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

521. A client with paranoid schizophrenia reports hearing voices criticizing their appearance. The nurse’s best initial response should be:

     क‘Don't listen to the voices, they are not real.’ ख‘Tell me more about what the voices are saying.’ ग‘I understand you’re feeling insecure; let’s talk about it.’ घ‘Let's try a relaxation technique to calm your nerves.’
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

522. A patient with severe asthma exacerbation requires nebulized albuterol. The nurse observes that the patient is experiencing a rapid heart rate (140 bpm), tremor, and anxiety. Which medication should the nurse administer NEXT?

     कIpratropium bromide. खMgSO4 injection. गMethylxanthine (theophylline). घNaloxone.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

523. A client with a diagnosis of heart failure is exhibiting dyspnea and edema. Which laboratory value would be MOST indicative of worsening fluid overload?

     कSerum sodium level of 142 mEq/L. खPotassium level of 3.8 mEq/L. गB-type natriuretic peptide (BNP) level of 800 pg/mL. घSerum creatinine level of 1.2 mg/dL.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

524. A client with chronic obstructive pulmonary disease (COPD) is prescribed supplemental oxygen at 2 liters per minute via nasal cannula. Which finding would MOST closely correlate with adequate oxygen therapy in this patient?

     कClient reports a decrease in shortness of breath. खPulse oximetry reading consistently shows 88% saturation. गClient experiences increased anxiety and restlessness. घHeart rate increases by 10 beats per minute.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

525. A client recovering from total hip arthroplasty (THA) reports increasing swelling, warmth, and redness in the surgical site. Which of the following actions should the nurse take FIRST?

     कAdminister an analgesic medication as prescribed. खApply ice packs to the affected area for 20 minutes at a time. गElevate the operated leg above heart level. घInstruct the client to perform passive range-of-motion exercises.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

526. A client with a recent myocardial infarction (MI) presents with chest pain, shortness of breath, and diaphoresis. Which of the following interventions is MOST important for the nurse to implement immediately?

     कAdminister morphine for pain relief only. खElevate the client's legs while monitoring vital signs. गInitiate cardiac monitoring and obtain a 12-lead ECG. घEncourage the client to perform deep breathing exercises.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

527. A patient with asthma is prescribed a combination of Albuterol and Fluticasone via metered-dose inhaler. What is the primary purpose of Fluticasone in this regimen?

     कTo provide immediate relief of bronchospasm खTo reduce airway inflammation गTo increase mucociliary clearance घTo prevent allergic reactions
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

528. A patient is being treated for atrial fibrillation with intravenous Adenosine. Which of the following findings would indicate a successful intervention?

     कSustained ventricular tachycardia खSinus bradycardia गConversion to sinus rhythm with temporary P waves घIncreased blood pressure
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

529. A patient with chronic systolic heart failure is prescribed Furosemide. Which electrolyte imbalance should the nurse monitor for as a priority?

     कHypokalemia खHypercalcemia गHyponatremia घHypermagnesemia
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

530. A patient is prescribed intravenous Vancomycin for suspected bacterial sepsis. Which adverse effect should the nurse monitor for most closely?

     कCardiac arrhythmias खRenal impairment गOsteonecrosis of the hip घPeripheral neuropathy
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।