NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

Which SBAR recommendation is the clearest?

1. A“I just wanted to let you know about him.”
2. B“He seems a bit off tonight, so maybe you could come up and do something about it.”
3. C“I will keep watching him and call again tomorrow.”
4. D“I would like you to see him within 15 minutes and consider a fluid bolus.”

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. AAn anxiety attack
2. BNeuroleptic malignant syndrome
3. COpioid withdrawal
4. DSerotonin syndrome

When is it appropriate to use the override function on an automated dispensing cabinet to take a drug before pharmacist review?

1. AAt the start of each shift to save time later
2. BOnly in an urgent situation where delay would harm the patient, per policy
3. CWhenever the nurse is sure of the dose
4. DWhenever the pharmacist is slow to review new orders and the patient is waiting

एक नर्स हेपरिन की वायल उठाती है जिसमें 10,000 units/mL है; वार्ड में सामान्यतः 1000 units/mL की वायल रखी जाती हैं। अतिरिक्त सावधानी की आवश्यकता क्यों है?

1. Aदोनों वायल की सामर्थ्य को आपस में बेझिझक बदला जा सकता है
2. Bहेपरिन की सांद्रता का सुरक्षा पर कोई प्रभाव नहीं है
3. Cसांद्र वायल अधिक सुरक्षित है, क्योंकि कम मात्रा खींचनी पड़ती है
4. Dगलती से अधिक सांद्र वायल उपयोग करने पर दस गुना ओवरडोज़ होगा

IV कैल्शियम ग्लूकोनेट गंभीर हाइपरकैलेमिया वाले रोगी की कैसे मदद करता है?

1. Aयह पोटैशियम घटाए बिना हृदय कोशिकाओं की झिल्लियों को स्थिर करता है
2. Bयह गुर्दों द्वारा पोटैशियम का उत्सर्जन बढ़ाता है
3. Cयह पोटैशियम को रक्त से कोशिकाओं में ले जाता है
4. Dयह आँत में पोटैशियम को बाँधता है ताकि वह मल के साथ निकल जाए

A patient has marked generalized edema. Results show heavy proteinuria, serum albumin 1.8 g/dL (18 g/L) and total cholesterol 340 mg/dL (8.8 mmol/L). Which condition fits best?

1. AAcute pyelonephritis
2. BLiver cirrhosis only
3. CNephrotic syndrome
4. DPrerenal kidney injury

ACE इनहिबिटर शुरू किए गए मरीज़ को लगातार सूखी खाँसी हो जाती है। संभावित कारण क्या है?

1. Aबीटा-ब्लॉकर से होने वाला दमा
2. Bहाल ही में दिए गए पेनिसिलिन से एलर्जी प्रतिक्रिया
3. Cफुफ्फुसीय एम्बोलिज़्म
4. DACE इनहिबिटर का एक ज्ञात दुष्प्रभाव

A patient with suspected appendicitis says the pain suddenly eased, but an hour later has pain all over the abdomen, a rigid abdomen and a fever. What is most likely?

1. AThe appendix has perforated, causing peritonitis
2. BThe appendicitis has resolved without treatment
3. CThe analgesia has started working
4. DThe patient has developed gastroenteritis

After an arterial blood gas sample is taken from the radial artery, what should the nurse do?

1. AApply firm pressure to the site for several minutes
2. BBend the wrist sharply upwards to stop the bleeding
3. CLeave the site uncovered without pressure
4. DMassage the site to help the bruising fade

A patient with obstructive sleep apnoea who uses CPAP at home is having surgery. Which plan is safest after the operation?

1. ANurse the patient lying flat on their back to keep the airway open
2. BLeave the CPAP machine at home, as it is not needed while in hospital
3. CGive extra opioids so the patient sleeps through the night
4. DUse their CPAP machine and monitor closely, using opioids with caution

मेरुरज्जु की चोट वाले मरीज़ में ऑटोनॉमिक डिसरिफ़्लेक्सिया का सबसे आम ट्रिगर क्या है?

1. Aभरा हुआ मूत्राशय या अवरुद्ध कैथेटर
2. Bकम रक्त ग्लूकोज़ स्तर
3. Cरात में बहुत जल्दी खाया गया बड़ा भोजन
4. Dलंबी नींद की अवधि

Two days after a spinal cord injury, a patient has a swollen abdomen, no bowel sounds and is vomiting. What is most likely, and what is the nursing action?

1. AParalytic ileus, so keep nil by mouth and prepare for an NG tube
2. BAn allergic reaction to food, so give an antihistamine
3. CNormal constipation, so give a large meal to stimulate the bowel
4. DA full bladder, so encourage oral fluids

सर्जरी से पहले कौन-सा हर्बल सप्लीमेंट आमतौर पर पूछा जाता है क्योंकि वह रक्तस्राव बढ़ा सकता है?

1. Aपुदीने का तेल
2. Bगिंगको बिलोबा
3. Cकैमोमाइल
4. Dक्रैनबेरी

Which patient has the highest risk of postoperative nausea and vomiting?

1. AA male smoker having a short procedure without opioids
2. BA man with no history of nausea having local anaesthetic only
3. CA non-smoking woman with motion sickness who will need opioids
4. DA smoker who has never had nausea after surgery