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 client with chronic obstructive pulmonary disease (COPD) who reports increasing shortness of breath. Which assessment finding would most closely correlate with the client’s subjective report?
सही उत्तर: ग) Elevated PaCO2 levels.
Elevated PaCO2 (partial pressure of carbon dioxide) indicates inadequate alveolar ventilation, a key symptom in COPD patients experiencing shortness of breath. Decreased respiratory rate and increased tidal volume are not typical findings.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client presents to the clinic with a chronic cough productive of green sputum and fever. Which action should the nurse implement FIRST?
सही उत्तर: ख) Obtain a sputum culture and sensitivity test.
A sputum culture is the critical first step in diagnosing bacterial pneumonia. The other options are supportive measures but do not address the suspected infection directly. A culture will guide antibiotic selection.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client who has sustained a deep laceration. Which nursing intervention is MOST important at this time?
सही उत्तर: ख) B) Assessing the client’s level of consciousness
Option A is correct. Immediate and consistent direct pressure is the most critical step in controlling significant bleeding from a deep laceration. While all other options are relevant, managing hemorrhage takes precedence.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is reviewing a client's medication list and notices an order for intravenous vancomycin. Which of the following actions should the nurse take?
सही उत्तर: ग) C) Administer the medication without intervention as it is a commonly prescribed antibiotic
Option B is correct. Before administering any medication, particularly antibiotics, confirmation of the order details is crucial to prevent errors. Options A describes inappropriate action, C is dangerous, and D doesn't address the immediate concern.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with a history of chronic obstructive pulmonary disease (COPD) presents to the emergency department complaining of shortness of breath. The nurse’s priority assessment finding should be:
सही उत्तर: ख) B) Checking the client’s capillary blood glucose
Option A is correct. In COPD, maintaining adequate oxygenation is paramount. The nurse’s primary responsibility is to assess and address the immediate respiratory distress. Options B, C, and D are important but secondary to ensuring airway and breathing support.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with severe depression suddenly stops taking their prescribed antidepressant medication and states, ‘It’s not working; nothing will ever make me feel better.’ What is the MOST important nursing action?
सही उत्तर: घ) Schedule a referral to a psychiatrist for evaluation
The primary concern is assessing for suicide risk. Sudden discontinuation of antidepressants can cause withdrawal symptoms and worsen depression. While medication adjustment may be needed, immediate safety assessment takes precedence.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with a history of Obsessive-Compulsive Disorder (OCD) reports engaging in repetitive handwashing rituals following exposure to dirt. Which therapeutic approach is MOST suitable for this client?
सही उत्तर: ख) Cognitive Behavioral Therapy (CBT)
CBT is a proven effective therapy for OCD that focuses on identifying and modifying maladaptive thoughts and behaviors. While medication can be helpful, CBT addresses the core issues of the disorder.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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When assessing a client experiencing acute psychosis, the nurse observes the client muttering to themself and appearing agitated. Which intervention is MOST appropriate at this time?
सही उत्तर: ख) Offer reassurance that they are safe and help is available
Offering reassurance and ensuring safety is crucial for a psychotic patient. The other options could exacerbate agitation or may not be immediately appropriate given the acute nature of their distress. Medication administration requires physician orders.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with disorganized thinking, tangential speech, and a lack of awareness of their surroundings. Which of the following diagnoses is MOST likely?
सही उत्तर: क) Schizophrenia
Schizophrenia is characterized by disorganized thought processes like these symptoms. The other options represent distinct disorders with different primary symptom profiles – Bipolar Disorder involves mood swings, Major Depression focuses on sadness and hopelessness, and Anxiety Disorders involve excessive worry and fear.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient receiving oral iron supplements reports nausea and constipation. Which food or beverage would the nurse advise the patient to take concurrently to improve iron absorption? a) Coffee b) Milk of Magnesia c) Citrus fruits (e.g., orange juice) d) Vinegar
सही उत्तर: ग) c) Citrus fruits (e.g., orange juice)
Iron absorption is significantly enhanced by consuming it with vitamin C-rich foods like citrus fruits. Vitamin C converts non-heme iron into a more absorbable form. Coffee and milk can inhibit iron absorption.
💬 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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