अन्तर्राष्ट्रिय नर्सिङ (NCLEX, DHA, HAAD)

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

191. A nurse is caring for a client with severe heart failure who is experiencing dyspnea. The physician orders oxygen at 2 liters per minute via nasal cannula. Which of the following actions should the nurse take FIRST?

     कMonitor the client’s respiratory rate and effort. खAssess the client’s arterial blood gas (ABG) levels. गEnsure that the oxygen tubing is properly connected and flowing. घAdminister furosemide as prescribed.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

192. A client is recovering from a total hip arthroplasty (THA). Which intervention by the nurse is MOST important to minimize the risk of deep vein thrombosis (DVT)?

     कEncouraging the client to perform active range-of-motion exercises immediately after surgery. खApplying continuous, intermittent compression to the lower extremities. गAdministering prophylactic anticoagulants as prescribed. घMaintaining the client in a Trendelenburg position for 24 hours postoperatively.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

193. A client with chronic kidney failure (CKD) stage 4 presents with edema, shortness of breath, and hypertension. The nurse understands that which laboratory value is MOST directly related to the patient’s fluid volume overload and contributing to their symptoms?

     कSerum Albumin Level खBlood Urea Nitrogen (BUN) गCreatinine Level घPotassium Level
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

194. A patient with severe depression reports feeling overwhelmed by guilt and remorse regarding a past event. Which response from the nurse would be MOST therapeutic? (a) ‘You should try to forgive yourself, it’s what you need to do.’ (b) ‘I can see why you feel this way; many people experience similar feelings of regret.’ (c) ‘Let's focus on developing a plan to prevent future mistakes.’ (d) ‘Your guilt is an indication that you care deeply about others and their well-being.’

     क‘You should try to forgive yourself, it’s what you need to do.’ ख‘I can see why you feel this way; many people experience similar feelings of regret.’ ग‘Let's focus on developing a plan to prevent future mistakes.’ घ‘Your guilt is an indication that you care deeply about others and their well-being.’
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

195. A client diagnosed with schizophrenia is exhibiting auditory hallucinations of voices criticizing their appearance. The nurse's primary goal in this situation should be: (a) To reassure the client that the voices are not real and attempt to directly challenge their content. (b) To provide a quiet, distraction-free environment for the client to minimize stimulation. (c) To explore the content of the hallucinations with empathy and without judgment, focusing on the client’s emotional response. (d) To immediately administer antipsychotic medication as prescribed by the physician.

     कTo reassure the client that the voices are not real and attempt to directly challenge their content. खTo provide a quiet, distraction-free environment for the client to minimize stimulation. गTo explore the content of the hallucinations with empathy and without judgment, focusing on the client’s emotional response. घTo immediately administer antipsychotic medication as prescribed by the physician.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

196. A patient presents to the mental health clinic reporting feelings of hopelessness, worthlessness, and difficulty concentrating for several weeks. Which of the following actions is MOST important for the nurse to implement FIRST? (a) Administer a benzodiazepine to reduce anxiety. (b) Encourage the patient to express their feelings openly and without judgment. (c) Immediately initiate antidepressant medication as prescribed by the psychiatrist. (d) Assess the patient’s current medications and substance use history.

     कAdminister a benzodiazepine to reduce anxiety. खEncourage the patient to express their feelings openly and without judgment. गImmediately initiate antidepressant medication as prescribed by the psychiatrist. घAssess the patient’s current medications and substance use history.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

197. A nurse is assessing a client with abdominal pain. Which of the following sequence best describes the appropriate order for abdominal assessment?

     कPalpate, auscultate, percussion, inspection खInspection, palpation, auscultation, percussion गAuscultation, percussion, inspection, palpation घPercussion, inspection, palpation, auscultation
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

198. A nurse is preparing to apply compression stockings for a patient. What measurement should be used to ensure the correct fit?

     कCircumference of the foot खMid-calf circumference गThigh circumference घUpper arm circumference
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

199. A client with nausea has consumed 300 mL of clear liquid during the past hour. How should the nurse record this fluid intake?

     क150 mL ख300 mL ग450 mL घ600 mL
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

200. To accurately determine an adult client's apical pulse, where should the nurse place the stethoscope?

     कBrachial artery खFemoral artery गApical point of the heart (left sternal border) घRadial artery
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।