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 with a history of heart failure has been admitted to the hospital with shortness of breath and edema. Which finding would MOST immediately indicate worsening of this condition?
सही उत्तर: घ) Peripheral edema up to the knees
Peripheral edema up to the knees is the most immediate indicator of worsening heart failure. While all options are related, severe peripheral edema signifies fluid overload and increased pressure within the circulatory system – a critical sign requiring immediate attention. The other measurements (BP, RR, and crackles) can also indicate distress but are typically secondary to fluid volume changes.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a patient post-operatively. The patient reports experiencing increased pain at the surgical site that is described as sharp and stabbing. Which intervention would be MOST appropriate for the nurse to implement first?
सही उत्तर: क) Administer an opioid analgesic medication according to the physician's order
The correct answer is 'Administer an opioid analgesic medication according to the physician’s order'. Post-operative pain management is the immediate priority. The other options – relaxation techniques, notifying the surgeon, and applying compresses – are secondary interventions that may be helpful but do not address the acute pain experienced by the patient.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman reports experiencing severe heartburn. Which of the following nursing interventions would be MOST appropriate?
सही उत्तर: घ) Administer antacids as prescribed by the physician
Avoiding spicy and acidic foods is a simple and effective way to manage heartburn symptoms during pregnancy. While elevating the head and small, frequent meals can help, directly advising against those foods offers immediate relief based on dietary impact.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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During a routine postpartum assessment of a newly delivered infant, the nurse observes dark, tar-like stools. What is the MOST likely explanation for this finding?
सही उत्तर: ग) Cystic Fibrosis
Dark, tarry stools are diagnostic of iron deficiency anemia in newborns. This occurs because iron from the infant's stores is being excreted into the stool. Cystic fibrosis causes thick, greasy mucus-filled stools.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-month-old infant presents with projectile vomiting following a forceful cough. The nurse recognizes this as a classic symptom of which condition?
सही उत्तर: ग) Intussusception
Intussusception involves the telescoping of one part of the bowel into another, causing sudden and forceful vomiting – often described as ‘projectile.’ While pyloric stenosis can cause vomiting, it usually happens in infants under 6 months. Reflux is a common issue but does not typically present with projectile force.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant is exhibiting signs of respiratory distress, including nasal flaring, retractions, and grunting. Which finding would MOST likely confirm a diagnosis of transient tachypnea of the newborn (TTN)?
सही उत्तर: घ) A meconium-stained stool
Elevated serum bilirubin is a common indicator of TTN, which results from fluid overload during passage through the mother’s birthing canal. While other symptoms can be present, bilirubin elevation strongly supports the diagnosis. Cyanosis indicates hypoxia and doesn’t specifically point to TTN.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A woman at 36 weeks’ gestation reports experiencing intermittent, sharp pains in her lower back accompanied by urinary frequency and urgency. Which of the following assessments is MOST important for the nurse to perform immediately?
सही उत्तर: ग) Evaluate uterine contractions with a Doppler device
The symptoms – back pain, urinary frequency/urgency – are classic signs of pre-eclampsia. Assessing uterine contractions (option 2) is crucial to monitor the progression of this potentially life-threatening condition. The other options are less directly related to the immediate priority of evaluating for pre-eclampsia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client is experiencing severe pain after a surgical procedure. The patient reports a score of 8 out of 10 on the pain scale. Which nursing intervention would be MOST appropriate at this time? a) Encourage the patient to verbalize their feelings and concerns. b) Administer an over-the-counter analgesic (ibuprofen). c) Assess the patient’s vital signs and administer oxygen as needed. d) Provide a warm bath to relax the muscles.
सही उत्तर: क) a
Option A is correct. The priority when a patient reports severe pain is to assess the situation, provide comfort measures (like reassurance), and then address the underlying cause of the pain. Options B, C, and D are less appropriate initial interventions as they do not directly address the immediate need for pain relief and assessment.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with severe anxiety reports experiencing a racing heart, shortness of breath, and feelings of impending doom when faced with stressful situations. Which neurotransmitter system is MOST likely implicated in the etiology of these symptoms?
सही उत्तर: ग) Norepinephrine (Noradrenaline) System
The norepinephrine system plays a central role in the body's ‘fight-or-flight’ response, producing symptoms like rapid heart rate and anxiety. While others are involved in different aspects of mental health, norepinephrine is most directly linked to this acute anxiety presentation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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During a mental status examination, a nurse observes that a patient’s facial expressions fluctuate rapidly and inappropriately to statements made by the examiner. This observation BEST describes which aspect of the patient's ‘affect’?
सही उत्तर: क) Mood
‘Affect’ refers specifically to observable emotional expression – including facial expressions, tone of voice, and body language. Mood is subjective, thought process relates to how thoughts are organized, and cognitive function assesses mental processes like memory.
💬 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।