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 newborn care. Which of the following demonstrates that the client understands the importance of frequent handwashing?
सही उत्तर: ख) “I will wash my hands before every diaper change.”
Frequent handwashing is crucial in preventing infection in newborns. The client's response shows a clear understanding of this key preventative measure. Options 1 and 2 are incorrect as they focus on gloves or wipes, which aren’t the primary method; option 3 suggests ineffective cleaning, and option 4 demonstrates a lack of understanding.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is teaching a new mother about postpartum care. Which statement best describes the expected characteristics of breast milk?
सही उत्तर: ग) It adapts to the infant's changing nutritional needs
The correct answer (2) – ‘It adapts to the infant’s changing nutritional needs’ – accurately describes breast milk. Breast milk composition changes over time to meet the infant's evolving requirements. The other options are incorrect; breast milk is rich in fats and carbohydrates for growth, primarily composed of antibodies and immunoglobulins, and while it has some immune components, its primary function is as a nutrient source.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 28 weeks gestation reports experiencing increasing fatigue and mild swelling of her hands and face. Which of the following findings would *most strongly* indicate the presence of pre-eclampsia?
सही उत्तर: घ) Elevated blood pressure of 130/85 mmHg
The correct answer (3) – ‘Elevated blood pressure of 130/85 mmHg’ – is the defining characteristic of pre-eclampsia. While headache and edema can be present, hypertension is the critical diagnostic criterion. Decreased urine output and uterine contractions are associated with other complications. It's important to note that even a slight elevation in BP needs monitoring.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a 6-week-old infant diagnosed with cystic fibrosis. What is the *primary* purpose of administering pancreatic enzyme supplementation to this child?
सही उत्तर: ख) To prevent bowel obstruction caused by thick mucus
The correct answer (1) – ‘To prevent bowel obstruction caused by thick mucus’ – is the key function of pancreatic enzyme supplementation. Cystic fibrosis causes excessive mucus production throughout the body, including in the digestive tract, leading to obstruction. The other options are secondary effects or incorrect applications of this treatment.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a newborn admitted for phototherapy. Which of the following nursing interventions is *most* important?
सही उत्तर: घ) Monitor the infant's respiratory rate closely for signs of distress
The correct answer (3) – ‘Monitor the infant's respiratory rate closely for signs of distress’ – is essential when a newborn is undergoing phototherapy. Phototherapy can cause hyperthermia and respiratory depression. The other options are incorrect; direct radiant heat should be avoided, blankets could impede light exposure, and covering completely will restrict gas exchange.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A postpartum client, 36 hours after delivery, reports experiencing vaginal bleeding of approximately 50-100 ml per hour. Her uterus is still soft to palpation and she has not yet experienced lochia. What is the nurse’s *most* appropriate initial action?
सही उत्तर: क) Administer oxytocin to stimulate uterine contraction
The correct answer (0) is ‘Assess her blood pressure and pulse closely’. Excessive vaginal bleeding in the immediate postpartum period can indicate hypovolemic shock. Monitoring vital signs is crucial. The other options are less appropriate initially – oxytocin could worsen the bleeding, frequent urination won't address the volume loss, and warm blankets are a supportive measure but don’t directly address the cause of the hemorrhage.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient diagnosed with Tuberculosis (TB) is prescribed Rifampin. Which statement by the patient requires IMMEDIATE intervention by the nurse?
सही उत्तर: ख) ‘I’ve noticed a yellowish discoloration of my saliva.’
The yellowish discoloration of saliva is a classic and concerning sign of Rifampin-induced tooth staining. While other responses may be side effects, this one indicates significant drug accumulation and requires immediate attention to prevent permanent damage. Other options are common but not immediately dangerous.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient receiving intravenous Furosemide (Lasix) for edema reports thirst and frequent urination. What is the MOST likely pharmacological mechanism responsible for these symptoms?
सही उत्तर: ख) Diuretic Action Reducing Water Retention
Furosemide's primary action as a loop diuretic leads to increased water excretion, causing thirst and frequent urination. The other options represent mechanisms related to different medications or physiological responses.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following is the MOST common side effect associated with the use of Metformin for type 2 diabetes?
सही उत्तर: ख) Weight Gain
Metformin is frequently linked to weight gain as a common adverse effect. While hypoglycemia, neuropathy and appetite can occur, they are less frequent than weight gain. Other options represent rarer side effects associated with Metformin.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with severe burns presents to the emergency department exhibiting signs of hypovolemic shock (tachycardia, hypotension, decreased urine output). What is the MOST immediate nursing intervention? a) Administering intravenous fluids rapidly. b) Applying a cooling blanket. c) Elevating the client’s legs. d) Monitoring blood glucose levels.
सही उत्तर: ख) b) Applying a cooling blanket.
Hypovolemic shock in burn patients is primarily due to fluid loss. Rapid administration of intravenous fluids is the immediate priority to restore circulating volume and improve perfusion.
💬 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।
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