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 client is receiving intravenous morphine for pain management. Which observation by the nurse would most immediately indicate a potential adverse effect?
सही उत्तर: ख) “The client’s respiratory rate remains at 16 breaths per minute.”
Option 1 is correct because morphine can depress the central nervous system, leading to slowed or shallow respiration. This finding requires immediate attention. Options 2, 3, and 4 are less critical immediate concerns; a decrease in pain, nausea/vomiting, and flushed skin may be expected side effects but don’t represent an imminent risk.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with hypertension is prescribed lisinopril. Which statement by the patient demonstrates an understanding of the medication’s purpose?
सही उत्तर: क) “I will monitor my blood pressure regularly at home.”
Option 0 is correct because lisinopril is an ACE inhibitor used to lower blood pressure by relaxing blood vessels. The other options suggest incorrect behaviors or dietary recommendations that would undermine the drug's effect. Option 1 is incorrect as diuretics and lisinopril are often used together but should not be taken simultaneously without doctor approval. Options 2 and 3 are incorrect because a high-sodium diet counteracts the medication’s purpose, and taking medication with food does not change its mechanism of action.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is teaching a client newly diagnosed with type 1 diabetes about insulin administration. Which statement BEST demonstrates effective teaching?
सही उत्तर: क) ‘You should always check your blood glucose before giving yourself insulin.’
Option 0 is correct. Regular blood glucose monitoring is a cornerstone of type 1 diabetes management and dictates the insulin dose needed. Options 1 & 2 are common misconceptions, option 3 encourages inappropriate self-adjustment, and option 4 negates the need for vigilant monitoring.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client following a colectomy for colon cancer reports experiencing urgency and frequent small amounts of stool throughout the day. Which nursing intervention is MOST important at this time?
सही उत्तर: घ) Recommend a referral to a physical therapist for pelvic floor muscle training.
Option 3 is correct. The client is likely experiencing early manifestations of incontinence post-colectomy, and pelvic floor muscle training is often recommended as a non-pharmacological intervention. Options 1, 2 & 4 are supportive measures but don't directly address the underlying issue.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client with heart failure experiencing pulmonary edema. Which assessment finding would MOST likely indicate successful treatment?
सही उत्तर: ख) Decreased breath sounds in the lower lobes of both lungs.
Option 1 is correct. Decreased breath sounds in the lower lobes indicate that fluid has shifted out of the alveoli with treatment. Options 2, 3 and 4 are indicative of worsening heart failure.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client recovering from a total hip arthroplasty (THA) is experiencing increased pain with hip flexion. Which nursing intervention would be MOST appropriate at this time?
सही उत्तर: ग) Administer analgesics as prescribed by the physician.
Option 2 is correct. The client's pain with hip flexion indicates inflammation and muscle guarding. Analgesics are the immediate intervention to manage this acute pain response. Option 1 is premature as passive ROM could exacerbate the discomfort, option 3 would need physician’s order, and option 4 conflicts with recovery protocols.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with a Stage II pressure ulcer on their sacrum is being treated with frequent padding, moisture management, and nutritional support. Which intervention would be MOST important for the nurse to implement to promote continued healing?
सही उत्तर: क) Administer prophylactic antibiotics as prescribed by the physician.
Option 0 is correct. Addressing the underlying nutritional deficiency (protein, vitamins) is crucial for ulcer healing. The other options are supportive measures but don't directly address the primary cause of the ulcer. Options 1 and 2 are important aspects of care, but not the *most* important in promoting healing. Option 3 is good practice, but doesn’t target the root problem.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following is the MOST accurate description of palliative care? a) A cure for a disease. b) Providing comfort and supportive care to patients and their families facing serious illness, focusing on quality of life. c) Focusing solely on aggressive treatment to prolong life. d) Primarily offering physical therapy interventions.
सही उत्तर: ख) b) Providing comfort and supportive care to patients and their families facing serious illness, focusing on quality of life.
Palliative care prioritizes symptom management, emotional support, and enhancing the patient's quality of life during a serious illness. Option (a) describes curative care; (c) represents aggressive medical intervention, and (d) is associated with rehabilitation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is educating a client about the importance of proper foot care for individuals with diabetes mellitus. Which of the following instructions should the nurse include? a) Applying lotion to the feet daily. b) Inspecting the feet regularly for blisters or sores and cleaning them with warm water and mild soap. c) Wearing sandals outdoors at all times. d) Covering the feet with waterproof bandages.
सही उत्तर: ख) b) Inspecting the feet regularly for blisters or sores and cleaning them with warm water and mild soap.
Regular inspection and gentle cleansing are crucial in preventing infections, a major concern for clients with diabetes. (a) can trap moisture; (c) provides no protection; and (d) restricts air circulation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is documenting a client's wound care. The wound drainage is clear, odorless, and serous. Which descriptive term BEST characterizes this type of drainage? a) Serosanguineous b) Purulent c) Sanguinous d) Fibrous
सही उत्तर: क) a) Serosanguineous
Serosanguineous drainage is clear or slightly cloudy and contains a small amount of blood. This aligns with the description provided in the question. (b) denotes pus, (c) is bright red blood, and (d) refers to tissue formation.
💬 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।