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 patient is prescribed warfarin for atrial fibrillation. Which laboratory test is MOST important to monitor regularly during treatment?
सही उत्तर: ग) Prothrombin Time/International Normalized Ratio (PT/INR)
The PT/INR is the gold standard for monitoring the anticoagulant effect of warfarin, ensuring therapeutic levels are maintained and minimizing the risk of bleeding complications. CBC and LFTs monitor general health; serum electrolytes are less directly related to warfarin’s action.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is reviewing medications for a patient recently diagnosed with hypertension. Which of the following drug classes would be MOST appropriate as a first-line treatment option?
सही उत्तर: ख) Antihypertensives (ACE inhibitors, ARBs, Beta Blockers)
ACE inhibitors, ARBs, and beta blockers are the primary pharmacological agents used in the initial management of hypertension. Diuretics primarily address fluid retention related to hypertension, while stimulants and opioids have no role in blood pressure control.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client recovering from a surgical incision on their abdomen following herniorrhaphy is experiencing increased pain and redness at the site of the wound. Which of the following nursing interventions is MOST appropriate?
सही उत्तर: ग) Cleanse the incision site with sterile saline solution and dry gently before applying a non-adherent dressing.
The correct answer is 2. Applying ice packs helps manage inflammation and pain associated with local tissue damage post-surgery. The other options are inappropriate; administering medication without assessment risks masking a potential infection, applying ice packs without proper consideration of the wound could cause further harm, and elevating legs isn't directly related to this specific complication.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-week-old infant presents with a positive diagnosis of cystic fibrosis based on sweat chloride testing. Which nursing intervention is MOST important at this time?
सही उत्तर: क) Initiate treatment with pancreatic enzyme replacement therapy.
The primary focus for a newborn diagnosed with cystic fibrosis is managing the underlying digestive issue. Pancreatic enzyme replacement therapy (PERT) is crucial for aiding digestion and absorption of nutrients because it addresses the root cause of malabsorption.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant client at 28 weeks gestation presents with a blood pressure of 160/100 mmHg and proteinuria in her urine. Which condition should the nurse suspect?
सही उत्तर: ख) Pre-eclampsia.
The presentation of hypertension (160/100 mmHg) and proteinuria strongly suggests pre-eclampsia. Eclampsia involves the presence of seizures, which have not been stated in this scenario. Gestational Diabetes is characterized by elevated blood glucose levels, while Hyperemesis Gravidarum relates to severe nausea and vomiting.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant, born at 32 weeks gestation, exhibits signs of respiratory distress including nasal flaring, retractions, and grunting. Which intervention is the nurse's *initial* action?
सही उत्तर: क) Administer oxygen via nasal cannula.
The initial priority is to address the respiratory distress. Administering oxygen via nasal cannula provides immediate support for gas exchange. The other options are important interventions but addressing the primary breathing issue takes precedence.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 3-month-old infant is diagnosed with cystic fibrosis. Based on this diagnosis, which administration method is MOST appropriate for providing medication?
सही उत्तर: ख) Giving the medication orally as a suspension.
For infants with cystic fibrosis who have difficulty swallowing, oral administration of medications in liquid form is the most appropriate route. The other options are unsuitable due to potential for aspiration, poor absorption, or irritation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A postpartum client who delivered a healthy infant 6 hours ago reports experiencing pink vaginal discharge and increasing pain in her lower abdomen. Which of the following actions should the nurse take *first*?
सही उत्तर: ग) Assess the perineum for signs of laceration or hematoma.
The nurse's first priority is assessing the postpartum client for signs of infection. Pink vaginal discharge and abdominal pain are potential indicators of postpartum endometritis. The other options address related but secondary concerns – antibiotics would be given after diagnosis, bladder scanning addresses retention, and elevating hips provides comfort - however direct assessment of the perineum takes precedence.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with severe depression expresses thoughts about death and dying. The nurse’s FIRST action should be:
सही उत्तर: ग) Attempt to determine the intent, method, and frequency of these suicidal ideations.
The priority is to assess the risk by gathering information about the nature of the thoughts. Assessing intent, method, and frequency is critical in determining immediate safety needs. Reassurance alone may be unhelpful and delaying action is dangerous.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with bipolar disorder is experiencing an elevated mood characterized by increased energy, racing thoughts, and impulsive behaviors. Which statement BEST reflects the nurse’s approach to this situation?
सही उत्तर: घ) Suggest that the client simply ‘snap out of it’ and return to their normal state of mind.
Maintaining a calm environment and close observation is crucial when managing acute manic episodes. While medication may be part of the treatment plan, immediate intervention focuses on safety and stabilization. The other options represent potentially harmful or inappropriate responses.
💬 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।
नमस्ते! पाठ्यक्रम, सामान्य ज्ञान, भाषा परीक्षा वा कुनै प्रश्नको उत्तर बुझ्न सोध्नुहोस्।
AI ले गल्ती गर्न सक्छ। महत्वपूर्ण कुरा आधिकारिक स्रोतमा जाँच्नुहोस्।