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नाम: ____________________ दिनांक: ____________
1.आसान
Postural (orthostatic) hypotension is a drop in blood pressure that happens:
AOn standing up from lying or sitting
BAfter eating a large meal
COnly during deep sleep
DOnly during heavy exercise or climbing stairs
2.आसान
What should be done with a used needle after an injection?
APlace it on the bed until the end of the round
BRecap it carefully using both hands, then put it in the bin
CPut it in the clinical waste bag
DPut it straight into a sharps container without recapping
3.आसान
What is the main purpose of a surgical wound drain?
ATo give antibiotics directly into the wound bed
BTo remove blood or fluid so it does not collect in the wound
CTo measure the patient's temperature
DTo keep the wound open permanently so that it can be cleaned
4.मध्यम
Why is an urgent brain scan needed before thrombolysis for a suspected stroke?
ATo check for brain tumours only
BTo confirm the patient's age
CTo measure the size of the ventricles
DTo rule out bleeding in the brain
5.मध्यम
For a patient in skin traction on the leg, which is correct?
AThe rope is tied to the bed frame to keep it still
BThe weights hang freely and do not rest on the bed or floor
CThe weights rest on the floor overnight
DThe weights are removed whenever the patient feels uncomfortable
6.मध्यम
A patient is started on spironolactone while already taking an ACE inhibitor. Which blood result should be watched most closely?
ACalcium, because both drugs lower it
BGlucose, because both drugs cause hyperglycaemia
CSodium, because both drugs raise it sharply
DPotassium, because both drugs can raise it
7.कठिन
तीव्र GI रक्तस्राव वाले एक मरीज़ की हृदय गति 120/min और रक्तचाप 90/60 mmHg है। सहायता बुलाने के बाद नर्सिंग प्राथमिकता क्या है?
Aऊर्जा लौटाने के लिए भारी भोजन दें
Bबड़े-छिद्र (large-bore) IV पहुँच सुरक्षित करें और द्रव या रक्त प्रतिस्थापन की तैयारी करें
Cअकेले बाथरूम तक चलने को प्रोत्साहित करें
Dमल का रंग जाँचने तक कार्रवाई टालें
8.कठिन
A day after surgery, a patient's haemoglobin has fallen from 125 g/L to 85 g/L (12.5 to 8.5 g/dL) and their heart rate has risen to 118/min. What is the priority?
ARecheck the haemoglobin next week
BEscalate urgently, as the patient may be bleeding
CDocument the result and take no further action
DEncourage the patient to eat iron-rich foods
उत्तर कुंजी
1. A · On standing up from lying or sitting
2. D · Put it straight into a sharps container without recapping
3. B · To remove blood or fluid so it does not collect in the wound
4. D · To rule out bleeding in the brain
5. B · The weights hang freely and do not rest on the bed or floor
6. D · Potassium, because both drugs can raise it
7. B · बड़े-छिद्र (large-bore) IV पहुँच सुरक्षित करें और द्रव या रक्त प्रतिस्थापन की तैयारी करें
8. B · Escalate urgently, as the patient may be bleeding
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