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 receiving intravenous fluids containing potassium chloride. Which assessment finding would MOST closely indicate hyperkalemia?
सही उत्तर: क) Muscle weakness.
Hyperkalemia often presents with muscle weakness and changes in cardiac rhythm due to the disruption of cellular membrane potentials. Decreased urine output is a late sign. Increased capillary refill time would suggest hypovolemia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a client recovering from total hip arthroplasty (THA). Which assessment finding would warrant immediate intervention?
सही उत्तर: ग) Skin around the incision is red and warm to the touch.
Redness and warmth surrounding the surgical incision indicates potential infection, requiring immediate investigation and intervention. Seromas are common but not immediately life-threatening. Mild pain and full range of motion are expected post-THA.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with chronic obstructive pulmonary disease (COPD) is experiencing increased shortness of breath. Which finding would MOST likely indicate a worsening of their condition?
सही उत्तर: क) Crackles heard bilaterally during auscultation.
Crackles (rales) in COPD are a hallmark sign of fluid accumulation in the alveoli, indicating worsening airflow obstruction and respiratory distress. While clear lung sounds might be initially present, they quickly change as the disease progresses. Increased activity tolerance is typical of stable COPD, and normal oxygen saturation doesn't reflect increased work of breathing.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client who has a deep second-degree burn on their lower leg. What is the primary nursing intervention to minimize pain and promote healing?
सही उत्तर: ख) Apply cool water compresses to the burned area.
Applying cool water compresses is the most effective initial intervention for a deep second-degree burn. It reduces pain by constricting blood vessels and minimizes further tissue damage. Morphine provides pain relief but doesn’t address the immediate cause of the burn, elevating won't help, and massage can disrupt healing.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with a history of penicillin allergy is prescribed cefazolin for a skin infection. The nurse should anticipate which potential adverse reaction? a) Bronchospasm b) Generalized urticaria and angioedema c) Tachycardia and hypotension d) Glossitis
सही उत्तर: ख) b) Generalized urticaria and angioedema
Penicillin allergies are frequently associated with bronchospasm. Option B (urticaria and angioedema) is a common allergic reaction but not specifically tied to penicillin. Options C & D are less likely reactions to cefazolin, which is a cephalosporin.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient taking oral ketoconazole for fungal infection reports nausea and vomiting. The nurse recognizes that this adverse effect is most likely due to which mechanism of action? a) Inhibition of dihydropteroate synthase b) Inhibition of ergosterol synthesis c) Stimulation of gastric acid secretion d) Blockade of histamine H2 receptors
सही उत्तर: ख) b) Inhibition of ergosterol synthesis
Ketoconazole inhibits the enzyme dihydropteroate synthase, which is essential for fungal cell wall synthesis. This inhibition leads to various side effects like nausea and vomiting. Options B (ergosterol inhibition), C (gastric acid stimulation) and D (H2-receptor blockade) are not directly linked to ketoconazole’s primary mechanism.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following medications would be MOST appropriate for managing acute hypertension? a) Lisinopril b) Metoprolol c) Furosemide d) Pantoprazole
सही उत्तर: घ) d) Pantoprazole
Furosemide is a loop diuretic that rapidly reduces blood volume and lowers blood pressure. Lisinopril (ACE inhibitor), metoprolol (beta-blocker), and pantoprazole (proton pump inhibitor) are used for other conditions and not as first-line agents for acute hypertension.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with chronic obstructive pulmonary disease (COPD) is prescribed systemic corticosteroids for exacerbations. Which of the following adverse effects should the nurse closely monitor? a) Increased risk of hypotension b) Elevated white blood cell count and potential adrenal suppression c) Decreased appetite and weight gain d) Increased cardiac output
सही उत्तर: ख) b) Elevated white blood cell count and potential adrenal suppression
Systemic corticosteroids can suppress the adrenal gland, leading to an elevated white blood cell count and adrenal insufficiency. Option A (hypotension) is less directly related to corticosteroid use. Option C (decreased appetite) can occur but isn’t a primary concern. Option D is not associated with systemic corticosteroids.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client taking amiodarone for arrhythmia reports frequent palpitations. The nurse understands that this effect is primarily due to which mechanism of action? a) Inhibition of sodium channels b) Blockage of beta-adrenergic receptors c) Prolongation of the QT interval d) Vasodilation
सही उत्तर: ग) c) Prolongation of the QT interval
Amiodarone's primary action is the prolongation of the QT interval by blocking potassium channels. This leads to arrhythmias. Option A (sodium channel inhibition) is a feature of other antiarrhythmic drugs. Option B is a common mechanism but amiodarone’s effect isn't purely beta-blockade. Option D is not a primary action.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with schizophrenia is exhibiting disorganized thinking and frequently changes topics during a conversation. The nurse observes this behavior as:
सही उत्तर: घ) Loose associations.
Loose associations are the hallmark of disorganized thinking in schizophrenia. Concrete thinking (option 1) involves focusing on specific details; fluent thought (option 2) means speech is logical and connected; formal thought process (option 3) refers to a consistent, linear way of thinking.
💬 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।
AI ले गल्ती गर्न सक्छ। महत्वपूर्ण कुरा आधिकारिक स्रोतमा जाँच्नुहोस्।