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 preparing to administer intravenous morphine for pain management. Which cardiac monitor should be continuously displayed during administration?
सही उत्तर: क) ECG (Electrocardiogram)
Morphine can cause bradycardia and respiratory depression, necessitating continuous ECG monitoring to detect any arrhythmias. While other monitors are important for overall patient assessment, the ECG is critical for identifying potential cardiac complications associated with opioid administration.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with hypertension is prescribed lisinopril, an ACE inhibitor. Which of the following electrolyte abnormalities should the nurse monitor closely in this patient?
सही उत्तर: क) Hypokalemia
ACE inhibitors like lisinopril are known to cause hypokalemia (low potassium) due to their effect on renal sodium reabsorption. The other electrolyte imbalances are less frequently associated with this class of drugs.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with chronic obstructive pulmonary disease (COPD) is prescribed a beta-2 agonist inhaler. Which statement by the patient indicates a need to reinforce teaching?
सही उत्तर: ग) ‘I’ll wait 15 minutes after eating before using my inhaler.’
The patient's statement ‘I’ll rinse my mouth with water after each dose’ is the indication for reinforcing teaching. Beta-2 agonists can cause oral thrush (candidiasis), and rinsing the mouth reduces this risk. The other options reflect appropriate inhaler use.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client with tuberculosis (TB) who has been prescribed isoniazid. Which laboratory test is MOST important to monitor before and during treatment with isoniazid?
सही उत्तर: ख) Liver function tests (LFTs)
Liver function tests (LFTs) are crucial because isoniazid can cause hepatotoxicity, leading to elevated liver enzymes. The other options are not directly related to the primary adverse effect of isoniazid. A CBC may be useful but is not as specific. A urine drug screen detects illicit drugs and doesn’t assess for medication side effects.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with signs and symptoms of acute kidney injury (AKI). The nurse understands that the most immediate intervention is:
सही उत्तर: ख) b) Monitoring urine output closely for signs of oliguria
Option (c) is correct: During AKI, fluid balance is critical. Giving IV fluids helps maintain adequate intravascular volume – however, strict control of fluid overload must always be maintained.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with deep vein thrombosis (DVT) is receiving heparin therapy. The nurse should monitor which laboratory value most closely?
सही उत्तर: ग) c) Activated partial thromboplastin time (aPTT)
Option (c) is correct; aPTT is the primary monitoring test for heparin therapy, assessing its anticoagulant effect. Options (a), (b) and (d) are not directly related to heparin’s action.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with chronic obstructive pulmonary disease (COPD) is experiencing an acute exacerbation. Which nursing intervention is MOST important at this stage?
सही उत्तर: घ) d) Providing a high-carbohydrate diet to increase energy levels
Option (c) is correct. Maintaining adequate oxygenation is paramount during a COPD exacerbation. Monitoring oxygen saturation allows for timely intervention. Options (a), (b) and (d) are important but secondary to addressing the respiratory distress.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with severe burns requires fluid resuscitation. The nurse calculates that the client needs 2 liters of intravenous fluids per hour. Which type of fluid is MOST appropriate for this situation?
सही उत्तर: ख) b) Normal saline solution
Option (a) is correct; Lactated Ringer's solutions are preferred in burn resuscitation as they closely mimic the body's electrolyte composition, minimizing metabolic disturbances. Options (b), (c) and (d) are inappropriate choices due to their differing electrolyte compositions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client is experiencing post-operative pain following an abdominal hysterectomy. The nurse assesses that the client’s pain is rated as 8/10 on a numerical rating scale. Which intervention would be MOST appropriate at this time?
सही उत्तर: ग) c) Providing non-pharmacological pain management techniques such as relaxation exercises
Option (c) is correct. Non-pharmacological methods are essential for managing post-operative pain, along with appropriate medication if needed. Options (a), (b) and (d) offer short-term relief but do not address the root cause of chronic post-operative pain.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with pneumonia develops productive cough accompanied by purulent sputum. The nurse should primarily focus on:
सही उत्तर: ग) c) Monitoring oxygen saturation levels closely for hypoxia
Option (c) is correct. Hypoxia is a major concern in pneumonia, so constantly monitoring oxygen saturation is crucial. While options (a), (b) and (d) are supportive, they do not address the primary respiratory problem.
💬 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।
AI ले गल्ती गर्न सक्छ। महत्वपूर्ण कुरा आधिकारिक स्रोतमा जाँच्नुहोस्।