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

311. A nurse is assessing a client with dehydration and observes the following findings: decreased skin turgor, dry mucous membranes, and orthostatic hypotension. Which finding MOST consistently supports a diagnosis of fluid volume deficit?

     कA) Increased urine output खB) Elevated central venous pressure (CVP) गC) Decreased capillary refill time घD) Positive sodium level
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

312. A patient has been started on a clear liquid diet. Which of the following beverages is MOST appropriate for inclusion?

     कA) Coffee खB) Orange juice गC) Apple cider घD) Clear broth
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

313. A nurse is preparing to perform post-mortem care on a deceased patient. Which of the following actions is MOST appropriate regarding the placement of a pillow under the head?

     कA) To prevent discoloration of the skin from pressure खB) To maintain the natural alignment of the body and support the head’s position गC) To absorb any potential fluids released during decomposition घD) To provide cushioning in case of unexpected movement
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

314. A nurse is assessing a newly admitted patient with heart failure. The patient reports experiencing dyspnea and edema. Which of the following findings would BEST support the diagnosis of fluid volume overload?

     कA) Decreased blood pressure (BP) of 90/60 mmHg खB) Crackles heard in both lung fields upon auscultation गC) Positive (+) result on a sodium level of 148 mEq/L घD) Peripheral edema bilaterally extending to the mid-calf
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

315. A client with severe anxiety presents with physical symptoms such as rapid heart rate, shortness of breath, and muscle tension. The nurse recognizes these are manifestations of the anxiety. Which nursing intervention would BEST manage these acute symptoms?

     कAdminister a benzodiazepine medication as prescribed खEncourage the client to engage in deep breathing exercises गOffer reassurance that everything is okay and that they will be fine घMaintain a neutral and detached demeanor to avoid reinforcing anxiety
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

316. A nurse is caring for a patient with Obsessive-Compulsive Disorder (OCD) who repeatedly washes their hands due to concerns about contamination. Which nursing intervention would be MOST appropriate in this situation?

     कRestrict the patient’s access to handwashing supplies खEncourage the patient to recognize and challenge the irrational thoughts driving the behavior गImmediately interrupt the washing behavior, explaining it is harmful घProvide a structured schedule for handwashing to minimize anxiety
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

317. A client diagnosed with Schizophrenia has expressed paranoid delusions and refuses all medications. Which of the following therapeutic approaches would be MOST beneficial in assisting this client?

     कCognitive Behavioral Therapy (CBT) focused on challenging delusional beliefs खMotivational Interviewing to explore ambivalence about treatment गAssertive Community Treatment (ACT) providing intensive support outside the hospital घDirect Confrontation to demonstrate the illogical nature of their delusions
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

318. A nurse is assessing a patient newly admitted to a psychiatric unit who reports hearing voices and believes they are being watched by unseen entities. Which of the following nursing interventions would be MOST appropriate?

     कImmediately administer an antipsychotic medication as prescribed खAttempt to reason with the patient, explaining that the voices aren't real गMaintain a calm and supportive environment, actively listening to the patient’s experiences घOffer practical assistance with daily tasks to reduce anxiety
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

319. A patient presents to the mental health clinic reporting feelings of hopelessness, worthlessness, and difficulty concentrating for the past several weeks. They admit to experiencing significant changes in appetite and sleep patterns. According to the DSM-5 criteria, which diagnosis is MOST likely being considered?

     कSchizoaffective Disorder खMajor Depressive Disorder गGeneralized Anxiety Disorder घBorderline Personality Disorder
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

320. A mother brings her 6-month-old infant to a clinic visit for routine checkup. During assessment, the nurse observes that the infant has sunken eyes and an enlarged fontanelle. The mother reports that the baby is not eating well. What is the MOST likely diagnosis?

     कMarasmus खKwashiorkor गPyloric Stenosis घCongenital Heart Disease
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।