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

211. A patient with chronic heart failure presents to the clinic with increasing shortness of breath and swelling in their ankles. Their current medications include furosemide (Lasix) and digoxin. Based on this information, which intervention should the nurse prioritize?

     कAdminister an additional dose of furosemide as prescribed by the physician. खInstruct the patient to increase their fluid intake to maintain hydration. गMonitor the patient's potassium levels closely due to potential side effects of digoxin. घEducate the patient about sodium restriction in their diet.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

212. A client with anxiety disorder reports experiencing intrusive, unwanted thoughts about harming their child. This indicates:

     कObsessive-Compulsive Disorder (OCD). खPost-Traumatic Stress Disorder (PTSD). गPanic Disorder. घGeneralized Anxiety Disorder (GAD).
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

213. A client with bipolar disorder presents in an elevated mood, expressing grand ideas and increased energy. The nurse should primarily focus on:

     कEncouraging the client to continue engaging in their creative pursuits. खImplementing a schedule of regular sleep hygiene measures. गMonitoring the client closely for signs of mania or psychosis. घAdministering lithium as prescribed by the physician.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

214. A client experiencing acute psychosis expresses delusional beliefs about being followed by government agents. The nurse’s response should focus on:

     कImmediately challenge the client’s delusions with facts and evidence. खAllow the client to continue expressing their beliefs without interruption. गValidate the client’s feelings of fear and anxiety while gently attempting reality orientation. घDocument the client's statements verbatim in the medical record.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

215. A patient with severe depression presents with significant anergia (lack of motivation) and difficulty engaging in daily activities. Which intervention would be MOST appropriate to address this symptom?

     कEncourage the patient to set unrealistic goals and monitor their progress closely. खAdminister a stimulant medication to increase energy levels. गCollaborate with the patient to identify small, achievable steps towards regaining independence. घSuggest the patient engage in vigorous physical exercise daily.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

216. A newborn infant is diagnosed with cephalohematoma. What is the *primary* differentiating factor between this condition and caput succedaneum?

     कCaput succedaneum always involves bruising of the scalp खCephalohematoma represents bleeding within the subdermal tissues गCaput succedaneum typically resolves spontaneously घCephalohematoma can be palpated as a firm, separate mass
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

217. A pregnant client with gestational diabetes is being taught about dietary modifications. Which of the following recommendations should the nurse emphasize to ensure optimal blood glucose control?

     कConsuming large amounts of fruit throughout the day खEating complex carbohydrates in combination with protein and fat गAvoiding all sweets and sugary drinks घFollowing a strict 8-12 hour fast before meals
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

218. A newborn infant is exhibiting signs of respiratory distress including nasal flaring, retractions, and grunting. Auscultation reveals a bubbling sound at the base of the lung field. The nurse suspects meconium aspiration syndrome (MAS). What is the *most* immediate nursing intervention?

     कAdminister oxygen via nasal cannula at 24% खEstablish intravenous access for fluid resuscitation immediately गPosition the infant in a prone position to facilitate expulsion of meconium घInitiate gastric decompression with frequent suctioning
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

219. A 30-year-old woman at 28 weeks gestation reports nausea and vomiting that has not responded to antiemetic medication. The nurse’s assessment reveals a palpable uterine fundus approximately 10 cm below the maternal umbilicus. What is the most likely diagnosis?

     कNormal physiological pregnancy खHydramnios (polyhydramnios) गMalpresentation of fetus घPlacental insufficiency
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

220. A pregnant woman at 32 weeks gestation reports experiencing increasing vaginal bleeding and abdominal pain. Based on this information, the priority nursing intervention should be:

     कAdminister Rho(D) immune globulin to prevent Rh sensitization खInitiate intravenous antibiotics to treat a potential infection गAssess fetal heart rate and maternal vital signs immediately घProvide emotional support and counsel regarding possible preterm labor
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।