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 nurse is caring for a client with severe heart failure who is experiencing dyspnea. Which intervention would be most appropriate as a priority?
सही उत्तर: ख) Elevate the head of the bed to 30 degrees
Elevating the head of the bed to 30 degrees is a key intervention for reducing dyspnea in heart failure by promoting lung expansion. Oxygen administration alone may not be sufficient, and encouraging forceful coughing could potentially worsen fluid accumulation. Furosemide, while important for managing heart failure, is not the immediate priority when addressing acute dyspnea.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a client who has recently undergone an open abdominal aortic aneurysm repair. The nurse should primarily assess for signs and symptoms related to which complication?
सही उत्तर: क) Cardiogenic Shock
Cardiogenic shock is a common complication following open abdominal aortic aneurysm repair due to reduced cardiac output resulting from the surgery. While edema, pain/pallor, and respiratory distress can occur, they are less directly linked to the immediate surgical process than cardiogenic shock. The other options represent complications of other surgical procedures.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is educating a patient about the importance of proper hand hygiene. Which statement BEST describes how hand hygiene breaks link in the chain of infection?
सही उत्तर: ग) C) Hand hygiene breaks automatically sterilize open wounds.
Option 2 is correct because hand hygiene interrupts the chain of infection by reducing the number of microorganisms present on healthcare workers' hands, preventing their transfer to patients. Options A, C and D are inaccurate representations
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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When suctioning an adult’s airway with a manual suction catheter, the nurse should pass the catheter through which body cavity?
सही उत्तर: ग) Larynx
Suctioning the larynx (voice box) is a common practice when clearing secretions. The catheter must be passed through this space to effectively remove obstructions. The other options are incorrect locations for airway suctioning.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a client who is experiencing anxiety. The client reports feeling overwhelmed and having difficulty concentrating. According to Maslow’s hierarchy of needs, which need is MOST affected in this situation?
सही उत्तर: ख) Safety Needs
Maslow's hierarchy places ‘safety needs’ (security, order, protection) as the third level. Anxiety often stems from a perceived lack of safety and security, impacting the ability to focus on higher-level needs. The other options relate to different levels in the hierarchy – physiological needs are basic survival, esteem needs are self-respect, and love/belonging needs involve social connections.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A mother reports experiencing uterine contractions every 5-7 minutes and intermittent pain. The fetal heart rate remains reassuring. Which statement best describes the nurse’s next action?
सही उत्तर: ग) Encourage the mother to rest and hydrate.
Option 2 is correct; continuous electronic fetal monitoring is crucial when contractions are occurring, allowing for real-time assessment of fetal heart rate changes and uterine activity. Options 1, 3, and 4 may be necessary later but are not the immediate priority given reassuring fetal monitoring.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A postpartum client reports experiencing vaginal bleeding that increases in amount following contractions. The nurse’s priority action is to:
सही उत्तर: ख) Assess the perineum for lacerations and hematomas.
Option 1 is correct – increased vaginal bleeding after contractions strongly suggests postpartum hemorrhage. Options 2, 3, and 4 may provide temporary relief but do not address the underlying cause of excessive bleeding. Assessment for lacerations is crucial as well.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman presents with severe abdominal pain, headache, visual disturbances, and elevated blood pressure. Based on these symptoms, which complication should the nurse suspect immediately?
सही उत्तर: ख) Pre-eclampsia
Option 1 is correct; pre-eclampsia presents with a combination of hypertension, proteinuria, and neurological symptoms. Options 2, 3, and 4 are possible pregnancy conditions but do not explain the specific cluster of signs described in the scenario.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant demonstrates signs of jaundice within the first 24 hours after birth. Which intervention should the nurse implement *first*?
सही उत्तर: क) Administer phototherapy immediately to reduce bilirubin levels.
Option 0 is correct as immediate phototherapy is the standard initial treatment for neonatal jaundice. Options 1, 2, and 3 are secondary interventions or potentially harmful actions that could delay effective treatment. Phototherapy utilizes specific wavelengths of light to convert bilirubin into a form easily excreted by the body.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with severe heart failure is prescribed furosemide (a loop diuretic). What is the MOST important nursing consideration when administering this medication? a) Administering it orally to ensure consistent absorption. b) Monitoring for signs of hypokalemia due to the diuretic effect. c) Limiting fluid intake before administration to reduce its potency. d) Injecting it slowly intravenously over 15 minutes to minimize discomfort.
सही उत्तर: ख) b
Option B is correct. Furosemide causes significant potassium loss through diuresis, leading to hypokalemia (low potassium). Continuous monitoring for this electrolyte imbalance is crucial as it can cause cardiac arrhythmias. Options A, C and D are not primary considerations in the administration of furosemide.
💬 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।
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