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

1031. A client diagnosed with diabetic ketoacidosis (DKA) is exhibiting a fruity breath odor. The nurse understands that this odor is caused by:

      कa) Excessive insulin administration leading to hypoglycemia खb) Breakdown of fat tissue producing ketones गc) Increased glycogen stores in the liver घd) Decreased levels of electrolytes causing acidosis
      💬 टिप्पणी / गल्ती रिपोर्ट (०)

      छलफल / प्रश्न उत्तरमा गल्ती छ

      पठाउनुहोस्

      टिप्पणी जाँचपछि मात्र देखिन्छ।

1032. A client recovering from an open fracture has developed compartment syndrome. Which of the following findings would be MOST indicative of this condition?

      कa) Warmth and redness in the affected limb खb) Decreased capillary refill time distal to the injury site गc) Pain out of proportion to the severity of the wound घd) Sensation loss in the affected limb
      💬 टिप्पणी / गल्ती रिपोर्ट (०)

      छलफल / प्रश्न उत्तरमा गल्ती छ

      पठाउनुहोस्

      टिप्पणी जाँचपछि मात्र देखिन्छ।

1033. A client with chronic heart failure presents to the emergency department complaining of increasing shortness of breath and edema in their lower extremities. Assessment reveals an S3 gallop heart sound. Which nursing intervention is MOST appropriate at this time?

      कa) Administering furosemide (Lasix) intravenously immediately खb) Encouraging the client to sit upright and provide oxygen गc) Educating the client about sodium restriction in their diet घd) Placing the client on a fluid restriction of 1 liter per day
      💬 टिप्पणी / गल्ती रिपोर्ट (०)

      छलफल / प्रश्न उत्तरमा गल्ती छ

      पठाउनुहोस्

      टिप्पणी जाँचपछि मात्र देखिन्छ।

1034. A client following a total knee replacement (TKR) is experiencing persistent pain and swelling in the affected limb. The nurse understands that this could be related to:

      कa) Infection secondary to surgical site contamination खb) Early postoperative stiffness due to muscle guarding गc) Nerve damage causing phantom pain sensation घd) Residual mechanical instability of the joint
      💬 टिप्पणी / गल्ती रिपोर्ट (०)

      छलफल / प्रश्न उत्तरमा गल्ती छ

      पठाउनुहोस्

      टिप्पणी जाँचपछि मात्र देखिन्छ।

1035. A client with schizophrenia states, ‘I am being watched by the government to control my every thought.’ The nurse’s best response would be:

      कA) Directly challenge the client's belief in government surveillance as a delusion खB) Acknowledge the client’s feeling of being watched and explore the reasons behind this suspicion गC) Immediately administer an antipsychotic medication to suppress paranoid thoughts घD) Suggest that the client is experiencing a temporary lapse in judgment due to stress
      💬 टिप्पणी / गल्ती रिपोर्ट (०)

      छलफल / प्रश्न उत्तरमा गल्ती छ

      पठाउनुहोस्

      टिप्पणी जाँचपछि मात्र देखिन्छ।

1036. A client newly admitted to a mental health facility expresses significant feelings of guilt and self-blame related to past actions. The nurse’s role in addressing these emotions should primarily focus on:

      कA) Immediately challenging the validity of the client’s negative thoughts and beliefs through cognitive restructuring खB) Providing reassurance that everyone makes mistakes and focusing on moving forward with positive coping strategies गC) Exploring the underlying experiences, feelings, and context surrounding the events to promote understanding and acceptance घD) Encouraging the client to maintain a strict routine and adhere strictly to behavioral guidelines to establish structure
      💬 टिप्पणी / गल्ती रिपोर्ट (०)

      छलफल / प्रश्न उत्तरमा गल्ती छ

      पठाउनुहोस्

      टिप्पणी जाँचपछि मात्र देखिन्छ।

1037. A client with post-traumatic stress disorder (PTSD) repeatedly relives distressing memories through flashbacks and nightmares. The nurse recognizes that these experiences are often associated with heightened physiological arousal. Which intervention would be MOST appropriate to assist the client in managing this immediate distress?

      कA) Encourage the client to engage in a detailed recollection of the traumatic event to process the memory fully खB) Administer a short-acting benzodiazepine such as lorazepam to reduce anxiety and promote relaxation immediately गC) Guide the client through grounding techniques, focusing on the present moment, such as deep breathing or sensory awareness exercises घD) Implement behavioral activation strategies that involve increased social interaction and participation in stimulating activities
      💬 टिप्पणी / गल्ती रिपोर्ट (०)

      छलफल / प्रश्न उत्तरमा गल्ती छ

      पठाउनुहोस्

      टिप्पणी जाँचपछि मात्र देखिन्छ।

1038. A patient diagnosed with severe bipolar disorder reports feeling overwhelmed by racing thoughts and experiencing periods of extreme energy followed by profound sadness. The nurse recognizes this as potentially indicative of which phase within the bipolar disorder cycle?

      कA) Euthymic Phase – characterized by stable mood and thought patterns खB) Manic Phase – marked by elevated mood, increased activity, and impulsivity गC) Depressive Phase – defined by low mood, loss of interest, and feelings of hopelessness घD) Maintenance Phase – representing a period of stability between manic and depressive episodes
      💬 टिप्पणी / गल्ती रिपोर्ट (०)

      छलफल / प्रश्न उत्तरमा गल्ती छ

      पठाउनुहोस्

      टिप्पणी जाँचपछि मात्र देखिन्छ।

1039. A client presenting with chronic schizophrenia is experiencing auditory hallucinations, expressing paranoid delusions, and demonstrating disorganized thought patterns. The nurse’s primary goal in this initial assessment should be to:

      कA) Encourage the client to express all thoughts and feelings without judgment to facilitate exploration of delusional beliefs खB) Immediately initiate antipsychotic medication as prescribed by the physician to reduce psychotic symptoms immediately गC) Establish a therapeutic relationship based on trust, reality orientation, and de-escalation techniques while exploring the client’s experience घD) Focus solely on managing the client’s agitation through pharmacological interventions such as benzodiazepines
      💬 टिप्पणी / गल्ती रिपोर्ट (०)

      छलफल / प्रश्न उत्तरमा गल्ती छ

      पठाउनुहोस्

      टिप्पणी जाँचपछि मात्र देखिन्छ।

1040. A patient with anxiety reports experiencing intrusive thoughts about harming their child. Which of the following interventions is MOST appropriate for the nurse to implement FIRST?

      कa) Suggest the patient engage in relaxation techniques to reduce overall anxiety levels. खb) Explore the content and frequency of the intrusive thoughts, while assessing the client’s risk of acting on them. गc) Encourage the patient to consciously focus on positive images to displace the negative thoughts. घd) Recommend the patient consult with a therapist specializing in obsessive-compulsive disorder.
      💬 टिप्पणी / गल्ती रिपोर्ट (०)

      छलफल / प्रश्न उत्तरमा गल्ती छ

      पठाउनुहोस्

      टिप्पणी जाँचपछि मात्र देखिन्छ।