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

441. A client with diabetes mellitus has a blood glucose level of 350 mg/dL. Which nursing intervention should be implemented FIRST?

     कA) Administering sliding scale insulin based on the client’s history खB) Monitoring the client’s vital signs closely for signs of shock गC) Assessing the client's hydration status and providing intravenous fluids if necessary घD) Educating the client about the importance of dietary modification
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

442. Which of the following is the MOST appropriate initial nursing intervention when a client experiences acute pain?

     कA) Administering an opioid analgesic immediately based on the client’s self-reported pain level खB) Assessing the client's pain using a standardized pain scale and inquiring about the nature, location, and intensity of the pain गC) Applying a warm compress to the area where the client is experiencing pain घD) Encouraging the client to relax and visualize a calming scene
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

443. A nurse is assessing a newly admitted patient who reports difficulty breathing and a persistent cough. Which finding would MOST likely indicate pneumonia?

     कA) Auscultation of breath sounds revealing crackles bilaterally खB) Decreased respiratory rate (18 breaths per minute) गC) Clear lung sounds with no adventitious noises घD) Increased blood pressure and heart rate
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

444. A patient with pneumonia develops increased dyspnea and crackles in both lung fields. The nurse observes cyanosis. What immediate nursing intervention should be implemented? a) Administering oxygen via nasal cannula. b) Initiating a fluid bolus for hypotension. c) Obtaining a sputum sample for culture. d) Elevating the client’s head of bed to promote ventilation.

     कa) Administering oxygen via nasal cannula. खb) Initiating a fluid bolus for hypotension. गc) Obtaining a sputum sample for culture. घd) Elevating the client’s head of bed to promote ventilation.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

445. A patient with diabetes mellitus presents with fruity-smelling breath, excessive thirst, and frequent urination. A blood glucose level is significantly elevated. Which laboratory finding would MOST strongly support the diagnosis of diabetic ketoacidosis (DKA)? a) Elevated serum creatinine. b) Presence of ketones in the urine. c) Decreased bicarbonate levels. d) Normal arterial pH.

     कa) Elevated serum creatinine. खb) Presence of ketones in the urine. गc) Decreased bicarbonate levels. घd) Normal arterial pH.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

446. A nurse is caring for a patient following a total hip arthroplasty (THA). Which intervention is MOST important to implement immediately after the procedure? a) Encouraging the patient to ambulate as soon as possible. b) Applying ice packs to the surgical site. c) Assessing the neurovascular status of the affected extremity. d) Administering analgesics as prescribed.

     कa) Encouraging the patient to ambulate as soon as possible. खb) Applying ice packs to the surgical site. गc) Assessing the neurovascular status of the affected extremity. घd) Administering analgesics as prescribed.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

447. A patient presents with severe abdominal pain, nausea, and vomiting. Laboratory results reveal elevated liver enzymes. The nurse suspects acute hepatitis. Which intervention is MOST appropriate as the initial nursing action? a) Administering activated charcoal. b) Monitoring for signs of hepatic encephalopathy. c) Initiating intravenous fluids at a rapid rate. d) Prescribing antiemetics to control nausea.

     कa) Administering activated charcoal. खb) Monitoring for signs of hepatic encephalopathy. गc) Initiating intravenous fluids at a rapid rate. घd) Prescribing antiemetics to control nausea.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

448. A nurse is caring for a patient experiencing acute anxiety. The patient reports feeling overwhelmed, having difficulty breathing, and experiencing muscle tension. Which of the following nursing interventions would be *most* effective in providing immediate comfort?

     कAdministering a benzodiazepine medication as ordered by the physician. खEncouraging the patient to focus on their surroundings and engage in deep breathing exercises. गOffering the patient a warm drink to soothe their nerves. घProviding the patient with a detailed explanation of their anxiety disorder.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

449. A patient with severe depression presents with anhedonia (loss of interest in activities) and significant changes in sleep patterns. The nurse observes that the patient consistently expresses feelings of guilt and self-blame even when there’s no identifiable cause. What is the *primary* nursing intervention to address this?

     कEncourage the patient to engage in light exercise daily to improve mood. खAdminister an antidepressant medication as prescribed by the physician. गExplore the patient's feelings of guilt and self-blame, offering empathy and support. घSchedule regular social activities with friends to combat isolation.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

450. A nurse is caring for a client diagnosed with bipolar I disorder who is experiencing a manic episode characterized by racing thoughts, pressured speech, and impulsivity. Which of the following nursing actions would be *most* important to implement?

     कEncourage the client to engage in creative activities to channel their energy. खProvide a quiet, structured environment with minimal stimulation. गImplement safety measures to prevent impulsive behaviors such as wandering or substance use. घRegularly administer antipsychotic medications according to the physician’s orders.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।