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

741. A patient taking fentanyl transdermal patch reports a sudden onset of severe headache, nausea, and pinpoint pupils. Which of the following is the MOST likely explanation?

     कThe patient is experiencing a therapeutic effect of the medication. खThe patient is developing an allergic reaction to the adhesive in the patch. गThe patient is experiencing opioid toxicity due to excessive drug exposure. घThe patient is having a paradoxical reaction to the medication’s effects.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

742. A patient is prescribed morphine for pain management. Which of the following actions by the nurse is MOST important in preventing respiratory depression?

     कAdministering the dose intravenously at a slow rate (1-2 mL/min). खEncouraging the patient to breathe slowly and deeply. गMonitoring the patient's respiratory rate and depth continuously. घProviding a supplemental oxygen concentration of 2 liters per minute.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

743. Which of the following interventions is MOST appropriate when caring for a client with Generalized Anxiety Disorder (GAD)?

     कA) Encourage the client to engage in strenuous physical activity to reduce anxiety. खB) Provide a calm and structured environment, focusing on relaxation techniques and cognitive restructuring. गC) Immediately administer an anxiolytic medication to alleviate symptoms quickly. घD) Limit social interaction and encourage isolation to minimize external stressors.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

744. A patient with Schizophrenia is expressing delusional beliefs about being followed by government agents. The nurse’s primary goal should be:

     कA) To convince the patient that their beliefs are false and provide alternative explanations. खB) To explore the nature of the delusions, understand the patient's distress, and maintain a safe environment. गC) To encourage the patient to engage in activities that will distract them from their thoughts. घD) To immediately report the delusions to the psychiatrist for medication intervention.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

745. A client with Panic Disorder is experiencing a severe panic attack. The nurse observes the client clutching their chest, hyperventilating, and expressing intense fear of dying. Which action should the nurse take FIRST?

     कA) Administer oxygen immediately to assist with respiratory distress. खB) Provide reassurance that the symptoms are temporary and related to a panic attack. गC) Encourage the client to focus on deep breathing exercises. घD) Immediately call for assistance from other healthcare professionals.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

746. A client diagnosed with severe Obsessive-Compulsive Disorder (OCD) calls the nurse repeatedly demanding that they check if the stove was turned off. Which of the following interventions is the BEST initial response?

     कA) Immediately instruct the client to stop calling and focus on relaxation techniques. खB) Allow the client to complete their ritual, observing for potential harm and offering reassurance. गC) Explain that the behavior is irrational and encourage them to resist the urge. घD) Engage in a distraction technique such as counting backwards from 100.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

747. A patient with Schizophrenia reports hearing voices criticizing their appearance. Which intervention by the nurse is MOST appropriate?

     कA) Immediately challenge the validity of the auditory hallucinations with factual information. खB) Acknowledge the patient’s experience and offer a supportive environment for further exploration. गC) Instruct the patient to focus on external stimuli to reduce the intensity of the voices. घD) Document the report without intervention, awaiting consultation with a psychiatrist.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

748. A patient has been admitted with suspected disseminated intravascular coagulation (DIC). Laboratory results show platelet count 80,000/µL, fibrinogen level 150 mg/dL, and elevated D-dimer. Which nursing intervention is MOST important at this time?

     कAdminister large volumes of intravenous fluids to maintain hemodynamic stability खApply direct pressure to any observed bleeding sites गMonitor vital signs closely for hypotension घMaintain a strict diet high in protein and calories
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

749. A nurse is educating a patient newly diagnosed with diabetes mellitus about dietary management. Which statement by the patient indicates an understanding of the importance of carbohydrate counting?

     क‘I just need to eat less sugar’ ख‘I can eat anything I want as long as I exercise regularly’ ग‘I will count how many grams of carbohydrates are in each meal and snack’ घ‘It's important to avoid all fruits because they contain too much sugar’
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

750. A 72-year-old male with a history of chronic obstructive pulmonary disease (COPD) is admitted to the hospital with increasing dyspnea and cough productive of yellow sputum. His ABG results show: pH 7.38, PaCO2 65 mmHg, HCO3 24 mEq/L. Which intervention would be MOST important for the nurse to implement at this time?

     कAdminister furosemide (Lasix) intravenously खEncourage frequent coughing and deep breathing exercises गMaintain a patent airway with suctioning as needed घElevate the head of the bed to promote lung expansion
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।