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

761. A patient taking penicillin G for a severe bacterial infection has developed a new rash characterized by itching and hives. Which of the following actions should the nurse prioritize?

     कA) Continue the penicillin as prescribed and monitor for improvement खB) Immediately discontinue penicillin and initiate antihistamines for symptomatic relief only गC) Order a blood test to determine if the reaction is IgE mediated घD) Administer epinephrine immediately due to anaphylaxis
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

762. A client taking metoprolol (a beta-blocker) experiences shortness of breath and chest tightness. Which of the following is the *most* likely explanation for this reaction?

     कA) Hypersensitivity to metoprolol खB) Excessive stimulation of alpha-adrenergic receptors causing vasoconstriction गC) Bronchospasm due to decreased beta-2 adrenergic receptor activity घD) Cardiac tamponade
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

763. In 2023, a client diagnosed with atrial fibrillation is started on warfarin for anticoagulation. Which laboratory value should the nurse monitor *most* closely to assess the patient’s risk of bleeding?

     कA) White blood cell count खB) Prothrombin Time (PT) / International Normalized Ratio (INR) गC) Serum Creatinine घD) Hemoglobin
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

764. A client taking isoniazid (INH) for tuberculosis has developed a persistently bitter taste in their mouth. This side effect is most commonly associated with which of the following?

     कA) Hypersensitivity reaction खB) Liver toxicity गC) Peripheral neuropathy घD) Mucosal irritation
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

765. A client with hypertension is prescribed amlodipine, a calcium channel blocker. The nurse understands that the primary mechanism of action for this drug involves which of the following?

     कA) Increasing heart rate and contractility खB) Blocking beta-adrenergic receptors to reduce blood pressure गC) Relaxing vascular smooth muscle leading to vasodilation घD) Stimulating aldosterone secretion to increase sodium retention
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

766. A client with a history of psychosis experiences a sudden return of auditory hallucinations accompanied by paranoia. Which nursing intervention demonstrates the MOST therapeutic response?

     कImmediately administer an antipsychotic medication as prescribed खAttempt to reason with the client about the reality of their perceptions गValidate the client’s feelings and concerns while maintaining professional boundaries घIgnore the hallucinations and avoid engaging in conversation with the client
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

767. A patient admitted for acute mania exhibits racing thoughts, pressured speech, and impulsive behaviors. To minimize potential harm to the patient and environment, which nursing action is MOST crucial?

     कAllowing the patient to express their ideas freely and uninterrupted खImplementing a quiet room with minimal distractions to promote calmness गEstablishing firm limits on behavior and using redirection techniques घOffering the patient stimulating activities such as puzzles and games
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

768. A patient diagnosed with severe Obsessive-Compulsive Disorder (OCD) reports intense urges to repeatedly wash their hands due to contamination fears. Which nursing intervention is MOST appropriate?

     कEncourage the client to complete the washing ritual as quickly as possible खImplement a strict schedule for handwashing, regardless of perceived need गProvide education about anxiety management techniques and relaxation exercises घAssist the client in identifying and challenging negative thought patterns
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

769. A patient presents with symptoms including disorganized thinking, flat affect, and disinterest in their surroundings. Which of the following diagnoses is MOST consistent with these observations?

     कMajor Depressive Disorder खSchizoaffective Disorder गBipolar I Disorder घGeneralized Anxiety Disorder
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

770. A patient with Schizophrenia is experiencing auditory hallucinations involving commands to harm himself. Which intervention is MOST important for the nurse to implement immediately?

     कAdminister an antipsychotic medication as prescribed by the physician खProvide a calm and reassuring environment, minimizing stimulation गEncourage the patient to engage in detailed problem-solving activities घOffer the patient a warm beverage to reduce anxiety
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।