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 is prescribed amoxicillin for a bacterial infection. The nurse recognizes that which statement best describes the mechanism of action of this antibiotic?
सही उत्तर: ग) Amoxicillin directly kills bacteria by disrupting their DNA
Amoxicillin is a beta-lactam antibiotic that inhibits bacterial cell wall synthesis, leading to bacterial death. The other options describe different mechanisms of action for various antibiotics.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with a history of heart failure is being treated with digoxin for symptomatic relief. The nurse notes that the client reports visual disturbances and nausea. Which electrolyte imbalance is MOST likely contributing to this adverse effect?
सही उत्तर: ख) Hypercalcemia
Hypercalcemia increases the sensitivity of cardiac tissue to digoxin, exacerbating its effects and causing symptoms like visual disturbances and nausea. The other electrolyte imbalances are less directly implicated in digoxin toxicity.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client scheduled for surgery has been prescribed warfarin sodium to prevent blood clots. The nurse understands that which laboratory value is MOST critical to monitor during the perioperative period?
सही उत्तर: ग) Prothrombin time (PT) / International Normalized Ratio (INR)
The PT/INR directly reflects the anticoagulant effect of warfarin. Monitoring this value allows for timely adjustments in warfarin dosage to maintain therapeutic anticoagulation without excessive bleeding risk.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with chronic obstructive pulmonary disease (COPD) is prescribed inhaled corticosteroids for airway inflammation. Which statement by the client indicates a need for further patient education?
सही उत्तर: घ) ‘I will take the medication only when I feel my symptoms worsening’
Rinsing the mouth prevents thrush (oral candidiasis) caused by corticosteroids. Pursed-lip breathing assists with exhalation, and taking medication only at symptom onset is not effective for managing chronic inflammation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client taking metoprolol for hypertension reports experiencing dizziness and lightheadedness upon standing. Which of the following actions is MOST appropriate for the nurse to implement FIRST?
सही उत्तर: ख) Advise the client to elevate their legs when sitting or lying down
Elevating the legs promotes venous return and helps counteract orthostatic hypotension, which is a common side effect of metoprolol. The other options are less immediate or do not address the underlying cause of the symptom.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client recovering from abdominal surgery. The nurse observes the client exhibiting signs of discomfort and guarding their abdomen. Which of the following interventions would be MOST appropriate?
सही उत्तर: ख) Encourage the client to perform diaphragmatic breathing exercises.
Deep breathing and diaphragmatic exercises are crucial for preventing pneumonia and promoting venous return after abdominal surgery, addressing the client's discomfort (Option 1). Opioids can suppress respiratory function. Applying heat could cause further tissue damage at the surgical site(Option 3) and a supine position without bent knees can increase pressure on the abdomen.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with diabetes mellitus is experiencing symptoms of hyperglycemia including excessive thirst, frequent urination, and blurred vision. The nurse knows that insulin helps to improve how the body uses glucose. Which specific mechanism of action does insulin primarily affect?
सही उत्तर: क) Stimulating glycogen synthesis.
Option 0 (Stimulating glycogen synthesis) is correct. Insulin’s primary role is to facilitate the conversion of glucose into glycogen for storage in the liver and muscles, lowering blood sugar levels.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client following a total hip replacement has developed increased swelling, warmth, and pain in the surgical site 24 hours postoperatively. What is the MOST important nursing intervention?
सही उत्तर: ग) Administer prescribed analgesics as ordered.
Option 2 (Administer prescribed analgesics as ordered) is correct. The client's pain and inflammation are a priority, and timely analgesia is crucial for comfort and recovery. While the other options are important supportive measures, pain management takes precedence in this scenario.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with chronic heart failure is experiencing fluid retention, manifesting as edema in the ankles and shortness of breath. Which diuretic medication would be MOST appropriate for immediate relief of this symptom?
सही उत्तर: ख) Furosemide (Lasix)
Option 1 (Furosemide - Lasix) is correct as it's a loop diuretic with rapid action against fluid retention. Spironolactone is an aldosterone antagonist for long-term management, metoprolol is a beta blocker for heart failure control, and digoxin is used for rhythm control.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following findings would MOST likely indicate a developing pulmonary embolism (PE)?
सही उत्तर: ख) Persistent cough with green sputum production.
Option 1 (Increased arterial blood pressure and tachycardia) is correct. PE often presents with hemodynamic instability due to right ventricular strain. The other options represent less specific symptoms of respiratory or circulatory issues.
💬 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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