NCLEX-शैली की प्राथमिकता निर्धारण और प्रत्यायोजन: क्रैम पैक

Which postoperative patient should the nurse see first?

1. ADressing soaked with bright red blood and a heart rate rising to 118/min
2. BPain of 4/10 one hour after an oral analgesic
3. CAsking when the urinary catheter will be removed
4. DWants help with washing her hair before her visitors arrive this afternoon

A patient suddenly has severe pain in one leg. The leg is pale and cold with no pedal pulse. What does this suggest?

1. AChronic venous insufficiency that needs elevation
2. BAcute arterial occlusion, which is an emergency
3. CA muscle cramp that will pass with stretching
4. DA deep vein thrombosis that can be treated next week

Why are patients on long-term corticosteroids at higher risk from infections?

1. ASteroids suppress the immune response and can hide signs of infection
2. BSteroids make the patient’s blood more acidic, which helps bacteria grow
3. CSteroids only affect the risk of fungal skin rashes
4. DSteroids kill the patient’s normal skin bacteria

A competent patient at high risk of falls insists on walking to the bathroom alone. What is the best nursing approach?

1. AExplain the risks, agree on ways to reduce them, respect the decision and document
2. BRemove the patient’s shoes and walking aid so that they cannot walk alone
3. CApply wrist restraints so the patient stays in bed
4. DTell the patient that walking alone is against hospital law

रोगी को त्वचा के नीचे एनॉक्सापैरिन (निम्न-आण्विक-भार हेपरिन) दी जाती है। निगरानी के बारे में कौन-सा कथन सही है?

1. Aखुराक समायोजित करने के लिए aPTT हर 6 घंटे पर जाँचना आवश्यक है
2. Bनियमित aPTT नहीं; इसके बजाय प्लेटलेट और गुर्दा कार्य जाँचे जाते हैं
3. Cकिसी भी प्रकार के रक्त परीक्षण की कभी आवश्यकता नहीं होती
4. Dवारफ़ेरिन की तरह हर खुराक समायोजित करने के लिए INR का उपयोग होता है

A patient has fatigue, weight gain and constipation. Results: TSH 24 mIU/L, free T₄ low, total cholesterol 285 mg/dL (7.4 mmol/L), sodium 131 mEq/L. What is the best interpretation?

1. APrimary hypothyroidism, which can raise lipids and lower sodium
2. BHyperthyroidism, with suppressed thyroid hormone production
3. CSecondary hypothyroidism from failure of the pituitary gland
4. DFamilial hypercholesterolemia, unrelated to the thyroid results

How should a nurse communicate with a patient who has impaired hearing?

1. AShout loudly from the end of the bed so they can hear
2. BFace the patient, speak clearly and reduce background noise
3. CTalk to the patient's relative instead of to the patient directly
4. DSpeak very quickly to save time

Why is hypokalaemia particularly dangerous in a patient taking digoxin?

1. ALow potassium makes digoxin work too slowly
2. BLow potassium increases the risk of digoxin toxicity
3. CDigoxin raises potassium to dangerous levels when it is already low
4. DLow potassium stops digoxin from being absorbed

A patient choosing between a mechanical and a biological heart valve asks about the main difference. Which answer is accurate?

1. AMechanical valves last longer but need lifelong anticoagulation
2. BMechanical valves wear out within one year
3. CBiological valves last longer but need lifelong warfarin
4. DBoth types need no medicines after surgery

The stump of a recent below-knee amputation suddenly bleeds heavily through the dressing. What should the nurse do first?

1. ARemove all the dressings and wait for the bleeding to stop by itself
2. BApply firm direct pressure and call for urgent surgical help
3. CEncourage the patient to walk on crutches to ease the pressure
4. DApply a warm compress to the stump

Which group of problems is typical of primary hyperparathyroidism?

1. AMuscle cramps, tingling lips and seizures
2. BHair loss, weight gain and feeling cold
3. CKidney stones, bone pain, abdominal pain and low mood
4. DHeat intolerance, tremor, weight loss and diarrhoea

A nurse teaches a carer to give buccal midazolam for prolonged seizures. Which statement shows a need for further teaching?

1. A"I will call an ambulance if the care plan tells me to."
2. B"I will give it into the space between his gum and cheek."
3. C"I will put something between his teeth so he does not bite his tongue."
4. D"I will write down the time the seizure started and the time I gave the dose."

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

1. Aदवाओं का इतिहास
2. Bघाव की ड्रेसिंग और ड्रेन
3. Cएक गिलास पानी
4. Dवायुमार्ग और साँस

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