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 presents with an active peptic ulcer. The physician orders sucralfate suspension. How should the patient administer this medication?
सही उत्तर: ग) As directed by the healthcare provider, typically 1 hour before or 2 hours after meals
Sucralfate forms a protective barrier over ulcers. It should be taken as directed by the healthcare provider, usually 1 hour before or 2 hours after meals, to allow it to coat the ulcer and minimize irritation. Taking it with food can interfere with its formation of this protective layer; mixing with a beverage does not improve absorption.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient has been prescribed an intravenous infusion of sodium bicarbonate for metabolic acidosis. Which potential adverse effect should the nurse monitor for *most closely*?
सही उत्तर: ख) Hyperkalemia
Excessive administration of sodium bicarbonate can lead to hyperkalemia (elevated potassium levels) due to its ability to shift potassium from cells into the extracellular fluid. This is a critical adverse effect requiring frequent monitoring and prompt intervention. Hypotension, bradycardia, and increased cardiac output are less directly related to this specific adverse event.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with hyperlipidemia is being treated with a statin medication. Which of the following symptoms should the patient report to their healthcare provider *immediately*?
सही उत्तर: क) Mild muscle aches
Patients taking statins should promptly report any signs or symptoms of myopathy (muscle problems) such as muscle aches, tenderness, or weakness. While other symptoms might be associated with the condition, muscle pain is a direct adverse effect requiring immediate attention and further investigation. The other options are generally unrelated to statin therapy.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client is prescribed intravenous (IV) unfractionated heparin for deep vein thrombosis (DVT). Which laboratory test is MOST important to monitor the effectiveness of this medication and prevent potential complications?
सही उत्तर: ख) Prothrombin Time (PT) / Activated Partial Thromboplastin Time (aPTT)
The Prothrombin Time (PT)/Activated Partial Thromboplastin Time (aPTT) is the primary laboratory test used to monitor heparin's anticoagulant effect. It directly assesses the clotting cascade, providing a quantitative measure of heparin’s impact. The other options are not routinely monitored in this situation – CBC is for infection/thrombocytopenia, creatinine for renal function, and liver function tests assess hepatic health.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with a new diagnosis of diabetes mellitus type 2 has been prescribed metformin. Which statement made by the patient indicates understanding of this medication?
सही उत्तर: ग) ‘This medication helps my body use insulin better’
Metformin works by improving the body's sensitivity to insulin. The correct statement reflects this mechanism of action—improving insulin utilization. The other options reflect misunderstandings about diabetes management and medication use.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with heart failure presents with severe edema in both lower extremities. Which intervention would be MOST effective in reducing this edema?
सही उत्तर: ख) Encouraging fluid intake to maintain hydration
Diuretics are the primary pharmacological treatment for reducing edema in heart failure by promoting sodium and water excretion. Elevating legs alone is symptomatic relief but does not address the underlying cause of fluid retention. The other options are ineffective or potentially harmful.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient is recovering from a major burn injury. The nurse observes that the patient’s skin around the burn site is mottled and cool to the touch. What nursing action is MOST important at this time?
सही उत्तर: घ) Monitoring vital signs closely
Maintaining careful monitoring of vital signs (temperature, pulse, blood pressure) is crucial in burn patients as hypothermia is a significant risk due to fluid loss and extensive surface area. The other options don't directly address the immediate threat of hypothermia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient has been diagnosed with acute appendicitis. The nurse anticipates administering what medication as a priority?
सही उत्तर: क) Morphine
Opioid analgesics like morphine are the mainstay of pain management in acute appendicitis. The other options (antibiotics, antiemetic and antibiotic) address secondary complications but aren't the immediate priority for pain relief. This aligns with standard surgical protocols.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient is taking digoxin for heart failure. The nurse observes that the patient reports feeling lightheaded and dizzy. Which electrolyte imbalance is MOST likely contributing to this symptom?
सही उत्तर: ख) Hypokalemia
Digoxin toxicity often manifests with gastrointestinal symptoms, including nausea, vomiting, and dizziness, particularly when potassium levels are low (hypokalemia). Hypokalemia potentiates the drug's effect on the heart.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with a history of asthma is prescribed a bronchodilator via nebulizer. The nurse understands that this medication works by which mechanism?
सही उत्तर: घ) Stimulating beta-2 adrenergic receptors
Bronchodilators, such as albuterol, primarily work by relaxing the smooth muscles surrounding the bronchioles, leading to airway dilation and improved breathing. The other options describe mechanisms of other medications or effects.
💬 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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