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

281. A client with heart failure presents to the emergency department with shortness of breath and edema in both ankles. Which intervention is *most* important for the nurse to implement immediately?

     कAdminister furosemide (Lasix) as prescribed खElevate the client's legs above the level of their heart गEncourage the client to sit upright घNotify the physician regarding fluid overload
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

282. A nurse is caring for a client who has just undergone an esophagogastroduodenoscopy (EGD). Which of the following observations would *most* indicate a complication?

     कClient reports mild abdominal discomfort खClient verbalizes understanding of the procedure गClient remains NPO (nothing by mouth) as prescribed घClient demonstrates intermittent nausea and vomiting
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

283. A client with chronic obstructive pulmonary disease (COPD) presents to clinic with a SpO2 reading of 88% on room air. According to current guidelines, what target oxygen saturation should the nurse recommend for this patient?

     क90-93% ख85-88% ग94-96% घ100%
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

284. A client post-operatively following a total knee replacement reports significant pain, swelling, and redness around the surgical site. Which nursing intervention would be *most* appropriate at this time?

     कEncourage the client to perform passive range of motion exercises immediately खApply a cool compress to the affected area for 20 minutes every 4 hours गAdminister an opioid analgesic as prescribed घInstruct the client on how to massage the surgical dressing
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

285. A patient presents to the emergency department with severe chest pain radiating to their left arm. Their vital signs are: BP 160/95, HR 110, RR 24, and SpO2 92%. Based on this information, which of the following is the nurse’s *priority* action?

     कAdminister oxygen via nasal cannula at 2L/min खAdminister morphine for pain relief गActivate the rapid response team घObtain a full arterial blood gas sample
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

286. A nurse is assessing a client who is experiencing anxiety. Which of the following nursing interventions would be MOST appropriate to provide immediate comfort?

     कA) Providing the client with written information about their diagnosis खB) Offering the client a warm beverage and engaging in light conversation गC) Applying a cold compress to the client's forehead and neck घD) Performing a complete physical assessment of the client
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

287. A nurse is teaching a client about proper hand hygiene. Which of the following techniques should the nurse emphasize?

     कA) Using a harsh antiseptic solution for 30 seconds खB) Washing hands with soap and water for at least 20 seconds, followed by thorough drying गC) Applying alcohol gel to the hands and rubbing briskly for 10 seconds घD) Briefly rinsing hands under lukewarm water
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

288. A nurse is preparing a client for a chest x-ray. Which of the following actions is MOST important to ensure accurate visualization of the lung fields?

     कA) Instructing the client to take a deep breath and hold it until the image is obtained खB) Positioning the client in a lateral decubitus position with the affected side uppermost गC) Ensuring the client's arms are extended above their head and stabilized घD) Applying an ice pack to the chest wall before the procedure
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

289. During the care of a deceased client, the nurse observes rigor mortis developing. The nurse understands that rigor mortis is caused by:

     कA) Decomposition processes involving bacterial activity खB) Chemical changes within muscle fibers due to cellular injury and lack of oxygen गC) Vasoconstriction leading to decreased blood flow to muscles घD) The body’s response to trauma and inflammation
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

290. A nurse is assessing a client who has been admitted with pneumonia. Which of the following findings would most likely indicate that the client’s respiratory status is improving?

     कA) Decreased breath sounds bilaterally and decreased work of breathing खB) Increased heart rate, increased respiratory rate, and cyanosis गC) Clear lung sounds, relaxed muscles, and normal oxygen saturation levels घD) Dyspnea, use of accessory muscles, and increased carbon dioxide retention
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।