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 client has a suspected urinary tract infection (UTI). Which of the following actions should the nurse take FIRST?
सही उत्तर: ख) Collect a clean-catch midstream urine sample for analysis.
Collecting a urine specimen is the initial step in diagnosing a UTI. Laboratory analysis of the urine will confirm or rule out the infection before starting antibiotic therapy.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is teaching a client with diabetes mellitus how to care for their feet. Which instruction should the nurse include?
सही उत्तर: ख) Wear tight-fitting shoes to protect the feet.
Wearing loose-fitting footwear and socks is essential for diabetes foot care as it helps prevent pressure ulcers. Tight shoes can restrict circulation and lead to nerve damage. The other options are incorrect or contraindicated.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client who has been admitted with pneumonia. Which of the following nursing interventions is MOST important to reduce the risk of aspiration in this client?
सही उत्तर: ख) Elevating the head of the bed to 30-45 degrees.
Elevating the head of the bed is the most effective way to reduce the risk of aspiration by decreasing the angle at which gastric contents can enter the airway. The other options do not directly address aspiration prevention.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client is admitted with suspected Addison's disease. Which laboratory finding would MOST strongly support this diagnosis?
सही उत्तर: ख) Decreased serum cortisol levels
Option 1 is correct. Low serum cortisol levels are a hallmark of Addison’s disease. The other options reflect findings associated with other hormonal imbalances or normal adrenal function.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with end-stage heart failure presents with pulmonary edema. Which nursing intervention is MOST important at this time?
सही उत्तर: ग) Monitor blood pressure and administer diuretics as prescribed
Option 2 is correct. Promoting airway clearance through coughing (often with encouragement, not forceful induction) helps relieve pulmonary edema. While other interventions are important, clearing the airway is paramount in this acute situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which intervention would the nurse prioritize when caring for a patient with severe burns?
सही उत्तर: ग) Maintain euvolemia and monitor fluid balance closely
Option 2 is correct. Maintaining euvolemia (stable fluid volume) and careful monitoring of fluid balance are crucial in burn patients due to significant fluid loss. Applying cold compresses can actually worsen the injury. The other options have a secondary role.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with a newly diagnosed deep vein thrombosis (DVT) is prescribed warfarin. Which statement by the client indicates understanding of this medication?
सही उत्तर: घ) ‘This medication prevents blood clots from forming in my veins.’
Option 3 is correct. Clients taking warfarin need to be educated on the importance of reporting bleeding symptoms, as warfarin's effects can take several days to manifest. The other options reflect incorrect understanding of warfarin’s use or monitoring.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient has recently undergone a laparoscopic cholecystectomy. Which nursing intervention is MOST important to prevent emesis?
सही उत्तर: ख) Assess for signs of pain and provide comfort measures
The correct answer is 1. After laparoscopic surgery, patients are at high risk of post-operative nausea and vomiting (PONV). Assessing for pain and providing comfort measures is the immediate priority. The other options are important aspects of care but not the MOST critical initial intervention.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which medication would be administered *first* in a patient experiencing an anaphylactic reaction?
सही उत्तर: ख) Epinephrine (एपिनेफ्रीन)
Epinephrine is the first-line treatment for anaphylaxis due to its rapid vasoconstrictive and bronchodilatory effects. It quickly reverses the symptoms of a severe allergic reaction.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with chronic obstructive pulmonary disease (COPD) is prescribed montelukast for asthma management. What is the primary mechanism by which montelukast exerts its therapeutic effect?
सही उत्तर: घ) Suppression of leukotriene synthesis (ल्यूट्रोइन संश्लेषणलाई दबाउँछ)
Montelukast is a leukotriene receptor antagonist. It specifically blocks the action of leukotrienes, inflammatory mediators that contribute to asthma symptoms. Bronchodilation and increased mucociliary clearance are effects of different medications.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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