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

651. A patient is receiving intravenous morphine for pain management. Which finding would indicate the nurse should immediately notify the physician?

     कMild nausea (हल्का उल्टी) खDecreased blood pressure (रक्तचाप कमी भएको) गIncreased respiratory rate (श्वसन दर बढ्यो) घPatient reports a restful sleep (मरीज आरामदायी निद्रामा छन्)
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

652. A client with heart failure is prescribed spironolactone. Which electrolyte abnormality should the nurse monitor closely for in this patient?

     कPotassium (पोटेशियम) खCalcium (कल्सियम) गMagnesium (मग्नेस्यियम) घSodium (सोडियम)
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

653. A patient with severe anxiety is experiencing a panic attack characterized by rapid breathing, chest tightness, and intense fear. The nurse’s MOST immediate priority should be:

     कA) Administering a sedative medication to quickly reduce the physiological symptoms. खB) Encouraging the patient to focus on their breathing and relaxation techniques. गC) Providing reassurance that the attack is harmless and will soon pass. घD) Performing a thorough assessment of the patient’s medical history.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

654. A client with dementia consistently expresses confusion regarding time and place. The nurse observes the client repeatedly asking 'Where am I? What time is it?' and becomes disoriented in the environment. This behavior BEST illustrates which cognitive impairment?

     कA) Acute confusional state due to infection. खB) Transient global amnesia related to stress. गC) Persistent disorientation related to dementia. घD) Delirium caused by medication side effects.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

655. A client with bipolar disorder experiences an elevated mood, increased energy, racing thoughts, and impulsive spending. Which of the following interventions would be MOST appropriate for the nurse to implement?

     कA) Encourage the patient to engage in regular aerobic exercise to reduce agitation. खB) Implement a structured routine and limit access to financial resources. गC) Provide support during the episode and encourage seeking professional evaluation for possible medication adjustments. घD) Immediately initiate antipsychotic medication to stabilize mood.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

656. A patient diagnosed with Schizophrenia is consistently expressing paranoid thoughts, believing that nurses are deliberately trying to harm him. Which of the following interventions would be MOST appropriate for the nurse to implement?

     कA) Encourage the patient to challenge these thoughts by asking him direct questions about his concerns. खB) Immediately administer a benzodiazepine to reduce anxiety and agitation. गC) Maintain a calm, empathetic approach while carefully observing the patient’s behavior and ensuring personal safety. घD) Refer the patient immediately for psychiatric hospitalization without further assessment.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

657. A patient presents to the mental health clinic expressing feelings of profound hopelessness and worthlessness, stating they 'can’t see any point in continuing.' According to the DSM-5 criteria for Major Depressive Disorder, which of the following BEST describes this patient's presentation?

     कA) Psychotic episode with hallucinations and delusions of grandeur. खB) Persistent depressive disorder with prominent feelings of sadness and loss of interest. गC) Generalized anxiety disorder characterized by excessive worry and restlessness. घD) Substance-induced mood disorder due to recent alcohol consumption.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

658. A pregnant woman at 28 weeks gestation reports experiencing severe headache, blurred vision, and swelling of her hands and face. A urinalysis reveals elevated protein levels. Which condition is the nurse MOST concerned about? a) Gestational diabetes. b) Pre-eclampsia. c) Eclampsia. d) Hyperemesis gravidarum.

     कa) Gestational diabetes. खb) Pre-eclampsia. गc) Eclampsia. घd) Hyperemesis gravidarum.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

659. A 6-week old infant is brought to the clinic for follow up after being born prematurely. The nurse observes that the infant's skin appears excessively dry, and the mother reports difficulty with the infant’s feeding and frequent crying. Which action should the nurse take FIRST? a) Provide frequent small feedings. b) Assess the infant's temperature to rule out hypothermia. c) Offer a warm formula to increase caloric intake. d) Encourage breastfeeding by positioning the baby in a more upright position.

     कa) Provide frequent small feedings. खb) Assess the infant's temperature to rule out hypothermia. गc) Offer a warm formula to increase caloric intake. घd) Encourage breastfeeding by positioning the baby in a more upright position.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

660. A newborn infant immediately following birth has a large, firm, nontender swelling on the vertex (top) of the head. This swelling is causing slight discomfort to the infant but does not interfere with feeding or breathing. What is the MOST likely diagnosis? a) Cephalohaematoma. b) Caput succedaneum. c) Subgaleal haematoma. d) Scalp hematoma.

     कa) Cephalohaematoma. खb) Caput succedaneum. गc) Subgaleal haematoma. घd) Scalp hematoma.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।