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

861. A patient taking oral iron supplements reports significant gastrointestinal (GI) distress following administration. The nurse determines that which factor most likely contributes to this adverse effect?

     कa) Increased gastric motility due to the drug's action. खb) Inhibition of ascorbic acid absorption leading to oxalate formation. गc) Decreased stomach pH, reducing iron solubility. घd) Stimulation of parietal cell secretion of hydrochloric acid.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

862. A client with chronic heart failure is taking digoxin for symptom management. The nurse observes the following symptoms in the patient: nausea, vomiting, visual disturbances, and arrhythmias. Which of the following interventions should the nurse implement *first*?

     कa) Administer an antiemetic medication as prescribed. खb) Immediately notify the physician of the acute toxicity. गc) Assess the client’s apical pulse and respiratory rate. घd) Initiate intravenous calcium gluconate.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

863. A patient is prescribed intravenous gentamicin for a severe bacterial infection. The nurse should closely monitor which laboratory value?

     कa) Serum creatinine level, reflecting kidney function. खb) White blood cell count, indicating potential bone marrow suppression. गc) Serum glucose level, assessing for hyperglycemia. घd) Arterial blood pressure, monitoring for hypotension.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

864. A client diagnosed with schizophrenia is prescribed risperidone. The nurse understands that a key adverse effect to monitor for in this patient is which of the following?

     कa) Bradycardia due to the drug's effects on cardiac conduction. खb) Tardive dyskinesia resulting from dopamine receptor blockade. गc) Hypoglycemia secondary to increased insulin release. घd) Peripheral neuropathy caused by interference with nerve regeneration.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

865. A nurse is caring for a patient receiving intravenous hydrocortisone. The physician orders a serum potassium level to be checked. Why is this important monitoring?

     कa) Hydrocortisone can cause hyperkalemia by inhibiting aldosterone production. खb) Hyperkalemia can exacerbate the effects of hydrocortisone, leading to cardiac arrhythmias. गc) Monitoring potassium levels will determine the correct dosage of hydrocortisone. घd) Hydrocortisone primarily affects sodium balance, and potassium is unaffected.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

866. A patient with a history of severe trauma reports experiencing flashbacks – vivid, intrusive memories of the traumatic event accompanied by intense fear and physiological symptoms like increased heart rate and sweating. This is MOST consistent with which symptom cluster?

     कDissociative Amnesia खPost-Traumatic Stress Disorder (PTSD) गConversion Disorder घBrief Psychotic Disorder
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

867. A client diagnosed with obsessive-compulsive disorder (OCD) is repeatedly washing their hands despite recognizing it's excessive and causing distress. This behavior is best described as:

     कA compulsion खAn intrusive thought गExposure therapy घCognitive restructuring
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

868. Which of the following interventions would be MOST appropriate for a client experiencing acute psychosis characterized by disorganized thought processes and rapid speech?

     कEncourage the client to maintain a regular sleep schedule. खProvide a quiet environment with minimal distractions. गOffer simple, direct instructions and repeat them frequently. घFacilitate social activities to promote engagement.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

869. A client experiencing hallucinations involving auditory voices criticizing their actions and demanding they commit acts of violence demonstrates a symptom most closely associated with which mental health condition?

     कObsessive-Compulsive Disorder खSchizophrenia गGeneralized Anxiety Disorder घPanic Disorder
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

870. A patient presenting with persistent delusions of grandeur, inflated self-esteem, and a belief in their own special abilities BEST exemplifies which mental health diagnosis?

     कSchizophrenia खBipolar Disorder गDelusional Disorder घMajor Depressive Disorder
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।