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 with a potassium level of 3.2 mEq/L is being prescribed spironolactone, a potassium-sparing diuretic. What should the nurse instruct the patient to monitor closely?
सही उत्तर: ख) B) Serum Potassium Levels (Serum Potassium Levels)
Spironolactone increases serum potassium levels. Closely monitoring potassium is critical to prevent hyperkalemia, which can lead to cardiac arrhythmias and other serious complications. The other options are important for overall fluid balance but not specifically related to spironolactone's impact on electrolytes.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with hypertension is prescribed lisinopril, an ACE inhibitor. The nurse anticipates which potential side effect and instructs the client to report it immediately?
सही उत्तर: ख) B) Persistent dry cough (Persistent dry cough)
ACE inhibitors like lisinopril can cause a persistent dry cough due to increased levels of bradykinin in the lungs. This is a common side effect and requires prompt reporting. Appetite changes and weight loss are not typical with this medication.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient receiving intravenous heparin requires monitoring. Which laboratory value would the nurse MOST closely monitor to ensure the effectiveness of the heparin?
सही उत्तर: ख) B) Prothrombin Time/INR (Prothrombin Time/INR)
Heparin is an anticoagulant that acts by inhibiting the coagulation cascade. Monitoring the prothrombin time (PT)/International Normalized Ratio (INR) directly reflects heparin’s effect on this process. The other options are unrelated to heparin's mechanism of action.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is administering morphine intravenously to a patient experiencing severe pain. Which assessment finding would indicate the medication is working effectively?
सही उत्तर: ख) B) Dilated pupils and pinpoint pupils (Dilated pupils and pinpoint pupils)
Morphine’s primary analgesic effect is mediated through opioid receptors. Dilated pupils followed by pinpoint pupils is a classic sign of opioid action, indicating the drug is binding to and activating these receptors. Bradychardia can be a side effect, but doesn't directly indicate effectiveness. Rales are not related to morphine.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client presents with jaundice. Which of the following signs is MOST commonly observed?
सही उत्तर: ग) Yellowish Discoloration of the Skin and Eyes
Jaundice is characterized by the yellowish discoloration of the skin and eyes due to elevated bilirubin levels in the bloodstream. The other options represent signs associated with other conditions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with suspected active pulmonary tuberculosis is admitted to the hospital. Which of the following precautions should the nurse implement?
सही उत्तर: ग) Airborne Precautions
Tuberculosis, especially in its active form, poses a risk of airborne transmission. Airborne precautions (using N95 respirators and negative pressure rooms) are required to prevent this.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with cor pulmonale (right ventricular failure) is experiencing shortness of breath. Which of the following assessment findings would be MOST expected?
सही उत्तर: घ) Hypercapnia
Cor pulmonale leads to pulmonary hypertension, causing right ventricular strain and eventually failure. Hypercapnia (elevated CO2 levels) is a common consequence of impaired gas exchange due to increased resistance.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with stage 3 chronic kidney disease (CKD) is being discharged on a dietary plan. Which of the following restrictions should the nurse instruct the client to adhere to MOST strictly?
सही उत्तर: ग) High Sodium Intake
Clients with CKD, particularly in stage 3, require strict sodium restriction due to fluid retention and hypertension. While protein and potassium are often modified, sodium is the most critical for managing complications like edema and electrolyte imbalances.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client presents to the clinic with symptoms including tremors, rigidity, bradykinesia, and postural instability. Which of the following diagnoses is MOST likely?
सही उत्तर: क) Alzheimer's Disease
Parkinson’s disease is characterized by these classic cardinal signs. The other options present with different neurological symptoms (memory loss, muscle weakness/spasticity, ataxia, and genetic inheritance, respectively).
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is documenting the stage of rigor mortis in a deceased patient. Which statement BEST describes the process?
सही उत्तर: ख) B) The stiffening of skeletal muscles due to phosphagen breakdown and calcium release
Option B is correct. Rigor mortis is characterized by the progressive stiffness of muscles caused by the depletion of ATP (phosphagen), leading to sustained cross-bridge formation and calcium retention within the muscle fibers. The other options describe different stages or aspects of decomposition.
💬 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।