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
-
A client recovering from major gastrointestinal surgery (e.g., colectomy) is experiencing frequent episodes of bloating, distention, and gas production. The nurse understands that this is most likely due to:
सही उत्तर: ग) C) Hypovolemia secondary to fluid losses.
Post-surgical changes in the gastrointestinal tract often lead to alterations in gut flora balance and increased motility as the body attempts to adapt. This is a common cause of bloating and distention after major GI surgery. Options A and D are possibilities but less directly related to immediate postoperative symptoms, and option C would more likely present with other signs of dehydration.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A client presents to the clinic complaining of increasing abdominal pain, nausea, and vomiting. Physical examination reveals guarding and rebound tenderness. The nurse’s priority assessment should be:
सही उत्तर: घ) D) Initiating intravenous fluids with electrolytes.
The client's symptoms (abdominal pain, guarding, rebound tenderness) strongly suggest peritonitis. Obtaining a thorough history of diet, bowel movements, and recent illnesses is crucial for determining the cause – most likely an acute abdominal condition. Options A, B, and D are important but not the immediate priority when suspecting significant peritoneal inflammation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A nurse is caring for a client with a newly inserted nasogastric tube. Which intervention is MOST important to prevent aspiration?
सही उत्तर: ख) Elevating the head of the bed to 90 degrees during and after feeding
Elevating the head of the bed to 90 degrees during and after feeding significantly reduces the risk of aspiration by preventing gastric contents from flowing back into the trachea or lungs. Small, slow feedings also minimize the chance of regurgitation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A nurse is teaching a patient about the importance of adequate hydration. Which statement by the patient indicates an understanding of this information?
सही उत्तर: क) ‘I should only drink when I feel thirsty.’
The patient's statement ‘I should only drink when I feel thirsty’ demonstrates an understanding that thirst is a late indicator of hydration needs. It highlights the importance of proactive hydration rather than waiting until dehydration occurs.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A patient recovering from surgery is experiencing a decrease in circulation to their left leg. The nurse notes edema and discoloration of the foot. Which intervention should the nurse implement FIRST?
सही उत्तर: ख) Elevate the affected leg above heart level
Elevating the affected leg above heart level is the initial and most effective action to reduce edema and promote venous return. While other interventions may be necessary, elevation addresses the immediate cause of circulatory compromise.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A nurse is preparing to administer intravenous fluids. Which of the following actions demonstrates correct technique?
सही उत्तर: ग) Administering the infusion with the head of the bed elevated 30-45 degrees
Elevating the head of the bed (30-45 degrees) helps to reduce venous pressure and prevent infiltration of the intravenous solution. Lying supine or prone positions can increase the risk of phlebitis, and applying ice packs are not standard practice.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A nurse is assessing a patient with heart failure. The patient reports shortness of breath and edema in their lower extremities. Which vital sign would the nurse MOST closely monitor to assess the severity of the condition?
सही उत्तर: ख) Respiratory Rate
The respiratory rate is the most critical vital sign to monitor in a patient with heart failure due to its direct impact on oxygenation and breathing difficulty. While other options are important, changes in respiratory rate directly reflect fluid imbalances and cardiac output - key factors in managing this condition.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A client with chronic kidney disease (CKD) stage 4 presents with edema and shortness of breath. The nurse understands that which electrolyte imbalance is most likely contributing to these symptoms?
सही उत्तर: ख) Potassium Deficiency
Potassium deficiency is a common complication of CKD, leading to cardiac arrhythmias and fluid retention causing edema and shortness of breath. Sodium excess or calcium imbalances are less directly related to the typical presentation in advanced CKD.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A patient with type 2 diabetes is newly prescribed glimepiride (Glyburide). Which of the following instructions should the nurse provide to the patient regarding their diet?
सही उत्तर: ग) Maintain consistent carbohydrate intake throughout the day and meals.
Glimepiride is a sulfonylurea that stimulates insulin release. Consistent carb intake helps manage blood glucose levels effectively in conjunction with the medication. The other options represent inappropriate dietary recommendations.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A patient diagnosed with hypertension is started on lisinopril (Prinivil). Which assessment finding would MOST closely indicate the drug's effectiveness?
सही उत्तर: घ) A sudden increase in heart rate of 20 bpm.
Lisinopril is an ACE inhibitor designed to lower blood pressure. A reduction in average BP readings indicates the drug's therapeutic effect. The other options represent undesirable or unrelated responses.
💬 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।