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

561. A nurse is caring for a patient exhibiting signs of Delirium – fluctuating alertness, disorganized thinking, and disorientation. Which statement BEST reflects the nurse's approach to managing this patient’s condition?

     कMaintain a regular routine and predictable environment for the patient खEncourage the patient to engage in complex tasks to stimulate cognitive function गProvide the patient with frequent, detailed explanations of care provided घMinimize stimulation and reduce environmental noise
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

562. A client with Alzheimer’s disease repeatedly asks the same questions throughout the day, despite receiving repeated answers. The nurse understands this behavior best described as:

     कWernicke's Aphasia खMemory Distortion गRepetitive Behavior घCognitive Decline
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

563. A patient with a diagnosis of bipolar disorder presents with racing thoughts, inflated self-esteem, and impulsive spending behaviors. Which aspect of the nurse’s assessment is MOST important to document at this time?

     कThe patient's family history of mental illness खThe patient’s current medication regimen and adherence गThe patient’s subjective report of feeling ‘on top of the world’ घThe patient's reported sleep patterns
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

564. A client experiencing acute anxiety expresses feeling ‘totally overwhelmed’ and ‘like I can't breathe.’ Which nursing action demonstrates the most appropriate initial response?

     कAdminister a sedative medication as prescribed by the physician खEncourage the client to engage in deep breathing exercises and relaxation techniques गAsk the client specific questions about their fears to identify the root cause of their anxiety घImmediately move the client to a quieter, less stimulating environment
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

565. A 3-year-old child is diagnosed with iron deficiency anemia. The nurse observes that the child’s skin has a slightly yellowish tint. Which statement BEST describes the significance of this observation?

     कIt indicates an increased production of red blood cells खIt signifies a high level of bilirubin in the bloodstream गIt reflects the body's attempt to compensate for decreased oxygen delivery घIt confirms the presence of jaundice due to rapid cell turnover
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

566. A pregnant woman at 36 weeks gestation complains of severe edema, particularly in her ankles and feet, accompanied by shortness of breath. Her blood pressure is elevated (150/90 mmHg). Based on these findings, what is the MOST important nursing priority?

     कAdminister a diuretic medication as prescribed खEncourage frequent ambulation to promote venous return गRestrict fluid intake to reduce edema घMonitor fetal heart rate for signs of distress
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

567. A newborn infant is admitted to the NICU with suspected hypoglycemia. Initial blood glucose level is 20 mg/dL. Which nursing intervention should be implemented IMMEDIATELY?

     कAdminister intravenous dextrose 25% खOffer expressed breast milk or formula via oral feeding गMonitor urine output closely for signs of dehydration घMaintain strict bed rest to prevent shock
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

568. A 6-month-old infant presents with a fever of 38.5°C (101.3°F), irritability, and poor feeding. Physical examination reveals no obvious source of infection. Which finding is MOST likely to support a diagnosis of bronchiolitis?

     कPresence of crackles in all lung fields खGeneralized edema throughout the body गDecreased respiratory rate accompanied by cyanosis घClear breath sounds with occasional wheezing
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

569. A primiparous (first time) mother at 38 weeks gestation reports experiencing frequent episodes of uterine contractions, each lasting approximately 30 seconds to a minute, and occurring every 10-20 minutes. She denies any vaginal bleeding or rupture of membranes. What is the MOST appropriate initial nursing intervention?

     कAdminister an intravenous injection of oxytocin to strengthen contractions खEncourage the client to rest in a lateral recumbent position गProvide reassurance and monitor fetal heart rate closely घOffer warm blankets to alleviate discomfort
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

570. A client with a new colostomy is demonstrating signs of discomfort. Which of the following nursing interventions would be MOST appropriate?

     कApplying a heavy amount of ointment to the stoma. खCovering the stoma completely with a sterile dressing. गMonitoring the stoma’s appearance for redness, swelling, or discharge. घEncouraging frequent handwashing.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।