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 following a total knee replacement surgery is experiencing pain and swelling in the surgical leg. Which action demonstrates effective pain management? (a) Administering an opioid analgesic as prescribed. (b) Encouraging deep breathing exercises to reduce swelling. (c) Applying ice packs intermittently for 20 minutes at a time. (d) Promoting active range-of-motion exercises immediately after surgery.
सही उत्तर: क) Administering an opioid analgesic as prescribed.
Option (a) is correct because the medication addresses the pain effectively. While options b, c, and d are important aspects of post-operative care, they do not directly manage the client's pain.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with a suspected abscess presents with localized pain, redness, warmth, and purulent drainage from the skin. Which nursing intervention is MOST important at this stage? (a) Applying direct pressure to the affected area. (b) Administering broad-spectrum antibiotics immediately. (c) Elevating the affected limb to reduce swelling. (d) Covering the wound with an airtight dressing.
सही उत्तर: क) Applying direct pressure to the affected area.
Option (a) is correct as applying direct pressure helps control bleeding and minimize further tissue damage. Options (b), (c), and (d) are secondary interventions that do not address the immediate concern of controlling infection.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with deep vein thrombosis (DVT) is experiencing leg pain and swelling. Which nursing intervention is MOST effective in preventing pulmonary embolism? (a) Encouraging increased physical activity to promote circulation. (b) Elevating the affected limb above heart level. (c) Administering a warm compress to the affected area. (d) Monitoring for signs of respiratory distress and shortness of breath.
सही उत्तर: ख) Elevating the affected limb above heart level.
Option (b) is correct as elevating the limb reduces venous return to the heart, minimizing thrombus fragmentation and subsequent embolization. Options (a), (c), and (d) are supportive measures but do not address the primary mechanism of DVT prevention.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client has been diagnosed with chronic kidney disease stage 3. The nurse understands that restricting which nutrient intake is crucial to manage this condition? (a) Protein (b) Sodium (c) Carbohydrates (d) Fat
सही उत्तर: ख) Sodium
Option (a) is correct because excessive protein intake places a significant workload on the kidneys. Option (b) is important for fluid balance but less critical than protein restriction. Options (c) and (d) while needing monitoring, do not have the same level of immediate impact as protein.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client presents to the clinic with complaints of sudden onset chest pain, shortness of breath, and nausea. The nurse suspects myocardial infarction. Which action is MOST appropriate as the initial nursing intervention? (a) Administer nitroglycerin sublingually. (b) Encourage the patient to walk slowly to increase blood flow. (c) Obtain a detailed history regarding risk factors for coronary artery disease. (d) Immediately initiate intravenous fluid administration.
सही उत्तर: क) Administer nitroglycerin sublingually.
Option (a) is correct as nitroglycerin relaxes blood vessels and reduces cardiac workload, addressing the primary symptoms of myocardial infarction. Option (b) is incorrect because ambulation may be contraindicated based on the patient's condition. Option (c) is important for assessment but not the immediate intervention. Option (d) can exacerbate heart failure if not carefully monitored.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with severe dehydration is being administered intravenous fluids. Which assessment finding would the nurse MOST closely monitor?
सही उत्तर: ख) Increased heart rate
With dehydration, maintaining adequate hydration levels requires careful monitoring of cardiovascular function. An increased heart rate (tachycardia) is a common response to hypovolemia as the body attempts to compensate for reduced blood volume and maintain perfusion. Decreased blood pressure can be present but isn't always the immediate first sign; clear urine output indicates hydration, while peripheral edema suggests fluid retention.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is educating a patient about diabetic foot care. Which instruction is MOST important for the nurse to include?
सही उत्तर: ग) Inspect feet daily for blisters and cuts
Regular inspection of the feet for blisters, cuts, or other abnormalities is paramount in preventing complications like ulcers in diabetic patients. Foot examination is a crucial component of managing foot health in people with diabetes. The other options are either incorrect or potentially harmful (lotions can increase risk of infection, open-toed shoes increase trauma, and cold water impairs sensation).
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following is the PRIMARY purpose of applying a dry gauze pad to a wound during healing?
सही उत्तर: घ) Stimulate collagen synthesis
Applying a dry gauze pad creates a protective barrier that minimizes moisture loss (fluid loss) from the wound bed. This is crucial for promoting granulation tissue formation and optimal wound healing. While increasing blood flow, bacterial growth, and stimulating collagen synthesis are secondary benefits of proper wound care, preventing fluid loss is the primary goal with dry dressings.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a newly admitted patient with pneumonia. Which vital sign would be MOST indicative of worsening respiratory distress?
सही उत्तर: क) Blood Pressure
The respiratory rate (RR) is the most immediate and critical indicator of changes in breathing effort, particularly in patients with pneumonia where airway obstruction and fluid accumulation are common. While other vital signs provide information, RR directly reflects the patient’s struggle to breathe. Blood pressure, temperature, and pain level can be affected by illness but aren't as immediately linked to respiratory distress.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is calculating the insensible water loss (sweat) for a client. The client has been admitted with fever and is experiencing profuse sweating. During an 8-hour period, the nurse measures 750 mL of drainage from the client’s skin. What is the nurse's calculation for this patient’s insensible water loss?
सही उत्तर: क) 750 ml/8 hours = 93.75 ml/hour
The formula to calculate insensible water loss is (total drainage / time) = insensible water loss. Therefore, 750 mL / 8 hours = 93.75 mL per hour. This represents the amount of fluid lost through evaporation from the skin. The other options are incorrect calculations.
💬 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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