अन्तर्राष्ट्रिय नर्सिङ (NCLEX, DHA, HAAD)
अन्तर्राष्ट्रिय नर्सिङ (NCLEX, DHA, HAAD)
International Nursing (NCLEX-RN, DHA, HAAD) · २,०४४ प्रश्न
२,०४४ प्रश्न उपलब्ध। मोड छान्नुहोस्:
अन्तर्राष्ट्रिय नर्सिङ: प्रश्न र उत्तर
सही लागेको विकल्पमा थिच्नुहोस्। सही भए हरियो, गलत भए रातो देखिन्छ; ३ सेकेन्डपछि सही उत्तर र व्याख्या देखिन्छ।
सही: ० / ०
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A nurse is reviewing medication orders and notices the abbreviation 'PO'. What does this abbreviation mean?
सही उत्तर: क) Per os
'PO' stands for ‘per os’, which is Latin for ‘by mouth’. It indicates that the medication should be taken orally.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client who has recently undergone surgery for a fractured femur. The client reports pain at an intensity of 8 out of 10. Which intervention would be MOST effective in providing immediate relief?
सही उत्तर: क) Administering opioid analgesics as prescribed.
Opioid analgesics are typically the first-line treatment for acute post-operative pain due to their rapid onset and effectiveness. While other interventions may be part of a comprehensive pain management plan, immediate relief focuses on pharmacological intervention.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is performing gastric emptying via nasogastric tube and observes a significant amount of bright yellow fluid entering the tube. Which of the following actions should the nurse take FIRST?
सही उत्तर: ख) Notify the physician about the change in color.
A bright yellow appearance in gastric effluent suggests hypersecretory diarrhea. Increasing the infusion rate could exacerbate this issue. Monitoring the client's abdomen and charting feeds are important but not the initial priority when a change in effluent color is observed.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing to administer intravenous (IV) fluids. Which of the following statements BEST describes the appropriate size for a standard adult IV catheter?
सही उत्तर: ग) 20 gauge
An 18-gauge catheter is most commonly used for routine IV insertions in adults. It provides adequate vein access without causing excessive trauma. Smaller gauges are reserved for more difficult or pediatric cases.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a newly admitted patient with chronic obstructive pulmonary disease (COPD). Which of the following interventions is MOST appropriate for promoting airway clearance?
सही उत्तर: ख) Encourage the patient to cough effectively.
Coughing is the primary mechanism for clearing secretions from the airways in patients with COPD. While other options may be supportive, encouraging effective coughing directly addresses the patient's respiratory issue. Offering a high-Fowler’s position might elevate breathing effort and isn't focused on clearance.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a client with severe burns. Which assessment finding would indicate successful fluid resuscitation? a) Hypotension and tachycardia b) Decreased urine output c) Warm, dry skin with good capillary refill d) Pale, cool skin with delayed capillary refill
सही उत्तर: घ) d) Pale, cool skin with delayed capillary refill
Warm, dry skin with good capillary refill (option c) is the hallmark sign of successful fluid resuscitation in a burn patient. This indicates improved tissue perfusion and oxygen delivery.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client is admitted with suspected deep vein thrombosis (DVT). Which diagnostic test is MOST commonly used to confirm a diagnosis of DVT? a) Chest X-ray b) Complete Blood Count (CBC) c) Venous Ultrasound d) Electrocardiogram (ECG)
सही उत्तर: घ) d) Electrocardiogram (ECG)
Venous ultrasound (option c) is the gold standard for diagnosing DVT. It directly visualizes blood clots within the veins. A CBC (b) can show signs of inflammation, but it's not definitive. Chest X-ray (a), ECG (d) and CBC are less relevant to the direct diagnosis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client diagnosed with heart failure. The client reports experiencing orthopnea and paroxysmal nocturnal dyspnea. Which of the following nursing interventions is MOST appropriate? a) Encourage frequent ambulation throughout the day. b) Elevate the head of the bed to 30-45 degrees. c) Administer a diuretic medication as prescribed. d) Restrict fluid intake to 1 liter per day.
सही उत्तर: ग) c) Administer a diuretic medication as prescribed
Elevating the head of the bed (option b) is a cornerstone intervention for managing orthopnea and PND in heart failure. It reduces venous return to the heart, decreasing pulmonary congestion. Diuretics (c), while important, are typically administered as prescribed by the physician.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with chronic obstructive pulmonary disease (COPD) is prescribed supplemental oxygen at 2 liters per minute via nasal cannula. The nurse observes that the client's SpO2 remains consistently below 90%. Which intervention should the nurse implement FIRST? a) Increase the FiO2 to 40%. b) Assess for potential CO2 retention. c) Evaluate the client’s breathing pattern. d) Notify the physician regarding the persistent hypoxemia.
सही उत्तर: घ) d) Notify the physician regarding the persistent hypoxemia
Evaluating the client's breathing pattern (option c) is the priority. The nurse must determine if the client is effectively utilizing their respiratory muscles and has any underlying issues impacting gas exchange before adjusting oxygen settings. Increasing FiO2 or notifying a physician should be delayed until after assessing the ventilation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client recovering from abdominal surgery. The nurse assesses that the client’s surgical wound has increased capillary refill time and blanching of the skin around the incision site. What is the most likely cause of this finding? a) Infection b) Hypovolemia c) Shunting d) Edema
सही उत्तर: ख) b) Hypovolemia
Hypovolemia (option b) is the most likely cause of increased capillary refill time and blanching. Reduced blood volume leads to decreased perfusion, causing vasoconstriction and subsequent pallor. Infection (a), shunting (c), and edema (d) can all contribute to wound complications but do not directly explain these specific signs.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
यी अभ्यास प्रश्न हुन्, आधिकारिक प्रश्न होइनन्। पाठ्यक्रम, विज्ञापन र नतिजाका लागि सम्बन्धित निकायको आधिकारिक वेबसाइट हेर्नुहोस्। उत्तरमा गल्ती भेटे प्रश्नमुनिको "टिप्पणी / गल्ती रिपोर्ट" मा लेख्नुहोस्।
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