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

31. A client diagnosed with chronic obstructive pulmonary disease (COPD) is experiencing severe shortness of breath. The nurse observes that the client’s accessory muscles are visibly engaged during breathing. What nursing intervention would be MOST appropriate to immediately alleviate some of the client’s distress?

    कAdminister oxygen via nasal cannula at 2 liters per minute. खEncourage deep, diaphragmatic breathing exercises. गPosition the client in a prone position with head elevated. घAdminister bronchodilator medication as prescribed.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

32. A client recovering from an open-heart surgery is being discharged home with instructions to monitor their potassium levels regularly. The nurse understands that potassium imbalances can significantly affect cardiac function. Which electrolyte level would require IMMEDIATE notification of the physician?

    कPotassium 3.8 mEq/L खPotassium 4.2 mEq/L गPotassium 5.0 mEq/L घPotassium 2.9 mEq/L
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

33. A client with heart failure is experiencing shortness of breath and peripheral edema. Their physician orders furosemide (Lasix) 40 mg intravenously daily. Which assessment finding would MOST closely indicate the medication is achieving its therapeutic effect?

    कDecreased urine output. खIncreased blood pressure. गCrackles in both lung fields. घReduced pitting edema.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

34. A client with a diagnosis of chronic obstructive pulmonary disease (COPD) presents to the emergency department with shortness of breath and an oxygen saturation of 85% on room air. Which intervention is MOST important for the nurse to perform immediately? (A) Administering bronchodilators via nebulizer. (B) Positioning the client in a high-fowler’s position. (C) Assessing the client's respiratory rate and pattern. (D) Obtaining a sputum sample for culture.

    कAdministering bronchodilators via nebulizer. खPositioning the client in a high-fowler’s position. गAssessing the client’s respiratory rate and pattern. घObtaining a sputum sample for culture.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

35. A client following a total hip arthroplasty (THA) has developed pain rated as 8/10. The nurse assesses the surgical site and notes redness, warmth, and swelling. Which intervention should the nurse implement FIRST? (A) Administering an analgesic medication as prescribed. (B) Applying ice packs to the surgical dressing for 20 minutes at a time. (C) Elevating the affected leg above the level of the heart. (D) Encouraging the client to perform range-of-motion exercises.

    कAdministering an analgesic medication as prescribed. खApplying ice packs to the surgical dressing for 20 minutes at a time. गElevating the affected leg above the level of the heart. घEncouraging the client to perform range-of-motion exercises.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

36. A client is admitted with severe dehydration following vomiting. Vital signs include temperature 38°C (100.4°F), heart rate 120 bpm, blood pressure 90/60 mmHg, and mucous membranes are dry. Which of the following nursing interventions is MOST appropriate at this time? (A) Administering intravenous fluids rapidly to restore fluid volume. (B) Monitoring urine output closely and encouraging oral intake of clear liquids. (C) Assessing for signs of cerebral edema, such as altered mental status. (D) Applying a cool compress to the client’s forehead.

    कAdministering intravenous fluids rapidly to restore fluid volume. खMonitoring urine output closely and encouraging oral intake of clear liquids. गAssessing for signs of cerebral edema, such as altered mental status. घApplying a cool compress to the client’s forehead.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

37. A patient with psychosis exhibits disorganized speech patterns – frequently jumping between topics and using illogical connections. Which nursing intervention would be MOST appropriate?

    कMaintain a consistent, predictable routine to minimize confusion खEncourage the patient to elaborate on their thoughts, promoting cognitive engagement गAvoid direct questions that might elicit further disorganization घProvide a quiet, structured environment with minimal distractions
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

38. A client with a history of major depressive disorder expresses hopelessness about their future. During the conversation, they state, 'What's the point? Nothing ever gets better.' Which response from the nurse would be MOST therapeutic?

    क‘You are feeling very sad today; it’s important to talk about how you’re feeling.’ ख‘I understand you feel hopeless, but there is always something to look forward to.’ ग‘Tell me more about what makes you feel this way and let's explore some possible solutions.’ घ‘Your feelings will pass. Try to focus on the positive aspects of your life.’
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

39. A patient recently diagnosed with bipolar disorder is experiencing manic symptoms including grandiose ideas, racing thoughts, and impulsive spending. Which of the following interventions would be MOST crucial to implement immediately?

    कEncourage the patient to write down their ideas to help organize them खImplement a structured routine and limit exposure to stimulating environments गProvide the patient with access to financial resources to support their impulsive spending habits घMaintain frequent one-on-one contact with the patient, offering constant reassurance and monitoring
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

40. A client admitted for acute anxiety states expresses significant distress about perceived threats to their safety. Which of the following therapeutic approaches would be MOST appropriate in this scenario?

    कEncourage the client to verbalize their fears and anxieties without interruption खProvide a structured activity schedule to minimize stimulation and reduce anxiety गEmploy relaxation techniques such as deep breathing or progressive muscle relaxation to manage physiological symptoms घOffer reassurance that everything is 'okay' and attempt to directly challenge the client’s paranoid beliefs
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।