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

541. A patient with severe depression expresses thoughts of self-harm but denies intent. Which nursing intervention is MOST crucial? a) Immediately restrict the patient’s access to all potential means of harm. b) Validate the patient's feelings and offer empathy while exploring suicidal ideation. c) Encourage the patient to engage in activities they used to enjoy to distract them from their thoughts. d) Schedule a follow-up appointment with the psychiatrist for medication review.

     कa) Immediately restrict the patient’s access to all potential means of harm. खb) Validate the patient's feelings and offer empathy while exploring suicidal ideation. गc) Encourage the patient to engage in activities they used to enjoy to distract them from their thoughts. घd) Schedule a follow-up appointment with the psychiatrist for medication review.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

542. A client diagnosed with Schizophrenia exhibits disorganized speech, bizarre beliefs, and unusual motor behaviors. Which nursing intervention is MOST appropriate? a) Encourage the client to engage in structured activities to improve cognitive function. b) Maintain a safe environment for the client and their family while respecting the client’s delusions. c) Provide psychoeducation about the illness and its treatment options to the client's family. d) Implement behavioral interventions aimed at suppressing the client’s unusual behaviors.

     कa) Encourage the client to engage in structured activities to improve cognitive function. खb) Maintain a safe environment for the client and their family while respecting the client’s delusions. गc) Provide psychoeducation about the illness and its treatment options to the client's family. घd) Implement behavioral interventions aimed at suppressing the client’s unusual behaviors.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

543. Which of the following best describes *transference* in psychodynamic theory? a) The patient’s conscious awareness of their feelings and thoughts. b) The unconscious redirection of feelings from one person to another, often originating in early relationships. c) The patient’s ability to objectively analyze their own behavior. d) The therapist's influence on the patient's beliefs and values.

     कa) The patient’s conscious awareness of their feelings and thoughts. खb) The unconscious redirection of feelings from one person to another, often originating in early relationships. गc) The patient’s ability to objectively analyze their own behavior. घd) The therapist's influence on the patient’s beliefs and values.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

544. A patient experiencing acute anxiety presents with rapid heart rate, hyperventilation, and trembling. The nurse's *first* action should be to: a) Administer a benzodiazepine medication immediately. b) Provide reassurance and encourage slow, deep breathing techniques. c) Assess the patient’s medical history for potential contributing factors. d) Document the patient’s symptoms in detail.

     कa) Administer a benzodiazepine medication immediately. खb) Provide reassurance and encourage slow, deep breathing techniques. गc) Assess the patient’s medical history for potential contributing factors. घd) Document the patient’s symptoms in detail.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

545. A pregnant woman presents with severe nausea and vomiting, leading to dehydration. Which of the following nursing interventions is MOST important in the initial management of this condition? a) Administering intravenous fluids immediately. b) Encouraging frequent small meals throughout the day. c) Monitoring electrolyte levels closely and administering potassium supplements as needed. d) Providing a bland diet rich in crackers and toast.

     कa खb गc घd
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

546. A client is post-operative following an esophagogastrectomy. Which dietary instruction should the nurse prioritize to minimize the risk of dumping syndrome?

     कSmall, frequent meals throughout the day. खAvoid high-sugar foods and beverages. गConsume a diet rich in protein and fat. घDrink fluids slowly with meals.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

547. A client diagnosed with Type 1 Diabetes Mellitus is experiencing diabetic ketoacidosis (DKA). The nurse observes the patient’s breath to be fruity. What laboratory finding would MOST strongly support the diagnosis of DKA?

     कSerum glucose level of 60 mg/dL. खSerum bicarbonate level of 28 mEq/L. गArterial blood gas showing pH 7.30, PaCO2 45 mmHg, and HCO3- 12 mEq/L. घSerum potassium level of 5.5 mEq/L.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

548. Which intravenous fluid infusion should be used with caution when administering a blood transfusion to a client experiencing hypovolemic shock?

     क0.9% Sodium Chloride (Normal Saline). ख5% Dextrose in Water. गLactated Ringer's Solution. घ3% Hypertonic Sodium Chloride.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

549. A client with cirrhosis is experiencing ascites. The physician orders lactulose 30 mg orally every 8 hours. What is the PRIMARY rationale for administering this medication in this case?

     कTo reduce sodium reabsorption in the kidneys. खTo decrease ammonia levels in the blood by promoting bacterial fermentation in the colon. गTo dilate peripheral veins and improve venous return. घTo stimulate aldosterone production, increasing fluid excretion.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

550. A client recovering from a total hip arthroplasty (THA) reports pain rated as an 8 on a scale of 0 to 10. The nurse assesses that the client also states, ‘I can’t sleep because it hurts so much.’ What is the MOST appropriate nursing intervention?

     कAdminister analgesics as prescribed and encourage the client to try distraction techniques. खInstruct the client to apply ice packs continuously to the surgical site for 30 minutes every hour. गAssess the client's vital signs, including temperature, and document findings. घEncourage the client to remain active with light walking to promote healing.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।