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 client with diabetes mellitus is prescribed a beta-blocker medication. Which statement by the client requires immediate nursing intervention? a) "I’ve been experiencing occasional dizziness." b) “I’m monitoring my blood glucose levels regularly." c) “I’ve noticed that I’m sweating more than usual.” d) “My heart rate feels a little slower than normal.”
सही उत्तर: घ) My heart rate feels a little slower than normal.”
Beta-blockers can mask the symptoms of hypoglycemia (low blood sugar), such as tachycardia (rapid heart rate) and tremor. Prompt recognition of these signs is crucial for timely glucose correction. Options A, B and C are common side effects but do not require immediate action; they reflect the medication’s effect on the sympathetic nervous system.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents to the clinic complaining of pain and swelling in both knees that started this morning. The swelling is symmetrical and affects the small joints of their hands as well. Based on these findings, which of the following conditions should the nurse suspect FIRST? a) Rheumatoid Arthritis b) Osteoarthritis c) Gout d) Systemic Lupus Erythematosus
सही उत्तर: ख) Osteoarthritis
Osteoarthritis is the most likely diagnosis given the symmetrical joint pain and swelling affecting small joints – a hallmark symptom. Rheumatoid arthritis can present similarly, but typically involves larger joints and inflammatory markers are more prominent. Gout classically presents with acute monoarticular inflammation in a single joint, and SLE has a broader range of symptoms beyond just joint involvement.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with Post-Traumatic Stress Disorder (PTSD) reports experiencing flashbacks and nightmares related to a past traumatic event. Which nursing intervention would best support the patient’s coping mechanisms?
सही उत्तर: घ) Limit contact with individuals who remind the patient of their traumatic experience.
Collaborating with the patient (option 3) empowers them in their recovery. Developing personalized coping mechanisms helps manage symptoms. The other options could be detrimental; directly recalling trauma (option 1) can be re-traumatizing and providing detailed information is not as effective as actively helping the patient develop tools.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a patient with severe depression who states, 'I feel utterly hopeless and like nothing matters anymore.' What is the MOST important initial nursing action?
सही उत्तर: ख) Validate the client's feelings and offer active listening.
Validating the client’s feelings (option 1) demonstrates empathy and builds a therapeutic relationship. Active listening allows the nurse to gather more information about the client's distress. While all other options may be part of treatment, initial validation is crucial for safety.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client admitted for treatment of obsessive-compulsive disorder (OCD) reports repeatedly washing their hands due to intrusive thoughts about contamination. Which therapeutic technique would be most effective in addressing this behavior?
सही उत्तर: ग) Exposure and response prevention therapy (ERP).
Exposure and Response Prevention Therapy (ERP) (option 3) is the gold standard treatment for OCD. It involves gradually exposing the client to their feared stimuli while preventing them from engaging in compulsive behaviors. Ignoring the behavior (option 2) would reinforce it.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient diagnosed with bipolar disorder type I is experiencing an acute manic episode characterized by racing thoughts, pressured speech, and impulsivity. Which nursing intervention would be MOST beneficial at this time?
सही उत्तर: ग) Assist the patient in developing a detailed plan for managing finances.
A quiet, structured environment (option 2) minimizes external stimuli that could exacerbate manic symptoms. The other options are not prioritized during an acute manic episode where the focus is on reducing agitation and promoting a safe environment.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with schizophrenia expresses delusions of persecution, stating, 'They are watching me, trying to harm me! I need to protect myself.' Which nursing intervention is MOST appropriate?
सही उत्तर: ख) Encourage the client to explore their feelings without judgment.
Exploring the client’s feelings without judgment (option 1) is a therapeutic approach for psychosis. It allows the nurse to understand the content of the delusions and build rapport. The other options are either inappropriate responses to delusional thinking or could inadvertently reinforce the delusion.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with a fractured femur is using bilateral crutches. The nurse observes the client shifting their weight unevenly. Which instruction should the nurse provide regarding proper use?
सही उत्तर: ख) B) “Keep your shoulders level and ensure you are utilizing the handholds correctly.”
Option B is correct. Maintaining shoulder alignment and proper handhold use is critical for balance and efficient crutch technique. Options A, C and D provide incorrect advice that could compromise safety.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing to perform endotracheal suctioning on a client. When should the suction be applied?
सही उत्तर: ग) C) After each stroke of the suction catheter.
Option C is correct. Suction should be applied after each stroke of the catheter to effectively remove mucus and debris. Options A, B and D are incorrect as they don't represent best practice for efficient suctioning.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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During a sleep study, an EEG reveals a pattern characterized by slow brain waves (delta waves) predominantly during periods of deep sleep. In which stage of sleep does this activity *primarily* occur?
सही उत्तर: ग) C) Stage 3 & 4 – Deep Sleep.
Option C is correct. Delta waves are characteristic of deep sleep (Stages 3 & 4), which is the deepest level of restorative sleep. Options A, B and D are incorrect as they represent different stages with distinct EEG patterns.
💬 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।
नमस्ते! पाठ्यक्रम, सामान्य ज्ञान, भाषा परीक्षा वा कुनै प्रश्नको उत्तर बुझ्न सोध्नुहोस्।
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