a fully healed ulcer that can be removed from the record