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

431. A client diagnosed with bipolar disorder is experiencing manic symptoms including pressured speech and inflated self-esteem. What intervention would be MOST helpful in this scenario?

     कEncourage the client to engage in quiet, solitary activities. खLimit the client’s contact with others to reduce stimulation. गProvide a structured routine with regular sleep schedules. घAllow the client to express their feelings freely without interruption.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

432. A patient with delusional thinking about being poisoned insists that the water in their bedpan is contaminated. What is the nurse’s BEST course of action?

     कImmediately remove the bedpan and offer the patient a glass of water. खAllow the patient to continue drinking water, documenting the behavior. गExplain calmly that the water is safe and discuss possible causes for the delusion. घContact security personnel to restrain the patient.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

433. A client experiencing acute psychosis states, ‘They’re watching me! I can feel their eyes on my back.’ The nurse's initial response should focus on:

     कImmediately restraining the client to prevent harm to themselves or others. खValidating the client's feelings and attempting to determine the source of the perceived threat. गAdministering an antipsychotic medication as prescribed by the physician. घSuggesting the client needs more sleep.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

434. A patient with severe anxiety presents with significant muscle tension, restlessness, and difficulty concentrating. Which intervention would be MOST appropriate for this client?

     कAdminister a benzodiazepine as prescribed. खEncourage regular aerobic exercise and relaxation techniques. गProvide a quiet environment free from distractions. घOffer the client a strong cup of caffeinated tea.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

435. A 2-year-old child presenting with jaundice has been receiving phototherapy for 24 hours. The nurse observes that the infant's total serum bilirubin level is decreasing, but the indirect bilirubin level remains elevated. What does this finding suggest? a) The phototherapy is not effective. b) The infant is effectively excreting bilirubin through the skin. c) The infant is producing more conjugated bilirubin. d) The infant needs a higher intensity of phototherapy.

     कa) The phototherapy is not effective. खb) The infant is effectively excreting bilirubin through the skin. गc) The infant is producing more conjugated bilirubin. घd) The infant needs a higher intensity of phototherapy.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

436. A nurse is assessing a newborn with cephalhematoma. Which of the following findings would *most* support this diagnosis? a) Palpable, firm mass located over the parietal eminence. b) A boggy, reducible mass felt just below the scalp. c) A hard, fixed mass that does not change with movement. d) Generalized edema surrounding the affected area.

     कa) Palpable, firm mass located over the parietal eminence. खb) A boggy, reducible mass felt just below the scalp. गc) A hard, fixed mass that does not change with movement. घd) Generalized edema surrounding the affected area.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

437. A 6-month-old infant presents with a persistent cough and signs of respiratory distress. The nurse suspects bronchiolitis. What is the *most* important nursing intervention to promote airway clearance? a) Administering nebulized bronchodilators as prescribed. b) Elevating the head of the bed and providing humidified air. c) Encouraging frequent breastfeeds to increase mucus clearing. d) Applying warm compresses to the infant’s chest.

     कa) Administering nebulized bronchodilators as prescribed. खb) Elevating the head of the bed and providing humidified air. गc) Encouraging frequent breastfeeds to increase mucus clearing. घd) Applying warm compresses to the infant’s chest.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

438. A postpartum client reports experiencing significant vaginal bleeding following a vaginal birth. Assessment reveals hematuria. The nurse understands that this presentation most likely indicates: a) Placenta accreta. b) Uterine atony. c) Postpartum hemorrhage due to retained placental fragments. d) Endometriosis.

     कa) Placenta accreta. खb) Uterine atony. गc) Postpartum hemorrhage due to retained placental fragments. घd) Endometriosis.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

439. A newborn infant is exhibiting signs of respiratory distress including nasal flaring, retractions, and grunting. The nurse assesses a temperature of 38.7°C (101.6°F) rectally. Which nursing intervention is the *most* appropriate at this time? a) Encourage frequent feedings to stimulate bowel movements. b) Administer acetaminophen for fever. c) Provide supplemental oxygen via nasal cannula. d) Assess fetal heart rate continuously.

     कa) Encourage frequent feedings to stimulate bowel movements. खb) Administer acetaminophen for fever. गc) Provide supplemental oxygen via nasal cannula. घd) Assess fetal heart rate continuously.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

440. A nurse is teaching a client how to use an incentive spirometer. Which instruction is MOST important?

     कA) Instruct the client to hold their breath for 10 seconds after each inspiratory cycle खB) Encourage the client to exhale completely before beginning the inspiratory cycle गC) Advise the client to maintain a continuous flow of air throughout the inspiratory cycle घD) Instruct the client to use the incentive spirometer only when feeling short of breath
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।