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 mother reports that her newborn has green amniotic fluid at the time of rupture of membranes (ROM). What does this generally indicate?
सही उत्तर: ख) Exposure to maternal smoking during pregnancy
Greenish amniotic fluid (option 1) is a common finding after ROM, typically caused by bacterial colonization of the vaginal flora that mixes with the fetal urine. This suggests a potential fetal infection. The other options are less likely explanations for green fluid.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A neonate is exhibiting signs of respiratory distress including nasal flaring, retractions, and grunting. Which of the following interventions would be MOST appropriate?
सही उत्तर: ग) Holding oxygen at 2 liters per minute via nasal cannula
Phototherapy with a blue light source (option 2) is the standard initial treatment for neonatal jaundice, utilizing light to break down bilirubin. Caffeine can actually worsen respiratory distress. Oxygen alone may not be sufficient, and monitoring blood glucose is important but doesn't directly address the respiratory issue.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman reports experiencing irregular menstrual cycles, increased urinary frequency, and fatigue. Based on these symptoms, what is the most likely diagnosis?
सही उत्तर: ख) Pre-eclampsia
Pre-eclampsia (option 1) is characterized by hypertension and proteinuria, frequently presenting with the reported symptoms of irregular cycles, frequent urination, and fatigue. The other options are less likely given this constellation of symptoms – gestational diabetes often presents with increased thirst and hunger, placenta previa involves bleeding, and normal pregnancy symptoms are typically milder and less widespread.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient diagnosed with Schizophrenia is experiencing auditory hallucinations of voices criticizing their appearance. Which therapeutic approach would be MOST effective in addressing these symptoms?
सही उत्तर: ख) Cognitive Behavioral Therapy (CBT) focused on challenging delusional beliefs
CBT is specifically designed to help individuals challenge and modify distorted thought patterns, making it the most appropriate choice for addressing delusions. While medication is important, CBT directly targets the symptom. Social engagement and routine offer support but don’t address the core delusion.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client presents to the mental health clinic reporting persistent feelings of sadness, hopelessness, and difficulty concentrating for the past six months. Which of the following is the MOST appropriate initial nursing intervention?
सही उत्तर: घ) Provide active listening, empathy, and offer resources for mental health support
The most appropriate initial step is to provide supportive care and connect the client with resources. This aligns with standard mental health nursing practice. The other options – benzodiazepines (risking sedation), exercise/diet (helpful adjuncts but not primary), and medication review – are important, but less immediate than offering support.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with cirrhosis presents with ascites. Which intervention would be *most* appropriate for the nurse to implement?
सही उत्तर: घ) Encourage fluid restriction to 1-2 liters per day
Option 3, ‘Encourage fluid restriction to 1-2 liters per day’, is most appropriate in this scenario. Reducing overall fluid intake will help alleviate ascites. The other options—sodium bicarbonate, cold compresses, and elevating the bed—are either contraindicated or unlikely to significantly reduce fluid accumulation associated with cirrhosis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client with severe dehydration following a diarrheal illness. Which assessment finding would *most* indicate that fluid replacement therapy is working effectively?
सही उत्तर: क) Decreased urine output
Option 0, ‘Stable Heart Rate’ and ‘Decreased Urine Output’ are the most indicative of successful fluid replacement. The client's heart rate will become more stable as volume returns to normal, and decreased urine output is a sign that sufficient fluids are being reabsorbed into the circulation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with chronic obstructive pulmonary disease (COPD) reports a feeling of tightness in their chest and shortness of breath. Which nursing intervention would be *most* appropriate to assist this patient?
सही उत्तर: ग) Instruct the patient to perform pursed-lip breathing
Option 2 is incorrect. Option 3, ‘instruct the patient to perform pursed-lip breathing,’ is the most appropriate intervention for a COPD patient experiencing shortness of breath. Pursed-lip breathing helps reduce air trapping and promotes more effective exhalation. While incentive spirometry and oxygen are supportive interventions, pursed-lip breathing addresses the underlying issue of trapped air.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient post-operative following an abdominal hysterectomy experiences significant pain. The physician orders morphine 2mg IV every 4 hours as needed. Which of the following actions should the nurse *most carefully* monitor?
सही उत्तर: ग) The client’s level of consciousness and ability to ambulate
Option 2 (the client’s level of consciousness and ability to ambulate) is the most critical. Morphine can cause significant central nervous system depression, leading to drowsiness, confusion, and impaired mobility. While monitoring respiratory rate, blood pressure, and urine output are important for post-operative patients, they aren't the primary concern when morphine administration is suspected of causing adverse effects.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents to the emergency department with sudden onset right-sided weakness, slurred speech, and facial droop. Based on these symptoms, what is the *initial* priority nursing intervention?
सही उत्तर: क) Administer oxygen via nasal cannula at 2L/min
The correct answer (0) is ‘Establish intravenous access and initiate cardiac monitoring’ as these symptoms strongly suggest acute ischemic stroke, where rapid intervention with thrombolytics like alteplase (tPA) is crucial. The other options are either premature interventions or inappropriate for the immediate presentation. Aspirin is not indicated initially, a CT scan is to rule out hemorrhage, and oxygen is supportive but doesn't address the primary condition.
💬 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।
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