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

781. A nurse is caring for a patient who is experiencing shortness of breath. The nurse observes that the patient’s accessory muscles are engaged. What should the nurse do NEXT?

     कA) Immediately administer oxygen via nasal cannula. खB) Assess the patient's respiratory rate, depth, and effort before intervening. गC) Encourage the patient to cough forcefully to clear secretions. घD) Elevate the head of the bed to promote lung expansion.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

782. Which of the following actions demonstrates the nurse’s understanding of sterile technique when preparing a wound dressing?

     कA) Using tweezers to remove debris from the wound site. खB) Performing the procedure in a room with open windows for ventilation. गC) Maintaining aseptic technique by using sterile gloves, instruments, and a sterile field. घD) Cleaning the wound with tap water before applying the sterile dressing.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

783. A nurse is assisting a patient with dysphagia (difficulty swallowing) with oral feeding. Which of the following techniques should the nurse use?

     कA) Encouraging the patient to drink large amounts of fluids rapidly to ensure adequate hydration. खB) Positioning the patient in a prone position during feeding to promote swallowing. गC) Using thickeners to modify the consistency of liquids and offering small, frequent bites of solid foods. घD) Placing ice chips in the patient's mouth to stimulate salivation.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

784. When assessing a client who is post-operative following abdominal surgery, what is the PRIMARY nursing assessment that should be performed?

     कA) Assessing peripheral capillary refill in all extremities. खB) Evaluating for signs of respiratory distress and chest pain. गC) Assessing the surgical wound for redness, drainage, and pain levels. घD) Measuring the client’s blood glucose level.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

785. A nurse is preparing to administer intravenous fluids to a patient. Which of the following is the MOST important consideration regarding fluid administration?

     कA) Monitoring the patient's heart rate continuously throughout the infusion. खB) Calculating the infusion rate based solely on the prescribed dose of the medication. गC) Ensuring that the IV site is patent and there are no signs of infiltration before starting the infusion. घD) Documenting the patient’s temperature every four hours.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

786. A patient requires intravenous administration of vancomycin. The nurse understands that monitoring for what laboratory test is crucial in preventing adverse reactions?

     कA) Complete Blood Count (CBC) खB) Serum Electrolytes गC) Erythrocyte Sedimentation Rate (ESR) घD) Liver Function Tests (LFTs)
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

787. A patient with a history of asthma is being discharged home on montelukast (a leukotriene receptor antagonist). The nurse’s teaching regarding this medication should include:

     कA) Taking the medication before bedtime for optimal bronchodilation. खB) Maintaining regular, long-term use to prevent severe allergic reactions. गC) Reporting any rash or difficulty breathing immediately to the physician. घD) Combining it with a short-acting beta agonist (SABA) for enhanced relief.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

788. A client with hypertension is taking lisinopril (a common ACE inhibitor). The nurse reviews the patient's laboratory results and notes a significantly elevated serum creatinine level. What is the MOST likely explanation for this finding?

     कA) Increased renal blood flow secondary to the ACE inhibitor. खB) Decreased glomerular filtration rate due to ACE inhibition. गC) Enhanced sodium reabsorption in the distal tubule. घD) Activation of the sympathetic nervous system.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

789. A patient is receiving morphine for pain management. The nurse observes cyanosis (bluish discoloration) of the lips and fingertips. Which of the following actions should the nurse take FIRST?

     कA) Administer a second dose of morphine as prescribed. खB) Notify the physician immediately and document the observation. गC) Elevate the patient’s legs to promote venous return. घD) Assess the patient’s respiratory rate and depth.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

790. A patient with chronic heart failure is prescribed furosemide (Lasix). Which of the following findings would MOST indicate that the dose is appropriate?

     कA) Decreased urine output and weight gain of 2 kg in 24 hours. खB) Elevated serum potassium levels and a dry mucous membrane. गC) Normal blood pressure, decreased edema, and reduced shortness of breath. घD) Increased thirst and confusion, accompanied by a decrease in central venous pressure.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।