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

341. A newborn infant has greenish amniotic fluid surrounding the membranes at birth. Which of the following conditions is MOST likely?

     कMeconium aspiration syndrome खCystic fibrosis गGreen Triad घKernig’s sign
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

342. A client experiencing acute anxiety reports feeling like they are going to jump out of a window. The nurse’s FIRST action should be:

     कImmediately restrain the client to prevent self-harm. खOffer the client a sedative medication as prescribed by the physician. गProvide reassurance and encourage the client to focus on their breathing. घAssist the client in visualizing a calming scene.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

343. A nurse is caring for a client who has been diagnosed with psychosis. The client begins to express paranoid thoughts, believing that nurses are deliberately trying to harm them. What is the MOST appropriate initial nursing response?

     कImmediately administer an antipsychotic medication as prescribed. खAttempt to reason with the client and explain that these feelings are irrational. गAcknowledge the client’s fears without validating them, and calmly state that you are there to help. घIgnore the client's statements and focus on providing routine care.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

344. A client admitted for treatment of severe depression reports experiencing delusions of grandeur – believing they are a famous historical figure. Which nursing intervention is BEST suited to address this delusion?

     कChallenge the client's beliefs directly and forcefully, stating that these ideas are not true. खAllow the client to continue expressing their delusional beliefs without interruption, as it’s a coping mechanism. गExplore the client's feelings about their life circumstances while gently acknowledging the delusion. घHelp the client identify past experiences or events that might have contributed to the development of the delusion.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

345. A client diagnosed with bipolar disorder presents with racing thoughts, inflated self-esteem, pressured speech, and a decreased need for sleep. Which of the following nursing actions is MOST crucial in managing this acute manic episode?

     कEncourage the client to engage in stimulating activities to release energy. खMaintain a quiet environment to minimize stimulation and potential impulsivity. गMonitor vital signs closely due to the risk of cardiac complications. घAssist the client with organizing their finances and making important decisions.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

346. A client with Schizophrenia is experiencing auditory hallucinations that are distressing and causing significant anxiety. Which of the following nursing interventions is MOST appropriate FIRST?

     कAdminister a sedative medication as prescribed by the physician. खEncourage the client to identify the source of the hallucination. गProvide reassurance that the hallucinations are not real and will eventually disappear. घHelp the client explore the meaning and significance of the hallucinations.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

347. A patient presenting with persistent delusions of grandeur, racing thoughts, pressured speech, and marked impulsivity is most likely experiencing symptoms associated with which mental health disorder? a) Unipolar Depression b) Generalized Anxiety Disorder c) Schizophrenia Spectrum Disorders d) Post-Traumatic Stress Disorder

     कa) Unipolar Depression खb) Generalized Anxiety Disorder गc) Schizophrenia Spectrum Disorders घd) Post-Traumatic Stress Disorder
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

348. A patient with type 2 diabetes is prescribed metformin for glycemic control. Which dietary recommendation should the nurse emphasize to the patient?

     कIncreased intake of saturated fats खHigh carbohydrate intake, particularly simple sugars गAdequate fiber intake from fruits and vegetables घAvoidance of all carbohydrates
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

349. A patient with chronic heart failure is prescribed furosemide (Lasix). What electrolyte imbalance is the nurse MOST concerned about monitoring in this patient?

     कHypokalemia खHypernatremia गHypercalcemia घHyponatremia
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

350. A healthcare provider orders intravenous ceftriaxone for a patient with pneumonia. The patient reports a known allergy to penicillin. Which of the following actions should the nurse take *first*?

     कAdminister epinephrine as prescribed for anaphylaxis खNotify the healthcare provider immediately regarding the penicillin allergy गCheck the medication’s label carefully for any cross-reactivity information घProvide the ceftriaxone and monitor the patient closely for signs of reaction
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।