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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What is the normal adult serum sodium range?
सही उत्तर: क) 135-145 mEq/L
Normal serum sodium is 135-145 mEq/L. 3.5-5.0 is the potassium range and about 98-106 is the chloride range.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the normal range of arterial PaCO2?
सही उत्तर: क) 35-45 mmHg
Normal PaCO2 is 35-45 mmHg; above 45 indicates respiratory acidosis. 22-26 is the normal bicarbonate range in mEq/L, and 80-100 mmHg is normal PaO2.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Prolonged vomiting or continuous NG suction most commonly causes which acid-base imbalance?
सही उत्तर: क) Metabolic alkalosis
Loss of gastric hydrochloric acid leaves excess bicarbonate, causing metabolic alkalosis. Severe diarrhea, by contrast, loses bicarbonate and causes metabolic acidosis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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ABG results: pH 7.30, PaCO2 55 mmHg, HCO3- 24 mEq/L. How is this interpreted?
सही उत्तर: ख) Uncompensated respiratory acidosis
Low pH with high PaCO2 shows respiratory acidosis, and a normal HCO3- means the kidneys have not compensated yet. Metabolic acidosis would show a low HCO3-.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client's serum sodium is 118 mEq/L. Which nursing action is a priority?
सही उत्तर: क) Institute seizure precautions
Severe hyponatremia causes cerebral edema, which can lead to confusion and seizures. Free water or hypotonic fluids would lower sodium further.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which statement about IV potassium chloride is correct?
सही उत्तर: घ) It must be diluted and never given as an IV push
IV push potassium can cause fatal cardiac arrhythmias, so it is always diluted and infused with a controlled rate. It is not given intramuscularly.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client on furosemide should be monitored mainly for which electrolyte imbalance?
सही उत्तर: क) Hypokalemia
Loop diuretics increase potassium loss in urine, causing hypokalemia that may lead to arrhythmias. Hyperkalemia is a concern with potassium-sparing diuretics like spironolactone.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which ECG change is characteristic of hyperkalemia?
सही उत्तर: क) Tall, peaked T waves
Hyperkalemia produces tall peaked T waves and, if severe, widened QRS and arrhythmias. Prominent U waves are a sign of hypokalemia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which equipment should be kept at the bedside of a client after a thyroidectomy?
सही उत्तर: ग) Tracheostomy set
Swelling, hematoma or laryngeal nerve injury can obstruct the airway after thyroid surgery, so a tracheostomy set is kept ready. The other equipment is unrelated to this surgery.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which set of findings suggests thyroid storm?
सही उत्तर: ख) High fever and marked tachycardia
Thyroid storm is a life-threatening hypermetabolic state with hyperthermia, tachycardia and agitation. Hypothermia and bradycardia describe myxedema coma, the hypothyroid emergency.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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