अन्तर्राष्ट्रिय नर्सिङ (NCLEX, DHA, HAAD)

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

201. A nurse is caring for a patient who requires intravenous fluid replacement. The physician orders 1,500 mL of Lactated Ringer's solution to be infused over 24 hours using an infusion pump. What should the nurse set the pump rate to deliver?

     क37.5 mL/hour ख56.25 mL/hour ग75 mL/hour घ108.3 mL/hour
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

202. A primiparous postpartum client reports experiencing significant urinary incontinence following delivery. Which intervention would the nurse *most appropriately* implement to assist the client?

     कEncourage frequent voiding खRecommend a pelvic floor muscle relaxation technique गIncrease fluid intake घApply a warm compress to the perineum
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

203. A nurse is assessing a newborn who has been receiving phototherapy for bilirubin encephalopathy. Which finding would *most significantly* indicate the therapy is effective?

     कIncreased muscle tone खDecreased jitteriness गBradycardia घHypothermia
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

204. A neonate presents with conjugated hyperbilirubinemia and xanthochromia in the amniotic fluid. Which finding is *most consistent* with this presentation?

     कRespiratory Distress Syndrome (RDS) खGroup B Streptococcus (GBS) infection गPlacental abruption घPreterm labor
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

205. A postpartum client presents with a fundal mass that is firm and displaced laterally and superiorly to the umbilicus. Auscultation reveals fetal heart tones of 140 bpm. What is the *most likely* interpretation of these findings?

     कPlacental encapsulation खPostpartum hemorrhage गAbruptio placentae घNormal postpartum involution
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

206. A pregnant woman at 36 weeks gestation reports experiencing intermittent vaginal bleeding and uterine contractions. Based on these findings, what is the *most* appropriate initial nursing intervention?

     कAdminister intravenous fluids to increase blood volume खAssess fetal heart rate and amniotic fluid for signs of distress गInitiate continuous electronic fetal monitoring घProvide emotional support and prepare for potential delivery
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

207. A client with severe burns is exhibiting signs of hypothermia. Which nursing intervention is MOST critical to prevent further heat loss?

     कApply a warm compress to the burn sites. खCover the patient with a light blanket. गElevate the burned extremities above the level of the heart. घAdminister an oral electrolyte solution.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

208. A client with a deep wound on their lower leg is receiving continuous wound vac therapy. The nurse observes that the dressing has become heavily saturated with serosanguineous drainage. Which action should the nurse take NEXT?

     कChange the dressing immediately without consulting the physician. खIncrease the suction setting on the wound vac device. गContact the physician to report the increased drainage volume. घApply additional gauze pads to absorb the excess fluid.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

209. A patient recovering from a total hip arthroplasty (THA) is experiencing pain rated as 7/10 on a numerical rating scale. The physician orders morphine sulfate 2mg IV every 4 hours as needed. Which of the following interventions should the nurse implement FIRST?

     कAdminister the prescribed dose of morphine immediately. खNotify the physician about the patient's pain level. गAssess the patient’s respiratory rate and effort. घEncourage the patient to use non-pharmacological methods for pain relief.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

210. A client diagnosed with pneumonia is prescribed intravenous antibiotics. Which nursing action is MOST important to implement upon administering the medication?

     कAdminister the full prescribed dose immediately. खMonitor vital signs every 15 minutes for the first hour. गDocument the patient’s allergies in the medical record. घAssess the site of injection for redness or swelling.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।