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 nurse is assessing a patient recovering from surgery. The patient reports experiencing pain rated as an 8 out of 10. Which intervention should the nurse implement FIRST?
सही उत्तर: ख) Provide reassurance and encourage relaxation techniques
Providing reassurance and encouraging relaxation is the initial step for managing mild-to-moderate pain. While medication might be needed, addressing the patient's immediate emotional response is paramount. The other options are secondary interventions to pain management.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a client who reports experiencing nausea and vomiting after surgery. Which nursing intervention would be MOST appropriate?
सही उत्तर: ख) Encouraging the client to lie still and avoid moving
Anti-emetics are a standard treatment for post-operative nausea and vomiting but should be given as prescribed. Remaining still can worsen nausea; frequent feeding is beneficial, but monitoring vital signs is important alongside this intervention.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client who has recently undergone a total hip replacement. Which of the following interventions should the nurse prioritize?
सही उत्तर: ख) Applying ice packs to the surgical incision site every 2 hours
Early mobilization is crucial for hip replacement clients to prevent complications such as pneumonia and deep vein thrombosis. While all options are relevant to care, timely ambulation with assistive devices is the immediate priority for functional recovery.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing to administer intravenous fluids to a client with dehydration. Which of the following factors should be MOST carefully considered before initiating fluid replacement?
सही उत्तर: ग) The client’s sodium level in mEq/L
Fluid volume calculations are based on the client's weight. While other factors (age, sodium, and diet) can influence fluid needs, weight is the primary determinant for initial IV fluid administration. Accurate weight measurement is paramount.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a client who is newly diagnosed with diabetes mellitus. Which of the following nursing assessments is MOST important at this time?
सही उत्तर: ख) Checking the client’s blood glucose level after a light snack
Monitoring the client’s blood glucose level is the most immediate and critical assessment when diagnosing diabetes. While HbA1c provides long-term data, it doesn't reflect current control, dietary education is crucial but secondary to immediate assessment, and symptom-based insulin administration is unsafe without accurate monitoring.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant is being discharged home after a period of observation. The nurse provides discharge instructions to the parents. Which statement by the parent indicates a need for further teaching?
सही उत्तर: ग) ‘We will place the baby on its back to sleep until at least one year of age.’
The correct answer is 2. The recommendation to routinely place a newborn infant on their back to sleep is now widely discouraged due to an increased risk of Sudden Infant Death Syndrome (SIDS). Parents need to be educated about the current safe sleep guidelines – always placing babies on their backs.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A postpartum client is experiencing lochia rubra that is bright red in color and passing large clots. Which of the following nursing actions should be taken FIRST?
सही उत्तर: घ) Notify the physician immediately regarding the excessive bleeding.
The correct answer is 3. Excessive lochia rubra with large clots suggests postpartum hemorrhage (PPH) and requires immediate assessment of vital signs to determine the severity of the situation. Prompt notification of the physician is critical due to the potential for life-threatening complications.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A mother reports her 6-month-old infant has a fever of 38.5°C (101.3°F). Which nursing assessment should the nurse prioritize?
सही उत्तर: ग) Evaluate the infant’s respiratory rate and work of breathing.
The correct answer is 2. Evaluating respiratory effort (work of breathing) is the highest priority when a young infant presents with fever, as it can quickly indicate serious complications like bronchiolitis or pneumonia. While hydration and medication are necessary, assessing respiration first guides immediate intervention.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant is admitted to the NICU with a diagnosis of prematurity and respiratory distress syndrome. Which nursing intervention is MOST important in supporting the infant’s breathing?
सही उत्तर: घ) Applying oxygen via nasal cannula at 24% initially.
The correct answer is 3. Frequent small feeds (gastric tube) are crucial for stimulating surfactant production and improving respiratory mechanics in preterm infants with RDS. While other interventions may be part of the care plan, frequent feeding is the primary intervention to support breathing initially. The use of corticosteroids and oxygen supplementation is important, but not the most immediate action.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 36 weeks gestation reports experiencing intermittent contractions that she describes as 'spasms'. These contractions are irregular in frequency and duration, and do not lead to cervical dilation or effacement. Which of the following is the MOST appropriate nursing intervention?
सही उत्तर: ख) Instruct the woman to rest in a comfortable position and hydrate frequently.
The correct answer is 1. Intermittent contractions at this stage of pregnancy are typically Braxton Hicks contractions, which are irregular and do not cause cervical changes. Resting, hydration, and monitoring without undue concern are appropriate measures. The other options represent interventions for true labor or potential complications.
💬 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।
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