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 patient has been prescribed a benzodiazepine for anxiety. Which of the following actions would be MOST appropriate to minimize the risk of respiratory depression? a) Administering a full glass of water with each dose. b) Monitoring the patient's vital signs, especially respiratory rate and depth. c) Encouraging frequent physical activity throughout the day. d) Prescribing the benzodiazepine in combination with an opioid analgesic.
सही उत्तर: ख) b
Option B is correct. Benzodiazepines can depress the central nervous system, potentially leading to respiratory depression. Continuous monitoring of vital signs, particularly respiratory rate and depth, allows for timely intervention if a patient becomes compromised. Options A, C and D are not primary safety measures.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient diagnosed with hypertension is prescribed lisinopril (an ACE inhibitor). Which of the following laboratory findings would be MOST closely monitored in this patient? a) Serum Calcium Levels b) Serum Potassium Levels c) Serum Creatinine Levels d) Serum Albumin Levels
सही उत्तर: ग) c
Option B is correct. ACE inhibitors like lisinopril can cause hyperkalemia (elevated potassium levels) due to their effect on the renin-angiotensin-aldosterone system, which inhibits potassium excretion. Monitoring serum potassium is therefore paramount. Options A, C and D are not typically directly impacted by ACE inhibitor use.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient is receiving intravenous heparin for deep vein thrombosis (DVT). Which of the following laboratory tests would be MOST important to monitor regularly to assess the risk of heparin-induced thrombocytopenia (HIT)? a) Complete Blood Count (CBC) b) Prothrombin Time/International Normalized Ratio (PT/INR) c) Serum Electrolytes d) Liver Function Tests (LFTs)
सही उत्तर: ख) b
Option B is correct. PT/INR monitoring is crucial in patients receiving heparin as it directly assesses the anticoagulant effect of heparin and can detect a decrease in platelet count, a key indicator of HIT. CBC checks for thrombocytopenia but doesn’t directly monitor heparin effects. LFTs and Electrolytes are not primarily used for HIT assessment.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with chronic obstructive pulmonary disease (COPD) is prescribed salmeterol. Salmeterol's primary action in this patient’s condition is to: a) Directly relax the smooth muscles of the bronchi. b) Prolong the opening of the airways by inhibiting beta-2 adrenergic receptors. c) Reduce inflammation within the airways. d) Increase mucus clearance from the lungs.
सही उत्तर: ख) b
Option B is correct. Salmeterol is a long-acting beta-2 agonist (LABA), which specifically acts on beta-2 adrenergic receptors in the smooth muscle of the bronchioles, leading to bronchodilation and prolonged airway opening. Options A and C describe different mechanisms not directly associated with salmeterol’s typical use in COPD. Option D describes the action of a mucolytic drug.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 36 weeks gestation reports experiencing intermittent contractions that are irregular and not progressing. Based on these findings, which of the following is the nurse’s MOST appropriate action? a) Encourage the woman to rest and hydrate. b) Assess fetal heart rate and uterine activity continuously. c) Administer an antispasmodic medication. d) Initiate intravenous fluids immediately.
सही उत्तर: ख) b
The correct answer is (b). Irregular, non-progressing contractions at 36 weeks can indicate preterm labor. Continuous monitoring of fetal heart rate and uterine activity is crucial to assess the progression of labor and determine whether interventions are needed (induction or augmentation). Options a, c, and d are inappropriate responses in this initial assessment phase.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a patient with bipolar disorder who reports feeling extremely elated and energetic for the past 3 days. Which intervention should the nurse prioritize?
सही उत्तर: ग) Monitor the patient closely for signs of rapid cycling or psychosis.
Monitoring closely for rapid cycling or psychosis (option 2) is paramount during a manic episode. The patient’s heightened state could rapidly progress to a more severe condition, necessitating immediate intervention and careful observation. While other interventions are relevant later, safety assessment comes first.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with psychosis is consistently hearing voices that tell them they are being persecuted. Which intervention would be MOST beneficial in addressing this delusion?
सही उत्तर: ख) Engage in a collaborative reality orientation technique, gently reminding the client of their surroundings.
Gently reminding the client of their surroundings (option 1) is a reality orientation technique. While it's important not to dismiss the patient’s experience, gently correcting inaccurate perceptions can help reduce the impact of the delusion. Directly confronting the belief or simply reassuring them aren't effective strategies.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client with severe depression who expresses suicidal ideation. What is the MOST important initial nursing action?
सही उत्तर: क) Immediately implement crisis intervention protocols, including seclusion if necessary.
The most crucial initial action is implementing crisis intervention (option 0) - this includes assessing for intent, plan, and access to means. While other options are important aspects of care, immediate safety assessment is paramount in suicidal ideation. The patient’s life takes priority.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient experiencing acute mania presents with pressured speech, racing thoughts, and significant agitation. Which environmental modification would MOST effectively reduce the patient’s distress?
सही उत्तर: ख) Provide a quiet, dimly lit room with minimal distractions.
Providing a quiet, dimly lit room (option 1) is the most effective intervention for a manic patient. The patient’s heightened sensory input and agitation are exacerbated by bright lights and noise. The other options would likely worsen their condition.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient diagnosed with Schizophrenia exhibits disorganized thinking and tangential speech. Which nursing intervention is MOST appropriate?
सही उत्तर: क) Administer antipsychotic medication as prescribed without further assessment.
The most appropriate intervention is maintaining a calm environment and allowing free expression (option 0) because disorganized thinking and tangential speech are common in schizophrenia. The other options represent interventions that could exacerbate symptoms or are not evidence-based for managing these behaviors. Restraints should be a last resort.
💬 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।
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