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

971. A client reports experiencing severe pain rated 8 out of 10. The nurse observes the client grimacing and clutching their abdomen. Which of the following is the *most* reliable indicator of the client's subjective experience of pain?

     कA) The client’s verbal report of pain intensity. खB) The nurse's assessment based on observation of nonverbal cues like facial expressions. गC) The use of a standardized pain scale with numerical values. घD) The medical record documenting the pain medication administered.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

972. A nurse is assessing a client with pneumonia who is experiencing shortness of breath. Which body mechanics principle should the nurse utilize *primarily* when assisting the client to sit up in bed?

     कA) Direct lift – Lifting with hands under the client’s arm and pulling upward, maintaining spinal alignment. खB) Slide - Using friction to move the client, dragging them across the surface. गC) Pivot – Rotating the client while supporting their lower body and back. घD) Push – Pushing the client up while supporting their upper arms and chest.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

973. A patient receiving intravenous morphine for post-operative pain reports experiencing significant drowsiness and confusion. Which of the following actions should the nurse take *first*?

     कAdminister an anticholinergic medication खIncrease the IV fluid rate गNotify the physician immediately घEncourage the patient to sit up
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

974. A patient with a history of heart failure is prescribed metoprolol. Which finding should the nurse prioritize as an indication that the medication may be causing adverse effects?

     कImproved appetite खDecreased edema गRegular, slow heart rate घIncreased urinary output
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

975. A client with chronic obstructive pulmonary disease (COPD) is prescribed a bronchodilator medication via nebulizer. Which assessment finding would most closely correlate with the effectiveness of this therapy?

     कDecreased respiratory rate खIncreased sputum production गImproved chest expansion घDecreased blood pressure
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

976. A nurse is preparing to administer intravenous acetaminophen to a patient experiencing moderate pain. Which statement best describes the route of administration for this medication when rapid pain relief is needed?

     कOral administration with food खSlow IV infusion over 30 minutes गRapid IV push dose followed by titration घIntramuscular injection
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

977. A patient who recently started treatment with warfarin requires monitoring of their INR. Which laboratory value would most directly indicate whether the patient’s anticoagulation is within the desired therapeutic range?

     कPlatelet count खProthrombin Time (PT) गWhite blood cell count घInternational Normalized Ratio (INR)
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

978. A nurse is caring for a newly admitted patient who is experiencing nausea and vomiting. Which of the following nursing actions is MOST appropriate as a first step in managing this client's symptoms?

     कAdminister an antiemetic medication without assessing the cause of the nausea/vomiting खNotify the physician immediately to prescribe medication गAssess the client’s history, including current medications and potential contributing factors like pain or anxiety घProvide small amounts of clear liquids every 15 minutes
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

979. A pregnant woman at 28 weeks gestation reports experiencing intermittent contractions of the uterus. These contractions are irregular and not causing cervical dilation or effacement. What is the nurse’s FIRST action?

     कInstruct the patient to rest in a warm bath खAdminister an antispasmodic medication as prescribed by the physician गAssess the fetal heart rate continuously घEncourage the mother to drink plenty of fluids
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

980. A newborn infant, 3 hours old, presents with a high anterior fontanel bulging, irritability, poor feeding, and lethargy. Which nursing assessment finding would be MOST indicative of cephalohematoma?

     कBluish discoloration surrounding the parietal bones खRedness over the occipital bone consistent with caput medusae गA flat, non-tender area on the vertex of the head घTenderness to palpation only over the mastoid process
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।