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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Which laboratory test is used to monitor IV unfractionated heparin therapy?
सही उत्तर: ग) aPTT
Activated partial thromboplastin time reflects heparin's effect on the intrinsic pathway. Platelets are also monitored for heparin-induced thrombocytopenia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client on long-term amiodarone develops a new dry cough and dyspnea. Which adverse effect should the nurse suspect?
सही उत्तर: ख) Pulmonary toxicity (fibrosis)
Amiodarone can cause pulmonary fibrosis, as well as thyroid dysfunction and hepatotoxicity. New respiratory symptoms must be reported and chest imaging is usually done.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What should the nurse anticipate immediately after giving adenosine for supraventricular tachycardia?
सही उत्तर: क) A brief period of asystole or very slow rhythm
Adenosine transiently blocks AV-node conduction and may cause a few seconds of asystole. Its half-life is under 10 seconds, so it is given by rapid IV push with a flush.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which drug is the first-line treatment for stable symptomatic bradycardia?
सही उत्तर: घ) Atropine
Atropine blocks vagal effects on the SA and AV nodes, increasing heart rate. Adenosine slows conduction and is used for SVT.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the first-line drug for anaphylaxis?
सही उत्तर: ग) Epinephrine intramuscularly
IM epinephrine reverses vasodilation, bronchospasm and airway swelling. Antihistamines and steroids are adjuncts and do not replace epinephrine.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which drug should be used with caution in a client with asthma because it may cause bronchospasm?
सही उत्तर: ख) Propranolol
Propranolol is a non-selective beta-blocker that blocks beta-2 receptors in the lungs. Cardioselective agents like metoprolol are safer but still used cautiously.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which is the most common adverse effect of nitroglycerin?
सही उत्तर: क) Headache
Vasodilation of cerebral vessels causes headache. Hypotension and reflex tachycardia are also common.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which drug class must not be taken with nitrates because of severe hypotension?
सही उत्तर: घ) Phosphodiesterase-5 inhibitors (e.g. sildenafil)
PDE-5 inhibitors and nitrates both increase nitric oxide-mediated vasodilation, causing profound hypotension. Beta-blockers are often co-prescribed with nitrates.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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How should sublingual nitroglycerin be used for acute chest pain?
सही उत्तर: ग) One tablet every 5 minutes, up to 3 doses
One tablet is taken every 5 minutes, up to 3 doses. Emergency services are usually called if pain is not improved 5 minutes after the first dose.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client taking simvastatin should avoid large amounts of which juice?
सही उत्तर: ख) Grapefruit juice
Grapefruit inhibits CYP3A4, raising simvastatin levels and myopathy risk. This interaction also applies to some calcium channel blockers.
💬 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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