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

671. A client with cirrhosis is complaining of nausea and early satiety. Which nursing intervention would be MOST appropriate?

     कA) Encourage the client to eat small, frequent meals. खB) Administer antiemetic medication as prescribed. गC) Provide a high-protein diet to promote wound healing. घD) Restrict fluid intake to prevent ascites formation.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

672. A client with heart failure is prescribed furosemide (Lasix). Which nursing assessment finding would warrant immediate notification of the physician?

     कA) Mild peripheral edema. खB) Potassium level of 3.8 mEq/L. गC) An order for a urine output of 20-30 ml per hour. घD) Blood pressure of 130/80 mmHg.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

673. A nurse is caring for a client with a deep vein thrombosis (DVT). Which intervention is MOST important to prevent pulmonary embolism?

     कA) Administering an anticoagulant medication as prescribed. खB) Encouraging the patient to perform calf muscle exercises regularly. गC) Applying sequential compression devices to the affected leg. घD) Restricting the client’s fluid intake.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

674. A client is being discharged from the hospital after a total hip arthroplasty. Which statement by the client indicates an understanding of discharge instructions?

     कA) ‘I will continue taking my pain medication for at least 2 weeks.’ खB) ‘I should wear elastic stockings all the time to prevent swelling.’ गC) ‘I can bend my knee fully and rotate my hip as soon as I get home.’ घD) ‘I need to avoid heavy lifting for six months’.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

675. A nurse is assessing a patient admitted with chronic obstructive pulmonary disease (COPD). Which of the following findings would be MOST indicative of worsening respiratory status?

     कA) Auscultation reveals clear breath sounds bilaterally with no adventitious sounds. खB) The patient reports experiencing increased shortness of breath and mild cyanosis. गC) The patient’s peak flow rate is consistently above 6 liters per minute. घD) The patient has a stable oxygen saturation level of 94% on room air.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

676. A client with severe depression states, 'I don’t see any point in going on. Life is meaningless.' What is the MOST appropriate initial nursing response?

     क‘You are feeling hopeless, which is understandable given your situation.’ ख‘Tell me about what makes you feel that way – let's explore those feelings together.’ ग‘Suicide is never the answer; we can help you find a reason to keep going.’ घ‘Your thoughts sound very dark. Let’s focus on something positive.’
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

677. During an assessment of a client with Schizophrenia who reports hearing voices, which nursing action demonstrates the BEST therapeutic response?

     क‘I understand this must be frightening for you. Let’s talk about something else.’ ख‘Tell me more about these voices – where do they come from, and what are they saying?’ ग‘These voices aren’t real; they're just a symptom of your illness.’ घ‘Let's try to distract you with a calming activity like listening to music.’
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

678. A client with a history of bipolar disorder presents with extreme irritability, pressured speech, and inflated self-esteem. Which stage of the DSM-5 criteria for manic episode is MOST prominently demonstrated in this presentation?

     कMood elevation खPsychotic features गCognitive changes घBehavioral agitation
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

679. A client diagnosed with schizophrenia is expressing paranoia, stating 'They are watching me; they want to hurt me.' What should the nurse's FIRST action be?

     कImmediately administer an antipsychotic medication as prescribed by the physician खAttempt to reason with the client and explain that no one is trying to harm them गMaintain a calm and empathetic approach while monitoring the client’s behavior closely घRemove all potential objects from the room that could be perceived as threatening
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

680. A nurse is caring for a patient experiencing acute anxiety. The patient reports feeling overwhelmed by racing thoughts and difficulty concentrating. Which intervention would be MOST appropriate to help the patient regain control?

     कAdminister a sedative medication as prescribed by the physician खEncourage the patient to engage in deep breathing exercises and relaxation techniques गProvide detailed information about the patient's medical condition and treatment plan घMaintain eye contact with the patient while offering reassurance that everything will be alright
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।