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

A patient at 36 weeks of pregnancy has sudden severe abdominal pain, a hard, board-like uterus and dark vaginal bleeding. What should the nurse suspect?

1. APlacental abruption, which is an emergency
2. BA urinary tract infection
3. CNormal labor contractions starting
4. DPlacenta previa, which is usually painless

An order reads “Give potassium chloride by IV push.” What should the nurse do?

1. AGive it slowly by IV push over two minutes while watching the cardiac monitor
2. BNot give it, and contact the prescriber, because it is never given by IV push
3. CDilute it in a small syringe and push it
4. DGive half by IV push and the rest later

A woman in late pregnancy is choking and cannot speak or cough. Which technique should the rescuer use?

1. ABack blows only
2. BBlind finger sweeps
3. CChest thrusts
4. DAbdominal thrusts

Which instruction is correct for a patient taking an oral potassium chloride supplement?

1. ACrush the extended-release tablets and mix them with a little water if needed
2. BTake it on an empty stomach with only a small sip of water to speed absorption
3. CTake it with food and a full glass of water, and do not crush extended-release tablets
4. DUse a salt substitute as well, so less of the tablet is needed each day

A man of Mediterranean descent develops dark urine, jaundice and a falling hemoglobin a few days after eating fava beans. Which condition is most likely?

1. AVitamin B₁₂ deficiency anemia
2. BIron-deficiency anemia from poor diet
3. CG6PD deficiency with acute hemolysis
4. DSickle cell crisis with vaso-occlusion

What is the most common cause of hypernatraemia in frail older inpatients?

1. AToo much exercise
2. BNot drinking enough water
3. CTaking too many vitamins
4. DEating too much salt in one meal

Why should chronic hypernatraemia be corrected gradually?

1. AFast correction causes osmotic demyelination from swelling of the kidneys
2. BSlow correction is only needed in children
3. CFast correction causes severe hyperkalaemia
4. DLowering the sodium too fast can cause cerebral oedema

After repair of an abdominal aortic aneurysm, which regular assessment helps detect a blocked graft or clots in the legs?

1. AMeasuring the blood glucose every hour through the night
2. BChecking the pupils' response to light
3. CTesting the gag reflex every four hours after surgery
4. DChecking leg pulses, colour, warmth and sensation

A nurse teaches a patient who is starting warfarin. Which statement shows a need for further teaching?

1. A"I will check before taking any new medicines or herbal remedies."
2. B"If I miss a dose, I will take two the next day."
3. C"I will have regular INR blood tests."
4. D"I will tell my dentist that I take warfarin."

पिट्यूटरी सर्जरी के बाद मरीज़ तीन घंटे तक प्रति घंटे 400 mL मूत्र करता है और विशिष्ट गुरुत्व कम है। नर्स को किस पर संदेह होना चाहिए?

1. Aसामान्य मूत्रलता
2. Bडायबिटीज़ इन्सिपिडस
3. Cतीव्र गुर्दा क्षति
4. DSIADH

An older man was found on the floor after lying there for many hours. His urine is dark brown, and his creatine kinase is very high. What is the main kidney risk and the key treatment?

1. AHypothermia, treated with a fluid restriction
2. BAKI from rhabdomyolysis, treated with generous IV fluids
3. CA kidney stone, treated with strong pain relief
4. DA urinary infection, treated with oral antibiotics only

मरीज़ों को खाँसते समय पेट के घाव को तकिए से सहारा देना क्यों सिखाया जाता है?

1. Aयह त्वचा के किनारों का भरना तेज़ करता है
2. Bयह दर्द और खिंचाव घटाता है, जिससे वे अच्छी तरह खाँस सकते हैं
3. Cयह नियमित दर्द-निवारण की आवश्यकता को बदल देता है
4. Dयह खाँसी को कमज़ोर करता है ताकि घाव जोखिम में न पड़े

Just after extubation in recovery, a patient develops a high-pitched noise on breathing in, with falling SpO₂. What should the nurse do first?

1. ACall for help, give 100% oxygen and use a jaw thrust
2. BSit the patient up and give a drink of water
3. CWait a few minutes to see if it passes
4. DGive an opioid to calm the patient's breathing and reduce anxiety