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

811. A client presents to the clinic with a history of persistent headaches, blurry vision and recent unexplained changes in their peripheral vision. An ophthalmologist suspects retinal detachment. What is the *most* immediate nursing intervention?

     कAdminister an oral medication for pain control immediately. खInstruct the client to apply a cold compress to their forehead. गPrepare the client for an emergency referral to a specialist ophthalmologist. घMonitor vital signs closely and maintain oxygen saturation.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

812. A client is prescribed ranitidine for heartburn. Which statement correctly explains how this medication works?

     कIncreases gastric acid secretion खStimulates parietal cell proliferation गBlocks histamine receptors to reduce stomach acid production घPromotes the absorption of hydrochloric acid
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

813. Which statement best describes the mechanism of action of acetaminophen (paracetamol)?

     कInhibits prostaglandin synthesis in the central nervous system खDirectly reduces pain signals from peripheral nerves गIncreases the production of endorphins in the brain घActs as a COX-2 selective inhibitor
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

814. A patient is suspected of organophosphate poisoning and requires immediate treatment. Which medication should the nurse administer first?

     कAtropine खNaloxone गFlumazenil घProtamine Sulfate
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

815. A client taking metoprolol for hypertension experiences dizziness and lightheadedness upon standing. Which electrolyte imbalance is most likely contributing to this symptom?

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

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

816. A client with chronic heart failure is prescribed spironolactone. The nurse understands that the primary therapeutic effect of this medication is to reduce fluid retention by inhibiting which hormone?

     कAldosterone खCortisol गEstrogen घTestosterone
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

817. A patient experiencing a manic episode insists on investing all their savings in a ‘guaranteed’ scheme. Which nursing action is MOST appropriate?

     कEncourage the client to discuss their investment plan with a financial advisor. खImmediately notify the family members about the situation. गGently challenge the client's beliefs, explaining the risks involved. घRespect the client’s autonomy and allow them to make their own decisions.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

818. A patient with severe depression presents with significant suicidal ideation. The nurse’s FIRST action should be:

     कAdminister an antidepressant medication as prescribed. खImmediately implement safety measures such as restricting access to potential means. गEngage in active listening and empathetic communication. घContact the client’s family members for support.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

819. A client experiencing acute psychosis is displaying disorganized thought processes with tangential speech. The nurse observes the client attempting to draw complex, abstract images on their bedsheets. Which response BEST demonstrates therapeutic communication?

     क‘Those drawings are very impressive. Can you tell me about them?’ ख‘I’m concerned that you're drawing on the bed. Please don’t do that.’ ग‘Let’s try to focus on a simpler task, like identifying colors.’ घ‘These images seem to represent your current feelings. Tell me more about them.’
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

820. A patient is admitted to the psychiatric unit exhibiting paranoia and delusions related to a perceived threat from neighbours. Which of the following nursing interventions is MOST crucial in addressing these concerns?

     कImmediately medicate the client with an antipsychotic medication. खAllow the client to verbalize their fears and beliefs without interruption. गImplement a distraction technique such as offering a warm beverage. घAttempt to reason with the client about the unreality of their delusions.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।