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 patient with a history of osteoporosis is prescribed raloxifene. The nurse understands the primary purpose of this medication is to:
सही उत्तर: घ) Inhibit osteoclast activity
Option 3, ‘Inhibit osteoclast activity,’ is correct. Raloxifene is a selective estrogen receptor modulator (SERM) that primarily inhibits osteoclastic bone resorption (breakdown), thereby reducing bone loss. Options 1, 2, and 4 are incorrect as they describe alternative mechanisms of action.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient requires intravenous administration of vancomycin. The nurse understands that a significant adverse effect associated with this antibiotic is:
सही उत्तर: ख) Nephrotoxicity
Option 1, ‘Nephrotoxicity,’ is correct. Vancomycin is known to be nephrotoxic and can cause kidney damage, particularly at higher doses or with prolonged use. Options 2, 3, and 4 are not typical adverse effects of vancomycin.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient is prescribed metoprolol for hypertension. The nurse should advise the patient to report which of the following symptoms?
सही उत्तर: घ) Excessive thirst
Option 3, ‘Dizziness or lightheadedness,’ is correct. Metoprolol, a beta-blocker, can cause dizziness or lightheadedness, particularly when standing up quickly, due to its effect on blood pressure and heart rate regulation. Options 1, 2, and 4 are not commonly associated with metoprolol’s side effects.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient receiving intravenous heparin for deep vein thrombosis (DVT) reports experiencing bruising at the injection site. What is the most likely explanation for this?
सही उत्तर: ख) Thrombocytopenia
Option 1, ‘Thrombocytopenia,’ is correct. Heparin's mechanism of action involves preventing platelet aggregation; thrombocytopenia (low platelets) can exacerbate this effect, leading to increased bruising at the injection site. Options 2, 3, and 4 represent alternative causes for bruising that are less directly related to heparin’s anticoagulant effects.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with newly diagnosed hypertension has been prescribed lisinopril. The nurse should instruct the patient that a common side effect of this medication is:
सही उत्तर: ख) Dry cough
Option 1, ‘Dry cough,’ is correct. Lisinopril belongs to the class of ACE inhibitors, and a dry cough is a frequent adverse effect associated with this drug class due to its inhibition of bradykinin production. Options 2, 3, and 4 are not typical side effects of lisinopril.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with heart failure is prescribed furosemide (Lasix). The nurse understands that this medication primarily works by:
सही उत्तर: क) Reducing preload
Option 0, ‘Reducing preload,’ is correct. Furosemide is a loop diuretic that reduces preload (venous return to the heart) by promoting sodium and water excretion, thereby decreasing fluid volume circulating through the vasculature. Options 1, 2, and 3 are incorrect as they relate to different mechanisms of action or effects.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is teaching a new client about the proper care of a newly inserted nasogastric tube. Which statement made by the client demonstrates understanding?
सही उत्तर: ग) ‘I should monitor for aspiration into my stomach.’
Monitoring for aspiration demonstrates an understanding of the risk associated with NG tubes. Flushing, using the tube intermittently, and cleaning the tip are incorrect practices.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing to assist a client with mobility. Which principle of body mechanics should they primarily utilize when lifting a patient from side-lying to supine position?
सही उत्तर: ख) Proximal-to-distal movement
Utilizing leverage by bending the knees and keeping the back straight is the most effective body mechanics principle for safely transferring a patient. The other options are incorrect or less crucial for this specific maneuver.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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To accurately measure a patient's intake of oral fluids, at what time should the nurse instruct the patient to begin collecting urine for 24 hours?
सही उत्तर: क) 8:00 AM
Urine collection needs to be started at the beginning of the measurement period, typically 8:00 AM, to accurately reflect the patient’s fluid balance over a full 24-hour cycle. Starting at another time would skew the results.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with chronic heart failure presents to the clinic exhibiting signs of edema in their lower extremities. Which assessment finding would MOST likely confirm fluid volume overload?
सही उत्तर: ग) Positive postural hypotension
Crackles in the lungs are a classic sign of pulmonary congestion, indicating fluid buildup associated with heart failure. The other options represent compensatory mechanisms or alternative causes of edema.
💬 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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