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 nurse is teaching a new mother about breastfeeding techniques. Which observation would indicate that the infant is effectively latched onto the breast?
सही उत्तर: घ) The baby demonstrates rhythmic sucking and swallowing movements consistent with efficient feeding
The correct answer is ‘The baby demonstrates rhythmic sucking and swallowing movements consistent with efficient feeding’ (option 3). This describes the hallmark of successful breastfeeding, where the infant draws milk efficiently without excessive air intake. Reddened nipples, rooting, and swallowing air are indicators of a poor latch and potential difficulties.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 2-week-old infant is being seen for a routine checkup. The nurse observes that the infant's fontanel (soft spot) is sunken. Which action should the nurse take first?
सही उत्तर: ग) Assessing the infant’s head circumference
The correct answer is ‘Assessing the infant’s head circumference’ (option 2). A sunken fontanel can be a sign of dehydration or intracranial pressure issues. Monitoring temperature and providing oral hygiene are important but secondary to addressing potential neurological concerns. Administering fluids should be guided by this initial assessment.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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During a postpartum home visit, the nurse assesses a client who recently delivered a healthy infant. The client reports experiencing lochia that has increased in volume and is now brownish in color. Which of the following actions should the nurse advise the client to take?
सही उत्तर: ख) Apply a dry cotton ball to the perineal area for 30 minutes
The correct answer is ‘Apply a dry cotton ball to the perineal area for 30 minutes’ (option 1). This helps to prevent infection, which is a significant concern with increased lochia volume. Douching can disrupt vaginal flora and increase the risk of infection. The other options are inappropriate as they could exacerbate inflammation or introduce harmful bacteria.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant’s mother reports that the baby has been crying inconsolably since birth. The nurse observes rapid respirations, nasal flaring, and retractions. What nursing intervention would be most appropriate at this time?
सही उत्तर: घ) Monitor the infant’s blood glucose levels
The correct answer is ‘Monitor the infant’s blood glucose levels’ (option 3). Neonatal hypoglycemia is a common cause of irritability and respiratory distress in newborns. While oxygen and skin-to-skin contact are beneficial, assessing for hypoglycemia is the most immediate priority given the presenting symptoms. Administering antiemetics or providing a bath would be inappropriate without first ruling out this serious metabolic issue.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A mother reports that her 6-month-old infant has been experiencing frequent vomiting and diarrhea for the past 24 hours. The infant appears lethargic and is not feeding well. Which of the following interventions should the nurse implement first?
सही उत्तर: क) Administering antiemetic medication as prescribed by the physician
The correct answer is ‘Maintaining strict fluid replacement with intravenous fluids’ (option 0). Dehydration is the primary concern in this scenario, and immediate IV fluids are crucial for correcting electrolyte imbalances. The other options are less immediately critical; antiemetics may not resolve dehydration quickly, assessing hydration is important but shouldn't delay fluids, and a bland diet isn't appropriate without adequate fluid replacement.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient receiving oral ketoconazole (an antifungal) reports persistent nausea and vomiting. What potential adverse effect should the nurse investigate?
सही उत्तर: ग) Hepatotoxicity
Ketoconazole is known to cause QT prolongation, which can lead to arrhythmias and potentially serious cardiac complications. While other options are possible side effects of medications, QT prolongation is a well-established risk with ketoconazole.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with chronic obstructive pulmonary disease (COPD) is prescribed nebulized albuterol. Which finding would warrant immediate notification of the physician?
सही उत्तर: ख) Symmetrical chest expansion
Albuterol, a bronchodilator, can cause tachycardia and tremors as side effects. Symmetrical chest expansion is a normal sign of bronchodilation. A decrease in shortness of breath would indicate improvement.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient receiving prolonged treatment with hydrochlorothiazide (HCTZ) develops symptoms of hypokalemia (low potassium). What nursing intervention is MOST important at this time?
सही उत्तर: घ) Encouraging increased dietary potassium intake
HCTZ is a diuretic that causes potassium excretion. Increasing dietary potassium intake helps to counteract this effect. While monitoring BP and calcium are important, they don't directly address the potassium imbalance caused by HCTZ.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client taking warfarin (Coumadin) reports experiencing nosebleeds frequently. Which potential cause should the nurse investigate further in this patient?
सही उत्तर: ख) Vitamin K Deficiency
Warfarin's mechanism of action is to inhibit vitamin K-dependent clotting factors, leading to a deficiency and increased bleeding risk. While other options could contribute to bleeding, Vitamin K deficiency is the most directly linked to warfarin’s effects. The other choices are less likely in the context of warfarin use.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with type 1 diabetes mellitus is experiencing severe hyperglycemia. Which intravenous medication would the nurse administer first to rapidly lower blood glucose levels and prevent diabetic ketoacidosis (DKA)?
सही उत्तर: ग) Regular Insulin
Regular insulin is a rapid-acting insulin that quickly lowers blood glucose. The other options are slower-acting insulins or non-insulin medications, inappropriate for the acute management of DKA. A key part of treating DKA is prompt reduction of blood sugar levels.
💬 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।
नमस्ते! पाठ्यक्रम, सामान्य ज्ञान, भाषा परीक्षा वा कुनै प्रश्नको उत्तर बुझ्न सोध्नुहोस्।
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