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
-
A nurse is documenting the findings of a client's skin assessment. The nurse observes that there’s a red, shiny area with minimal edema and a well-defined border on the sacrum. According to the Braden Scale, what is the MOST likely stage of this pressure injury?
सही उत्तर: ख) Stage 2
Option 1 is correct. Stage 2 pressure injuries involve partial tissue loss with exposed subcutaneous fat and/or granulation tissue. The description closely matches this criterion. Stages 3 and 4 represent significant tissue destruction, absent of the features described.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A client with diabetes mellitus is experiencing signs and symptoms of hypoglycemia (sweating, tremors, confusion). The nurse administers 75 mg of oral glucose. After 15 minutes, the client’s symptoms are worsening. What should the nurse do NEXT?
सही उत्तर: घ) Monitor the client's blood glucose level
Option 3 is correct. Monitoring the blood glucose levels (BSL) is crucial to determine if the initial dose was effective and guide further intervention. While notifying the physician is important long-term, immediate BSL measurement takes precedence in this scenario.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A nurse is preparing to administer medication via subcutaneous injection to a client. Which of the following actions demonstrates best practice?
सही उत्तर: ग) Palpating for the largest vein before injecting
Option 2 is correct. Palpation helps identify the subcutaneous tissue and minimize discomfort by targeting the smaller vessels. Option 1 creates pain and potential skin damage, option 3 increases the risk of bleeding, and option 4 does not have a scientifically supported benefit.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A client is being discharged from the hospital after undergoing a total hip replacement. The nurse reviews discharge instructions focusing on mobility. Which of the following statements by the client indicates an understanding of safe ambulation?
सही उत्तर: घ) ‘I will gradually increase my walking distance each day’
Option 3 is correct. Gradual increases in activity are key to rehabilitation after surgery. Option 1 suggests inappropriate footwear, option 2 indicates reliance on others which hinders independence, and option 3 isn't a safe strategy for mobility post-op.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A nurse is assessing a newly admitted patient with pneumonia. The patient reports experiencing significant shortness of breath, a productive cough with clear sputum, and mild cyanosis. Which of the following interventions would be MOST appropriate for the nurse to implement initially?
सही उत्तर: क) Administer oxygen via nasal cannula at 2L/min
Option 0 is correct. Oxygen administration is the most immediate intervention for cyanosis associated with pneumonia, addressing the primary respiratory distress. The other options are less responsive to the patient’s acute symptoms – rest can worsen hypoxemia, a high-carbohydrate diet isn't directly beneficial for this presentation, and aggressive IV fluids could overload the circulatory system.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A 75-year-old client with a history of atrial fibrillation is prescribed digoxin (Lanoxin). The nurse knows that which electrolyte imbalance is MOST closely associated with an increased risk of digoxin toxicity?
सही उत्तर: क) Hypokalemia (low potassium)
Digoxin toxicity is significantly exacerbated by low potassium levels. Low potassium potentiates the drug's effect on the cardiac conduction system increasing the risk of arrhythmias. The other options contribute to altered cardiac function but are not as directly linked to digoxin’s mechanism.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A nurse administering a medication order for a client requires careful assessment. What does 'PRN' on an order signify?
सही उत्तर: घ) Patient Reported Needs
‘PRN’ stands for ‘pro re nata’, which is Latin for “as needed.” It indicates that the medication should be administered by the nurse's judgement based on the patient’s symptoms and condition. The other options represent misinterpretations of the abbreviation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A client taking metoprolol (a beta-blocker) for hypertension reports feeling cold and clammy. Which nursing intervention is MOST appropriate?
सही उत्तर: घ) Monitor the client's blood pressure for signs of hypotension
Metoprolol’s primary action is vasoconstriction, leading to decreased peripheral blood flow and resultant coldness. Clammy skin indicates excessive sweating as the body attempts to regulate temperature. Monitoring vital signs is crucial in this scenario.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A patient diagnosed with hypertension is prescribed lisinopril (Prinivil). The nurse understands that a common side effect of this medication is dry cough. What is the primary physiological reason for this adverse effect?
सही उत्तर: ग) Lisinopril inhibits the production of prostaglandins in airway smooth muscle
Lisinopril, an ACE inhibitor, blocks the conversion of angiotensin I to angiotensin II. This reduces vasoconstriction and consequently decreases smooth muscle contraction in the airways, leading to a dry cough. The other options represent incorrect pathways regarding its mechanism of action.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A nurse is reviewing the medication profile of a patient who recently started atorvastatin (Zocor) for hypercholesterolemia. The physician has ordered a low-sugar diet. Which dietary restriction is MOST important for this client to adhere to?
सही उत्तर: ख) Avoid all fruit juices due to potential interactions
High-sugar juices can interfere with the efficacy of statins like atorvastatin by increasing glucose levels, potentially leading to muscle breakdown. The most critical dietary restriction is minimizing sugar intake to maximize the drug's effect. Consuming citrus fruits has no direct impact and dairy restrictions are less relevant than reducing sugars.
💬 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।