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 postpartum client is experiencing vaginal bleeding and uterine contractions. Which intervention would be MOST appropriate?
सही उत्तर: ख) Applying a warm compress to the abdomen
Applying a warm compress (option 1) is a standard comfort measure that can help reduce uterine cramping and bleeding. Option 2 is incorrect as it could increase pain. Frequent breastfeeding would not immediately address bleeding, while a pessary isn't indicated in this situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A mother reports her newborn is exhibiting signs of hypoglycemia one hour after birth. Which assessment should the nurse prioritize?
सही उत्तर: घ) Assessing for jaundice
Jaundice (option 3) is a common finding in newborns, particularly those with diabetes or other risk factors, and can lead to hypoglycemia. While other assessments are important, the immediate priority is addressing the potential for hypoglycemia related to glucose imbalances.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman experiences sudden onset abdominal pain and vaginal bleeding at 36 weeks gestation. Which of the following is the MOST likely diagnosis?
सही उत्तर: क) Placenta Previa
Placenta previa (option 1) is characterized by bleeding due to disruption of the placental attachment before term. The other options are less likely given the sudden onset and gestational age. Molar pregnancy (option 2) typically presents with enlarged uterus and hyperemesis gravidarum, while normal hypertension (option 3) doesn't cause vaginal bleeding.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with diabetes taking a non-selective beta blocker is being educated about self-management. Why does the nurse emphasize meticulous glucose monitoring?
सही उत्तर: घ) D) Beta-blockers increase insulin sensitivity, leading to hyperglycemia.
The correct answer is C. Beta-blockers blunt the body's physiological response to hypoglycemia (sweating, tremor, tachycardia), masking the symptoms and delaying the recognition of low blood sugar, which is a critical concern for diabetic patients.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which laboratory test is MOST directly used to monitor the therapeutic effect of warfarin therapy?
सही उत्तर: घ) D) Urinalysis
The correct answer is C. PT/INR is the standard laboratory test used to monitor the anticoagulant effect of warfarin by measuring the time it takes for a blood clot to form.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client taking digoxin develops symptoms of nausea, vomiting, and visual disturbances. What is the MOST immediate nursing action?
सही उत्तर: ग) C) Administer glucose to treat the hypoglycemia.
The correct answer is B. These symptoms are classic signs of digoxin toxicity. Immediate discontinuation of the medication and notifying the physician are crucial steps in managing this potentially life-threatening situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient is prescribed a high-alert medication that requires independent double-checking before administration. Which of the following medications is MOST likely to fall into this category?
सही उत्तर: ख) B) Morphine
The correct answer is B. Morphine is a high-alert medication due to its significant potency and potential for serious adverse effects if administered incorrectly. Double-checking is standard practice with this drug.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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An elderly client with type 2 diabetes is taking a non-selective beta-blocker. The nurse notes the client's blood glucose levels are consistently elevated despite dietary adjustments and increased insulin doses. Why is this occurring?
सही उत्तर: ग) C) The beta-blocker decreases glycogenolysis and gluconeogenesis, resulting in elevated blood glucose levels.
The correct answer is C. Non-selective beta-blockers inhibit the effects of catecholamines (epinephrine and norepinephrine) on the liver, which normally stimulates glycogenolysis and gluconeogenesis – processes that raise blood glucose. This results in a failure to adequately control blood sugar levels.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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यदि 500 एमएल घोलमा 25,000 युनिट हेपरिन छ, र दर 1,000 युनिट प्रति घण्टा तय गरिएको छ भने, पम्पको सेट दर (मिली/घण्टा) कस्तो हुनुपर्छ?
सही उत्तर: ख) 20
हेपरिनको सांद्रता 25,000/500 = 50 युनिट/मिली हुन्छ। त्यसैले, 1,000 युनिट/घण्टाको दर प्राप्त गर्न 1,000/50 = 20 मिली/घण्टा सेट गर्नुपर्छ।
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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लिथियमको साथ प्रयोग गर्दा केटादुरीको औषधिले लिथियमको विषाक्तताको जोखिमलाई कहिले बढ्याउँछ?
सही उत्तर: ग) Thiazide diuretics
Thiazide diuretics लिथियमको शरीरबाट बाहिरिने दरलाई कम गर्छन्, जसले गर्दा लिथियमको स्तरमा वृद्धि हुन सक्छ।
💬 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।