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

601. A client is admitted with a diagnosis of acute appendicitis. Which nursing intervention is MOST important at the time of initial assessment?

     कAdminister antibiotics intravenously immediately. खAssess abdominal pain, vital signs, and bowel sounds. गEncourage the client to void regularly. घProvide a clear liquid diet.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

602. A patient is receiving intravenous heparin for deep vein thrombosis (DVT). The nurse observes signs of bleeding, including hematuria. Which action should the nurse take FIRST?

     कAdminister Vitamin K. खNotify the physician immediately and prepare a report. गIncrease fluid intake to promote urine output. घAdminister protamine sulfate as prescribed.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

603. A patient with a diagnosis of congestive heart failure is prescribed furosemide (Lasix). At what time of day should this medication be administered to maximize its diuretic effect?

     कImmediately before bedtime. खWith breakfast, approximately 30 minutes prior to mealtime. गUpon standing in the morning. घAs needed for edema symptoms.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

604. A patient with Alzheimer's disease is prescribed donepezil (Aricept). Which of the following mechanisms of action BEST describes how this medication works?

     कIt blocks neurotransmitters that cause confusion and agitation. खIt stimulates acetylcholine production in the brain. गIt prevents the breakdown of amyloid plaques. घIt directly improves memory formation.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

605. A client with a history of anaphylaxis to penicillin is receiving intravenous antibiotics for an infection. The nurse observes signs of urticaria and difficulty breathing. What is the MOST appropriate immediate nursing action?

     कAdminister epinephrine as prescribed. खIncrease the rate of the intravenous antibiotic infusion. गNotify the physician about the potential allergic reaction. घEncourage the patient to take a deep breath.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

606. A patient is prescribed warfarin for atrial fibrillation. Which dietary recommendation is MOST important for the nurse to educate the patient about?

     कIncrease intake of citrus fruits to enhance vitamin K absorption. खConsume large amounts of leafy green vegetables daily. गMaintain a consistent, moderate intake of fat-rich foods. घAvoid all sources of Vitamin K rich foods.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

607. A postpartum client reports experiencing vaginal leakage several hours after delivery. The nurse observes bright red blood on the bedsheets. Which finding would MOST likely indicate that placental separation has occurred? a) A decrease in uterine tone as assessed by palpation. b) Presence of clots in the vaginal discharge. c) A warm, boggy uterus with a relaxed fundus. d) Increased fetal movements noted during assessment.

     कa) A decrease in uterine tone as assessed by palpation. खb) Presence of clots in the vaginal discharge. गc) A warm, boggy uterus with a relaxed fundus. घd) Increased fetal movements noted during assessment.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

608. A newborn infant is exhibiting signs of neonatal jaundice. The nurse is preparing for phototherapy. Which of the following actions is MOST important? a) Placing the infant in a dark room to reduce melanin production. b) Positioning the infant under a full-spectrum light source at a distance of 60 cm. c) Applying cool compresses to the infant’s skin. d) Restricting breastfeeding to decrease bilirubin levels.

     कa) Placing the infant in a dark room to reduce melanin production. खb) Positioning the infant under a full-spectrum light source at a distance of 60 cm. गc) Applying cool compresses to the infant’s skin. घd) Restricting breastfeeding to decrease bilirubin levels.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

609. A pregnant woman presents with severe abdominal pain, vaginal bleeding, and uterine contractions. Based on these findings, which of the following interventions is MOST appropriate in the initial management? a) Administer intravenous fluids to maintain hydration. b) Initiate magnesium sulfate for seizure prophylaxis. c) Insert a Foley catheter to monitor bladder output. d) Administer oxytocin to induce labor.

     कa) Administer intravenous fluids to maintain hydration. खb) Initiate magnesium sulfate for seizure prophylaxis. गc) Insert a Foley catheter to monitor bladder output. घd) Administer oxytocin to induce labor.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

610. A client with psychosis consistently expresses the belief that strangers are trying to harm them. Which nursing intervention best addresses this delusion? a) Explain that their beliefs are irrational and untrue. b) Help the client identify specific triggers for these thoughts and develop coping strategies. c) Restrict the client's contact with others until the delusions subside. d) Immediately involve law enforcement to ensure the client’s safety and the safety of others.

     कa खb गc घd
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।