NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

A nurse teaches a patient about storing insulin at home. Which statement shows a need for further teaching?

1. A“I will keep unopened insulin in the fridge.”
2. B“I will keep my spare insulin in the freezer so it lasts longer.”
3. C“I will check the expiry date on the label before I use the vial.”
4. D“I will not leave my insulin in a hot car.”

A patient taking an SSRI is also given tramadol. A few hours later the patient is agitated, sweating and has a fever, jerking muscles and brisk reflexes. What is the most likely cause?

1. AOpioid withdrawal
2. BAn anxiety attack
3. CSerotonin syndrome
4. DNeuroleptic malignant syndrome

Before helping a patient from bed into a wheelchair, what should the nurse do with the wheelchair?

1. APlace it on the patient’s weaker side so that side is supported
2. BLock the brakes and place it close to the bed on the patient’s stronger side
3. CPlace it at the foot of the bed, facing away
4. DLeave the brakes off so the chair can move along with the patient during the pivot

A visitor is receiving an electric shock from a faulty lamp and is still touching it. What should the nurse do first?

1. APull the visitor away from the lamp by the arm as quickly as possible
2. BStart chest compressions straight away
3. CSwitch off the power or unplug the lamp without touching the person
4. DThrow water over the lamp to stop the current

A patient receiving chemotherapy has an ANC of 300/µL and a new temperature of 38.3 °C (100.9 °F). What should the nurse do first?

1. AEncourage oral fluids and record the fever in the chart
2. BRemove extra blankets and offer a tepid sponge bath
3. CGive acetaminophen (paracetamol) and recheck the temperature in 4 hours
4. DReport it at once so cultures and antibiotics start quickly

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

A patient is prescribed two different eye drops at the same time. What is correct?

1. AWait about five minutes between the two drops
2. BMix the two drops in one bottle
3. CGive both drops at once into the same eye
4. DGive one drop now and the other the next day

A patient going home after chemotherapy is taught about infection. Which statement shows a need for further teaching?

1. A"I will wash my hands well before eating and after using the toilet."
2. B"I will check my temperature if I feel unwell or shivery at home."
3. C"I will phone the helpline if I have a fever or shivering."
4. D"If I get a temperature, I'll take paracetamol and wait until my next clinic."

Why is intravenous furosemide given slowly rather than as a rapid push of a large dose?

1. ARapid doses cause severe constipation
2. BRapid high doses can damage hearing
3. CSlow injection makes the urine output larger
4. DRapid doses cause the potassium level to rise

बिसोप्रोलोल और डिल्टियाज़ेम लेने वाले मरीज़ को चक्कर आ रहा है, हृदय गति 38/min और BP 82/50 mmHg है। सबसे उपयुक्त पहली प्रतिक्रिया क्या है?

1. Aहृदय गति बढ़ाने के लिए मरीज़ को वार्ड में चलाना
2. Bअवलोकन दर्ज करना और चार घंटे बाद उन्हें दोबारा जाँचना
3. Cतुरंत मदद बुलाना, ABCDE आकलन करना और कार्डियक मॉनिटर लगाना
4. Dहृदय गति स्थिर रखने के लिए दोनों दवाओं की अगली खुराकें जल्दी देना

Which lifestyle advice best helps a patient with epilepsy reduce their seizures?

1. AAvoid all physical exercise and stay indoors
2. BSkip a dose on days without any warning signs
3. CKeep regular sleep and take every dose on time
4. DDrink coffee in the evening to stay alert

A nurse teaches a patient with CKD and a high potassium about diet. Which statement shows a need for further teaching?

1. A"I will check food labels for added salt when I go shopping."
2. B"I will boil my potatoes and throw away the water."
3. C"I will use a salt substitute instead of ordinary salt."
4. D"I will keep bananas and dried fruit to a minimum."

A patient takes co-codamol at home (a combination tablet sold under different names in different countries). Why should the nurse check this before giving regular paracetamol (acetaminophen)?

1. AParacetamol and codeine cause a severe allergic reaction when combined
2. BIt already contains paracetamol, so overdose could occur
3. CCo-codamol stops paracetamol from working
4. DCo-codamol must be stopped a week before any paracetamol

A nurse teaches a patient with GORD. Which statement shows a need for further teaching?

1. A"I'll try to lose some weight over the next months."
2. B"I'll stop smoking because it makes reflux worse."
3. C"I'll keep a diary of foods that trigger my symptoms."
4. D"Peppermint tea after dinner will settle my reflux."