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

851. A nurse is preparing a client for a thoracentesis procedure. Which statement by the client should prompt the nurse to clarify further?

     क‘I understand that they will be draining fluid from my chest.’ ख‘I’ve never had a procedure like this before and I'm feeling very anxious.’ ग‘I have been having difficulty breathing lately.’ घ‘My doctor said it is necessary to relieve pressure in my chest.’
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

852. A nurse is caring for a client with pneumonia and wants to assess their respiratory effort. Which subjective description would MOST strongly indicate increased work of breathing?

     क‘I feel fine, I don’t have any difficulty breathing.’ ख‘My chest feels tight and I’m struggling to get air into my lungs.’ ग‘It's comfortable to breathe, like a gentle breeze.’ घ‘I can take deep breaths without any effort.’
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

853. A nurse is assisting a client out of bed after surgery. During a routine assessment, the nurse observes that the client's blood pressure reading appears elevated. What is the MOST appropriate initial action?

     कImmediately administer antihypertensive medication खNotify the physician and monitor vital signs closely for 15 minutes गAssess the client’s pain level and administer analgesics घDocument the observation as ‘possible anxiety’
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

854. A nurse is assessing a patient who has recently undergone an ileal conduit surgery. Which of the following appearance best indicates a healthy stoma?

     कRed and inflamed with excessive drainage खPink and moist with clear, odorless drainage गYellowish-brown mucous discharge with a foul odor घDry and granular with minimal to no drainage
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

855. A patient with a deep wound on their lower leg has demonstrated signs of infection including increased redness, warmth, swelling, and purulent drainage. Which nursing intervention is the MOST critical in this situation?

     कApplying antibiotic ointment to the wound खIncreasing the amount of sterile saline irrigation गConsulting with the physician for prescription antibiotics घDocumenting the client's subjective report of pain
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

856. A client is diagnosed with type 1 diabetes and instructed to monitor their blood glucose levels frequently. The nurse should emphasize which aspect of self-management?

     कStrict adherence to a low-carbohydrate diet खRegular exercise for at least 30 minutes daily गFrequent monitoring of urine ketone levels घConsistent timing of insulin injections
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

857. A patient with a history of heart failure is experiencing shortness of breath and edema. The nurse auscultates crackles in both lungs. Which laboratory value would MOST likely be elevated in this client?

     कSerum Potassium (K+) खSerum Calcium (Ca++) गArterial Blood Gas (pH, PaCO2, HCO3-) घSerum Albumin (Alb)
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

858. A client recovering from elective total knee replacement surgery is advised to avoid bending their knee past 90 degrees for the first week post-operatively. What is the PRIMARY rationale for this restriction?

     कTo prevent damage to the patellar tendon खTo minimize stress on the quadriceps muscle गTo allow proper healing of the joint capsule and reduce pain घTo ensure accurate alignment of the prosthetic implant
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

859. A patient presents to the clinic complaining of persistent heartburn that occurs primarily after lying down. Which intervention would be MOST appropriate for the nurse to implement first?

     कAdminister antacids as prescribed by the physician खInstruct the patient to elevate the head of their bed at night गRecommend over-the-counter H2 receptor antagonists घSuggest dietary modifications, avoiding spicy and fatty foods
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

860. A nurse is caring for a patient with severe dehydration. The patient's blood pressure is 90/60 mmHg and their mucous membranes are dry and tacky. Which nursing intervention would be MOST appropriate at this time? (a) Administering intravenous fluids rapidly. (b) Monitoring the patient’s heart rate closely for signs of distress. (c) Assessing the patient's level of consciousness and capillary refill. (d) Encouraging the patient to drink small amounts frequently.

     कAdministering intravenous fluids rapidly. खMonitoring the patient’s heart rate closely for signs of distress. गAssessing the patient's level of consciousness and capillary refill. घEncouraging the patient to drink small amounts frequently.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।