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

701. A client presents to the clinic with complaints of persistent cough, shortness of breath and fatigue. Physical examination reveals crackles in both lung fields. The nurse suspects pneumonia. Which initial nursing intervention is MOST appropriate?

     कAdminister oxygen via nasal cannula at 2L/min. खEncourage oral fluid intake to maintain hydration. गAssess the client’s temperature and respiratory rate. घNotify the physician immediately about the potential diagnosis.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

702. A client diagnosed with Obsessive-Compulsive Disorder (OCD) repeatedly washes their hands due to a fear of contamination. What is the MOST important nursing intervention?

     कEncourage the client to resist washing their hands. खTeach the client relaxation techniques to reduce anxiety related to contamination. गCollaborate with the client and family to develop a plan for managing compulsions. घAdminister medication as prescribed to suppress obsessive thoughts.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

703. Which of the following statements BEST describes the therapeutic relationship in mental health nursing?

     कA strictly professional and objective interaction based solely on clinical knowledge. खA collaborative partnership built on trust, empathy, and mutual respect between the nurse and client. गA hierarchical relationship where the nurse dictates treatment without considering the client's perspective. घA temporary agreement focused solely on achieving specific therapeutic goals.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

704. A client recently discharged from inpatient mental health care expresses feelings of hopelessness and worthlessness while stating they have no plans to harm themselves. What is the nurse’s FIRST action?

     कAdminister a benzodiazepine to reduce anxiety. खEncourage the client to engage in activities they enjoy. गImmediately initiate suicide precautions, including restricting access to potentially harmful objects. घConduct a thorough assessment of the client's current situation and risk factors.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

705. A client experiencing acute mania presents with pressured speech, flight of ideas, and hyperactivity. Which nursing intervention is MOST appropriate?

     कEncourage the client to engage in stimulating activities to release energy. खMaintain a quiet, calm environment to minimize stimulation. गProvide the client with a structured schedule and clear limits on activity. घAllow the client to dictate their thoughts and feelings without interruption.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

706. A client diagnosed with Schizophrenia reports hearing voices that tell them to harm others. The primary nursing intervention should be:

     कAdministering an antipsychotic medication as prescribed. खEncouraging the client to record the voices and bring them in for review by a psychiatrist. गProviding a calm, supportive environment and assessing the client's immediate risk of acting on the voices. घOffering reassurance that the voices are simply hallucinations and will eventually disappear.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

707. A nurse is assessing a client with heart failure who reports experiencing edema in their lower extremities. Which finding would MOST support this diagnosis?

     कA) Decreased urine output. खB) Increased blood pressure. गC) Weight gain of 5 pounds in 24 hours. घD) Normal capillary refill time.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

708. A client with a history of chronic obstructive pulmonary disease (COPD) is experiencing shortness of breath. Which intervention should the nurse implement FIRST?

     कA) Administering oxygen at 2 liters per minute via nasal cannula. खB) Encouraging the client to cough forcefully to clear secretions. गC) Having the client sit upright in a chair. घD) Elevating the head of the bed to promote lung expansion.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

709. A nurse is caring for a patient recovering from surgery who has an indwelling urinary catheter. Which action should the nurse take FIRST to prevent urinary tract infection?

     कA) Applying antibiotic ointment to the insertion site. खB) Emptying the catheter bag every 4 hours. गC) Maintaining meticulous perineal hygiene. घD) Elevating the affected side of the patient’s body.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

710. A nurse is assessing a newly admitted client who is confused and agitated. Which assessment finding would be MOST indicative of delirium?

     कA) The client expresses clear, logical thoughts and remembers recent events with detail. खB) The client exhibits fluctuating levels of attention and disorientation, often accompanied by restlessness and confusion. गC) The client consistently follows the nurse’s instructions without questioning them. घD) The client demonstrates a pattern of sleep-wake cycles similar to their pre-admission routine.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।