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 client with Schizoaffective Disorder is exhibiting disorganized thought patterns and hallucinations. The nurse's approach should be guided by which principle?
सही उत्तर: ख) Maintaining a rigid, structured routine to provide predictability for the client
Option 1 is correct. Person-centered care is central to managing Schizoaffective Disorder. It acknowledges that the client's experiences, including hallucinations and delusions, are real for them and seeks to understand and address their underlying needs in a compassionate and respectful way. Options 2 and 3 aren’t supported, while option 4 would be counterproductive.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with severe depression presents with suicidal ideation. According to Nepali Mental Health Act (2072), what is the *immediate* priority for the nurse?
सही उत्तर: ख) Initiating safety precautions, including a seclusion order, and contacting family/support system immediately
Option 1 is correct. The Nepali Mental Health Act (2072) emphasizes immediate safety measures when a client expresses suicidal ideation. This includes securing the environment, contacting support networks, and initiating appropriate intervention protocols. Option 2 represents a proper response but lacks the urgency of immediate risk mitigation, while options 3 and 4 address symptoms without addressing the critical issue of potential harm.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client diagnosed with Schizophrenia who is expressing delusions of persecution. The nurse's role in addressing these delusions should primarily focus on:
सही उत्तर: क) Establishing a trusting therapeutic relationship and actively listening to the client’s concerns
Option 0 is correct. The primary goal in managing delusional thinking in psychosis is to build rapport, understand the client's experience, and collaboratively explore the underlying thoughts and feelings driving the delusion. Options 1 and 2 are inappropriate as direct confrontation can be distressing and exacerbate symptoms; option 3 is focused on education which is secondary to therapeutic alliance. Option 4 represents a passive approach that ignores the client’s distress.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The nurse is teaching a mother about postpartum care for her newborn. Which of the following instructions should the nurse emphasize? (a) Sponge the baby's skin with cold water to prevent overheating. (b) Dress the baby in light-colored clothing to monitor temperature. (c) Keep the baby dry and cover with a warm blanket to prevent heat loss. (d) Allow the baby to sleep naked to stimulate thermoregulation.
सही उत्तर: घ) Allow the baby to sleep naked to stimulate thermoregulation.
The key for preventing hypothermia in newborns is maintaining warmth. Covering the baby with a warm blanket helps retain body heat, unlike cold water sponging (a), light colored clothing (b) or allowing them to be naked(d).
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant has cyanosis noted at rest. The nurse should first assess: (a) The infant’s temperature. (b) The infant's breathing pattern and effort. (c) The infant’s bilirubin levels. (d) The infant’s feeding pattern.
सही उत्तर: ग) The infant’s bilirubin levels.
Cyanosis at rest in a newborn indicates respiratory distress, so the first priority is to assess the infant’s breathing – frequency, rate, depth, and effort. Temperature, bilirubin, and feeding patterns are less immediately relevant to cyanosis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 32 weeks gestation reports feeling decreased fetal movement. Which action by the nurse is MOST appropriate? (a) Immediately notify the physician regarding the decreased fetal movement. (b) Encourage the patient to perform gentle ambulation to stimulate fetal movement. (c) Monitor fetal heart rate continuously for any abnormalities. (d) Administer intravenous fluids to increase blood flow to the fetus.
सही उत्तर: ख) Encourage the patient to perform gentle ambulation to stimulate fetal movement.
The most appropriate response is (b). While monitoring fetal heart rate and notifying the physician are important, passively encouraging movement via ambulation is a gentle and non-invasive approach that often stimulates fetal movement. Options (a) and (d) are premature interventions without further investigation. Option (c) alone might miss subtle changes.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A mother reports her 6-month-old infant has been experiencing frequent vomiting and diarrhea, resulting in dehydration. Which of the following nursing interventions is MOST important at this time? (a) Administering oral rehydration solution (ORS) immediately without assessment. (b) Encouraging the mother to continue breastfeeding as usual. (c) Monitoring the infant’s vital signs and assessing for signs of continued fluid loss. (d) Providing the infant with small, frequent meals of solid foods.
सही उत्तर: ग) Monitoring the infant’s vital signs and assessing for signs of continued fluid loss.
The correct answer is (c). Dehydrated infants require immediate assessment of their hydration status – including vital signs, mucous membrane moisture, skin turgor, and urine output – to determine the appropriate intravenous or oral fluid replacement. Option (a) is dangerous as it bypasses critical assessment. Options (b) and (d) are inappropriate given the infant’s symptomatic dehydration.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with a deep leg ulcer has been prescribed topical silver sulfadiazine ointment for dressing changes. The nurse should instruct the patient to:
सही उत्तर: ग) C) Cover the wound with a non-breathable dressing material.
The primary goal is to prevent systemic absorption and adverse effects. Applying ointment excessively to surrounding healthy tissue can lead to skin irritation and allergic reactions. Option D is incorrect due to variation in wound exudate.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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During wound care of a client with a surgical incision, the nurse notices increased redness, warmth, and swelling at the edges of the dressing. The nurse’s initial action should be:
सही उत्तर: घ) D) Elevate the affected extremity and apply a cold compress.
These signs indicate potential wound infection. Immediate reporting to the surgeon is vital for prompt diagnosis and treatment. Options A, B, and D are interventions that may delay or complicate appropriate management of an infected wound.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with chronic heart failure is being discharged home. The nurse’s education should include which of the following regarding dietary modifications?
सही उत्तर: ग) C) High carbohydrate intake for increased energy levels.
Clients with heart failure require a low-sodium diet to reduce fluid retention and manage blood pressure. Potassium restriction is also common due to potential electrolyte imbalances. Options A, C, and D are incorrect dietary recommendations for someone managing heart failure.
💬 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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