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 patient with a new diagnosis of heart failure is prescribed furosemide (Lasix). Which assessment finding would MOST closely indicate that the medication is effective?
सही उत्तर: क) Decreased urine output.
Decreased urine output (option 1) is a common and expected side effect of furosemide as it acts diurectically, eliminating excess fluid. Increased blood pressure (option 2) would be an adverse effect. Weight gain (option 3) indicates fluid retention, while crackles in the lungs would suggest worsening heart failure.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which statement best describes the expected effect of administering sulfasalazine to a patient with ulcerative colitis?
सही उत्तर: ख) It will significantly reduce inflammation over several weeks.
Sulfasalazine (option 2) is known to produce a gradual and sustained effect in ulcerative colitis. It takes several weeks to induce noticeable improvement. The other options are inaccurate; sulfasalazine does not provide complete remission or eradicate the need for dietary changes; it's also not a cure.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with chronic obstructive pulmonary disease (COPD) presents with increased dyspnea. Which intervention would be MOST appropriate for the nurse to implement immediately?
सही उत्तर: क) Administer oxygen at 2 liters per minute via nasal cannula.
Pursed-lip breathing (option 3) is a well-established and effective non-pharmacological intervention for COPD patients experiencing dyspnea by increasing expiratory pressure and slowing respiratory rate. Administering oxygen (option 1) without assessment could be detrimental; postural drainage (option 2) is not typically used in acute exacerbations; antacids are inappropriate for the client's condition.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient is prescribed phenytoin for seizure control. Which laboratory test should be monitored regularly to assess for potential toxicity?
सही उत्तर: घ) Liver Function Tests
Phenytoin toxicity can manifest with neurological symptoms and blood abnormalities. Monitoring the serum phenytoin level is critical for determining appropriate dosing and preventing toxic effects. While other tests are important, phenytoin levels directly reflect drug accumulation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which drug classification is MOST likely to cause QT prolongation and subsequent cardiac arrhythmias?
सही उत्तर: क) ACE inhibitors
Certain medications, particularly some calcium channel blockers and macrolide antibiotics, can prolong the QT interval on an electrocardiogram. This increases the risk of ventricular arrhythmias. ACE inhibitors and NSAIDS typically have minimal impact on QT prolongation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient taking warfarin (Coumadin) reports intermittent nosebleeds. What pharmacological effect of warfarin should be considered as the most likely cause?
सही उत्तर: ख) Decreased clotting factor synthesis
Warfarin inhibits vitamin K-dependent coagulation factors, leading to a decreased ability for blood clot formation. This can manifest as bleeding tendencies such as nosebleeds.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following statements BEST describes the mechanism of action of metformin in treating type 2 diabetes?
सही उत्तर: ख) Decreases hepatic glucose production
Metformin works primarily by decreasing hepatic glucose production, which is a key factor in managing type 2 diabetes. While it does have some effects on peripheral glucose uptake, its primary action is reducing glucose output from the liver.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client experiencing a panic attack states they feel 'frozen' and unable to move. Which physiological response is MOST likely responsible for this sensation?
सही उत्तर: ग) Activation of the sympathetic nervous system
Activation of the sympathetic nervous system (2) triggers the ‘fight or flight’ response, leading to vasoconstriction and reduced blood flow, which can cause feelings of immobilization during a panic attack. The other options – dopamine, decreased BP, and endorphins - are not directly related to this physical sensation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse observes a patient with acute psychosis expressing paranoid thoughts, believing that nurses are deliberately trying to harm them. What is the most appropriate immediate nursing action?
सही उत्तर: घ) Providing a quiet, secluded environment for the patient
Providing a quiet, secluded environment (3) is the most appropriate initial action. This minimizes stimulation, reduces anxiety, and allows the patient to calm down while avoiding confrontation with delusional beliefs. Sedatives should be used cautiously, and attempting to reason with delusions can exacerbate distress.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with Schizoaffective Disorder presents with symptoms of both psychosis (hallucinations, delusions) and mood disturbance (severe depression). Which intervention is MOST crucial in the initial management of this client?
सही उत्तर: ख) Providing a structured daily routine
Providing a structured daily routine (1) is paramount for clients with Schizoaffective Disorder as it helps manage symptoms and promotes stability. Encouraging artistic expression, isolating the client or administering antidepressant medication alone are not primary initial steps in comprehensive care.
💬 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।