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 nurse is teaching a client newly diagnosed with type 1 diabetes about managing their blood glucose levels. Which statement BEST reflects the importance of carbohydrate counting?
सही उत्तर: ख) It helps the client match insulin dosage to carbohydrate intake.
Carbohydrate counting is fundamental in type 1 diabetes as it enables the individual to accurately calculate the insulin needed based on their carbohydrate intake, allowing for better blood glucose control. The other options are inaccurate or misleading.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with severe burns is experiencing uncontrolled shivering, tachypnea (32 breaths/min), and vasoconstriction. The nurse recognizes these signs as indicative of which condition?
सही उत्तर: ख) Hyperthermia
Uncontrolled shivering is a prominent sign of hypothermia in burn patients. Tachypnea and vasoconstriction are compensatory mechanisms for heat loss. Anaphylaxis involves histamine release; shock encompasses multiple causes but doesn't specifically describe the presenting signs.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a client recovering from a surgical incision on their abdomen. The nurse notes signs of redness, warmth, and increased pain at the site. Which intervention should the nurse implement FIRST?
सही उत्तर: घ) Cleanse the wound with sterile saline.
The initial response to a potential infection (like cellulitis) is cleaning the wound and reducing inflammation. Elevating the limb provides support; administering medication doesn't address the underlying cause; applying a cold compress is less effective than proper cleansing.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with chronic heart failure presents with edema in both lower extremities and shortness of breath. The nurse understands that which medication class would be MOST appropriate for immediate relief of symptoms?
सही उत्तर: ग) Diuretics (e.g., furosemide)
Diuretics are the primary medications used to reduce fluid volume and alleviate edema and shortness of breath in patients with heart failure. Insulin is for diabetes; antibiotics treat infections; anticoagulants prevent blood clots.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with bipolar disorder presents in the midst of a manic episode characterized by racing thoughts, pressured speech, inflated self-esteem, and impulsivity. Which environmental setting is MOST crucial to maintain during this phase? a) A quiet, dimly lit room conducive to rest. b) A stimulating environment with opportunities for social interaction and creative expression. c) A structured, predictable environment with clear boundaries and limited stimulation. d) An open space allowing for unrestricted movement and physical activity.
सही उत्तर: घ) d
The correct answer is (c). During a manic episode, the client requires a highly structured and controlled environment to minimize impulsive behaviors and prevent escalation. Options (a), (b) and (d) could potentially exacerbate the manic state.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient recently admitted to an inpatient mental health unit expresses feelings of emptiness and detachment from reality, reporting that nothing seems important or worthwhile. The nurse recognizes this as a potential symptom of which condition? a) Post-Traumatic Stress Disorder (PTSD). b) Major Depressive Disorder. c) Borderline Personality Disorder. d) Obsessive Compulsive Disorder (OCD)
सही उत्तर: ख) b
The correct answer is (b). The described symptoms – emptiness, detachment, lack of motivation - are classic signs of a major depressive episode. Options (a), (c) and (d) have different core presentations.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with severe anxiety is exhibiting restlessness, pacing, and difficulty concentrating. Which of the following interventions would be MOST effective in promoting relaxation and reducing these symptoms? a) Encouraging the patient to engage in vigorous physical exercise. b) Providing a quiet environment with dim lighting and calming music, alongside deep breathing exercises and progressive muscle relaxation techniques. c) Offering the patient a caffeinated beverage to increase alertness and focus. d) Implementing a structured schedule of activities to provide a sense of routine.
सही उत्तर: ख) b
The correct answer is (b). Creating a calming environment combined with relaxation techniques directly addresses the physiological symptoms of anxiety. Options (a), (c) and (d) could potentially exacerbate anxiety.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with diabetes mellitus is being prescribed metformin. What is the main metabolic effect of this medication?
सही उत्तर: ख) Decreases glucose production in the liver
Option 1, ‘Decreases glucose production in the liver,’ is correct. Metformin primarily works by reducing hepatic glucose output (gluconeogenesis) which helps to lower blood glucose levels. Options 2, 3, and 4 are incorrect as they describe alternative mechanisms of action.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient receiving a topiramate prescription for migraine prevention reports experiencing paresthesias (numbness or tingling). What is the most likely reason for this side effect?
सही उत्तर: ग) Neurotransmitter modulation
Option 2, ‘Neurotransmitter modulation,’ is correct. Topiramate's mechanism of action involves modulating neuronal excitability by affecting multiple neurotransmitters, which can manifest as paresthesias as a side effect. Options 1, 3, and 4 do not represent the drug’s primary mechanism or associated effects.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient taking digoxin is monitoring for signs of toxicity. Which electrolyte imbalance is most commonly associated with digoxin toxicity?
सही उत्तर: क) Hypokalemia
Option 0, ‘Hypokalemia,’ is correct. Hypokalemia (low potassium) is the most common electrolyte disturbance that increases the risk of digoxin toxicity by potentiating its negative inotropic effects. Options 1, 2, and 3 represent alternative electrolyte imbalances associated with cardiac conditions.
💬 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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