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नाम: ____________________   दिनांक: ____________

1.आसान

Postural (orthostatic) hypotension is a drop in blood pressure that happens:

  1. AOn standing up from lying or sitting
  2. BAfter eating a large meal
  3. COnly during deep sleep
  4. DOnly during heavy exercise or climbing stairs
2.आसान

What should be done with a used needle after an injection?

  1. APlace it on the bed until the end of the round
  2. BRecap it carefully using both hands, then put it in the bin
  3. CPut it in the clinical waste bag
  4. DPut it straight into a sharps container without recapping
3.आसान

What is the main purpose of a surgical wound drain?

  1. ATo give antibiotics directly into the wound bed
  2. BTo remove blood or fluid so it does not collect in the wound
  3. CTo measure the patient's temperature
  4. 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?

  1. ATo check for brain tumours only
  2. BTo confirm the patient's age
  3. CTo measure the size of the ventricles
  4. DTo rule out bleeding in the brain
5.मध्यम

For a patient in skin traction on the leg, which is correct?

  1. AThe rope is tied to the bed frame to keep it still
  2. BThe weights hang freely and do not rest on the bed or floor
  3. CThe weights rest on the floor overnight
  4. 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?

  1. ACalcium, because both drugs lower it
  2. BGlucose, because both drugs cause hyperglycaemia
  3. CSodium, because both drugs raise it sharply
  4. 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?

  1. Aऊर्जा लौटाने के लिए भारी भोजन दें
  2. Bबड़े-छिद्र (large-bore) IV पहुँच सुरक्षित करें और द्रव या रक्त प्रतिस्थापन की तैयारी करें
  3. Cअकेले बाथरूम तक चलने को प्रोत्साहित करें
  4. 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?

  1. ARecheck the haemoglobin next week
  2. BEscalate urgently, as the patient may be bleeding
  3. CDocument the result and take no further action
  4. DEncourage the patient to eat iron-rich foods

उत्तर कुंजी

  1. 1. A · On standing up from lying or sitting
  2. 2. D · Put it straight into a sharps container without recapping
  3. 3. B · To remove blood or fluid so it does not collect in the wound
  4. 4. D · To rule out bleeding in the brain
  5. 5. B · The weights hang freely and do not rest on the bed or floor
  6. 6. D · Potassium, because both drugs can raise it
  7. 7. B · बड़े-छिद्र (large-bore) IV पहुँच सुरक्षित करें और द्रव या रक्त प्रतिस्थापन की तैयारी करें
  8. 8. B · Escalate urgently, as the patient may be bleeding

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