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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Which of the following best describes the function of maintaining adequate fluid balance in a patient with heart failure? a) Restricting sodium intake to reduce fluid retention. b) Administering diuretics to eliminate excess fluid from the body. c) Encouraging frequent urination as a sign of effective hydration. d) Monitoring blood glucose levels closely.
सही उत्तर: ख) b) Administering diuretics to eliminate excess fluid from the body.
Diuretics are the primary medications used to manage fluid volume overload in heart failure, reducing edema and improving cardiac output. (a) is supportive but not the core intervention; (c) is an unreliable indicator, and (d) is related to diabetes management.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a client who is post-operative following a total hip replacement. The nurse observes edema around the surgical site and decreased range of motion in the affected hip. Which of the following interventions is MOST appropriate at this time? a) Encourage the client to ambulate frequently. b) Apply a cold compress to the surgical site. c) Elevate the affected leg above the level of the heart. d) Administer analgesics as prescribed.
सही उत्तर: घ) d) Administer analgesics as prescribed.
Elevation of the affected limb is the most appropriate initial intervention for post-operative edema and pain management following a hip replacement. This reduces swelling by decreasing venous return. Options (a), (b) and (d) are supportive but do not directly address the underlying cause – edema.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a newborn diagnosed with neonatal jaundice. Which assessment finding would warrant IMMEDIATE intervention?
सही उत्तर: ख) Total serum bilirubin level of 12 mg/dL
A total serum bilirubin level of 12 mg/dL (option 1) represents a critical threshold indicating significant hyperbilirubinemia requiring prompt treatment to prevent kernicterus. The other options represent expected findings at this stage, and are not immediately life-threatening.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a newborn infant who was born via vaginal delivery. The infant’s mother has been diagnosed with gestational diabetes. Which of the following findings would be MOST concerning to the nurse?
सही उत्तर: ग) Signs of hypoglycemia, such as jitteriness and poor feeding
Signs of hypoglycemia (option 3) are a significant concern in infants born to mothers with gestational diabetes, who frequently experience transient neonatal hypoglycemia. The other options are not specifically associated with gestational diabetes but are normal findings at birth.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 36 weeks gestation presents to the clinic complaining of increasing vaginal leakage. She denies painful contractions. On examination, the cervix is 3 cm dilated and 70% effaced. Based on this assessment, what is the MOST appropriate initial nursing intervention?
सही उत्तर: घ) Prepare for immediate induction of labor
Preparing for immediate induction of labor (option 4) is the most appropriate response given the clinical picture - a woman at term with an already partially dilated cervix. The other options are premature interventions that could potentially harm the baby. Although monitoring and rest are beneficial, in this situation, prompt action is needed.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a newborn admitted with prematurity. The infant’s mother reports she noticed the baby has been ‘quiet’ and ‘floppy’. Which finding would be MOST concerning to the nurse regarding this infant’s condition?
सही उत्तर: क) Bradycardia
Bradycardia (option 1) is a hallmark sign of neonatal asphyxia and central nervous system depression, which is common in premature infants. The other options are less immediately critical. This option directly relates to the mother’s description of ‘quiet’ and ‘floppy’.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client experiencing acute psychosis states they see their deceased mother sitting across from them at dinner. Which nursing action demonstrates the MOST appropriate response? a) Immediately administer a benzodiazepine to calm the client. b) Gently encourage the client to focus on reality and describe what’s happening around them in detail. c) Ask the client leading questions about her family history to try to identify any stressors that might be contributing to the delusion. d) Agree with the client that her mother is present, as this may reduce her distress.
सही उत्तर: ख) b) Gently encourage the client to focus on reality and describe what’s happening around them in detail.
Encouraging the client (b) to focus on reality and describe their surroundings is the MOST appropriate initial action. This attempts to ground the client in the present moment without directly confronting or challenging the delusion, which can escalate agitation. The other options are not ideal because they could reinforce delusional thinking (a & d) or lead to further questioning of a potentially fragile state (c).
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following interventions is MOST important for a nurse implementing a behavioral activation plan with a client diagnosed with severe depression? a) Encouraging the client to maintain a strict sleep schedule. b) Facilitating structured activities that provide opportunities for social interaction and accomplishment. c) Promoting relaxation techniques such as deep breathing exercises. d) Providing detailed information about the pathophysiology of depression.
सही उत्तर: ख) b) Facilitating structured activities that provide opportunities for social interaction and accomplishment.
Behavioral activation (b) is a core component of treating severe depression, focusing on increasing engagement in rewarding activities. A structured approach with social interaction and accomplishment has the greatest chance of improving mood and motivation. The other options are supportive interventions but do not address the core treatment principle.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with Obsessive-Compulsive Disorder (OCD) reports repeatedly checking if the stove was left on after preparing a meal. This behavior is best described as: a) A delusion b) An intrusive thought c) A compulsion d) A phobia
सही उत्तर: ग) c) A compulsion
An intrusive thought (b) accurately describes the client's experience – recurrent, unwanted thoughts that cause distress. Delusions (a) are false beliefs held despite evidence to the contrary. Compulsions (c) are repetitive behaviors performed to reduce anxiety caused by intrusive thoughts. A phobia (d) involves fear of a specific object or situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient diagnosed with Schizophrenia is exhibiting auditory hallucinations - hearing voices that criticize them. Which of the following interventions would be MOST appropriate for the nurse to implement? a) Encourage the patient to engage in structured activities to distract from the voices. b) Provide a quiet, calming environment and actively listen to the patient's concerns without judgment. c) Immediately administer an antipsychotic medication as prescribed. d) Suggest that the patient tries meditation or yoga techniques to manage stress.
सही उत्तर: ख) b) Provide a quiet, calming environment and actively listen to the patient’s concerns without judgment.
The most appropriate intervention is (b). Active listening and a calm environment are crucial for validating the patient's experience with hallucinations, building trust, and reducing anxiety. Distraction (a), medication alone (c), and relaxation techniques (d) may be adjunct therapies but do not address the core issue of managing the hallucination itself.
💬 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।
AI ले गल्ती गर्न सक्छ। महत्वपूर्ण कुरा आधिकारिक स्रोतमा जाँच्नुहोस्।