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 nurse is assessing a client with suspected dehydration. Which of the following findings would MOST strongly support this diagnosis?
सही उत्तर: ख) Decreased skin turgor
The correct answer is ‘Decreased skin turgor.’ This is a classic physical sign of dehydration. Increased capillary refill time and bounding pulses can indicate volume overload or other conditions. Clear, pale urine output is not necessarily indicative as it could be normal for some patients.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a newborn infant. Which of the following findings would indicate healthy gestational maturation?
सही उत्तर: ग) Pink skin color over the body
The correct answer is ‘Pink skin color over the body.’ This is a classic sign of healthy gestational development in newborns. The other options – bright red membranes, cyanosis, and yellow sclerae – indicate potential abnormalities requiring further investigation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client is admitted with pneumonia. Which nursing intervention is MOST important at the initial assessment? a) Administering antibiotics immediately. b) Assessing breath sounds and respiratory rate. c) Obtaining a detailed history of the client’s symptoms. d) Initiating intravenous fluids.
सही उत्तर: ख) b
The most crucial initial step in assessing a pneumonia patient is to evaluate their breathing – listening for breath sounds and monitoring respiratory rate. This directly addresses the primary concern of impaired gas exchange due to infection. Option (a) is premature before assessment; (b) is correct but less critical than direct breath assessment; (c) is important, but secondary to immediate respiratory needs; (d) may be necessary later, but not initially.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient receiving intravenous heparin develops signs of bleeding. Which laboratory test should be performed *immediately* to determine the cause and guide treatment?
सही उत्तर: ग) C) Coagulation studies, including a PT/INR and PTT.
Option (2) is correct. Coagulation studies, particularly the PTT (partial thromboplastin time), are most sensitive to heparin's anticoagulant effects. A prolonged PTT indicates excessive heparin activity. (A) provides a general picture of blood cells but doesn’t directly measure the effect of heparin. (B) and (D) are relevant in other bleeding situations, but aren’t the priority for heparin overdose.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient is prescribed a medication that contains an enteric coating. Why is it crucial to avoid crushing or chewing the tablet before ingestion?
सही उत्तर: ग) C) The enteric coating shields the drug from degradation by stomach acid and digestive enzymes.
Option (2) is correct. Enteric coatings are designed to resist dissolution in the acidic environment of the stomach, protecting the drug itself from breakdown while allowing it to dissolve and be absorbed in the more alkaline environment of the small intestine. Option (A) describes protection for the stomach, not the drug; (B) is incorrect about the mechanism; (D) is a potential side effect, but not the primary reason.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with symptoms of edema and requires diuretic therapy. The physician orders furosemide. Which time of day would be most appropriate to administer this medication to minimize the risk of electrolyte imbalances?
सही उत्तर: घ) D) Midday, six hours after breakfast.
Option (3) is correct. Furosemide's action is significantly influenced by food intake. Taking it 2-3 hours after a meal reduces the likelihood of GI absorption and subsequent electrolyte shifts—specifically potassium loss—which are common side effects of this drug. Option (A) increases risk, (B) could cause dehydration with diuretic effect, (D) might be too late for full effect.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with chronic obstructive pulmonary disease (COPD) is prescribed a long-acting beta2 agonist inhaler (LABA) and a long-acting muscarinic antagonist (LAMA) inhaler. Which of the following statements best explains the rationale for using both medications simultaneously?
सही उत्तर: ख) B) Both medications work synergistically to dilate the bronchioles and improve airflow.
The correct answer is (1). LABAs relax bronchial smooth muscles, increasing airflow, while LAMAs block muscarinic receptors that constrict airways. The combination provides more effective bronchodilation and improved airflow than either medication alone. Option (A) is incorrect because mucociliary clearance is primarily related to cilia function, not LABAs. Option (C) describes separate mechanisms; option (D) misattributes the effect of LABAs.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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When obtaining an adult's apical pulse, where should the nurse typically place the stethoscope?
सही उत्तर: ग) C) On the brachial artery
Option B is correct. The carotid artery is commonly used to obtain the apical pulse as it’s easily accessible and close to the chest. Radial, brachial, and placing the stethoscope directly on the heart are not standard for apical pulse measurement.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is teaching a client how to administer insulin via subcutaneous injection. Which learning domain does this activity primarily address?
सही उत्तर: ग) C) Affective Domain – understanding the rationale for treatment
Option B is correct as teaching a client to inject insulin involves practicing a motor skill. Options A and C address knowledge, while option D focuses on perception which isn’t the primary focus of this instruction.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient has sustained a sprain to their right ankle. Which of the following interventions is MOST appropriate for the initial 24-48 hours?
सही उत्तर: घ) D) Applying ice packs for 20 minutes at a time
Option D is correct as applying ice packs is a standard initial treatment for acute ankle sprains due to its vasoconstrictive effect which reduces inflammation. Options A, B, and C are less appropriate – heat can worsen swelling, casts restrict movement unnecessarily initially, and massage can stimulate more inflammation.
💬 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।