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 presents to the mental health clinic reporting persistent feelings of hopelessness, worthlessness, and difficulty experiencing pleasure. They also express a belief that life has no meaning. Based on these symptoms, which diagnostic category would be MOST appropriate to consider first? a) Schizophrenia b) Major Depressive Disorder c) Generalized Anxiety Disorder d) Bipolar I Disorder
सही उत्तर: ख) b) Major Depressive Disorder
Major Depressive Disorder (b) is the most appropriate initial consideration given the client's reported symptoms of hopelessness, worthlessness, and anhedonia. While other diagnoses might be considered later, the core presentation strongly aligns with Major Depressive Disorder criteria. Options a), c), and d) are less likely given the description.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client with pneumonia. Which intervention would be MOST important to promote airway clearance?
सही उत्तर: ख) Encouraging deep breathing and coughing exercises
Deep breathing and coughing exercises effectively mobilize secretions from the airways. The other options are either inappropriate or potentially harmful for this client.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is teaching a client about wound care for a pressure ulcer. Which of the following instructions should the nurse emphasize?
सही उत्तर: ग) Keep the area dry and clean
Daily dressing changes, even if the wound appears unchanged, are crucial for maintaining a sterile environment and preventing infection. The other options represent practices that could potentially harm the healing process.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is documenting a client's assessment. Which documentation style best ensures accuracy and minimizes ambiguity?
सही उत्तर: ग) Objective: Temp 37°C, BP 120/80...
Using an objective documentation style, with clearly stated vital signs and observable data, is the most reliable method. Subjective statements can be influenced by perception while narratives lack specific details.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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When assessing a client’s respiratory status, which of the following findings would indicate potential fluid overload?
सही उत्तर: घ) Crackles (rales) in both lungs
Crackles (rales), indicating fluid accumulation in the small airways, are a classic sign of fluid overload. The other options represent normal or expected findings in healthy respiration.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient has been prescribed diazepam, an antiemetic medication. What is the most likely mechanism by which diazepam relieves nausea and vomiting?
सही उत्तर: ख) Increasing gastric motility to clear the stomach contents
Diazepam is a benzodiazepine that primarily works by blocking dopamine receptors in the CTZ, a key area involved in triggering vomiting. The other options represent alternative mechanisms of action for antiemetic drugs.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing to administer subcutaneous heparin for a deep vein thrombosis (DVT) treatment. Which of the following statements accurately describes the nursing actions related to this medication?
सही उत्तर: ख) Monitor the patient's platelet count frequently
Heparin is an anticoagulant that inhibits clotting. The administration of vitamin K is used to counter heparin-induced thrombocytopenia (HIT), which can occur in patients who receive heparin regularly. Platelet counts are monitored in HIT but not typically with routine heparin administration. Monitoring for osteoporosis is relevant but not a direct nursing action during the initial administration.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with poorly controlled type 2 diabetes mellitus is newly prescribed metformin. Which statement best describes a key consideration when administering metformin to this client?
सही उत्तर: ग) Instruct the patient to immediately discontinue if they experience rapid weight gain
Metformin can cause gastrointestinal side effects, particularly nausea and diarrhea. Taking it with food helps reduce these symptoms. While potassium monitoring is prudent with many diabetes medications, it isn't the primary concern specific to metformin. The other options represent potential or unnecessary considerations.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with severe respiratory distress is receiving naloxone intravenously for opioid overdose. What is the primary pharmacological effect of naloxone that reverses this distress?
सही उत्तर: ख) Blockade of μ-opioid receptors
Naloxone is an opioid receptor antagonist, primarily targeting the μ-opioid receptor. It blocks the effects of opioids by competing for binding at this receptor, reversing respiratory depression and sedation. The other options describe actions of different drug classes.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with chronic hypertension is prescribed lisinopril. The nurse understands that the primary mechanism of action of this medication is to block which enzyme, thereby reducing blood pressure?
सही उत्तर: ख) Angiotensin II
Lisinopril is an ACE inhibitor. It blocks the angiotensin converting enzyme (ACE), preventing the formation of Angiotensin II, a potent vasoconstrictor and stimulator of aldosterone release. The other options represent different drug mechanisms related to blood pressure control.
💬 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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