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

81. Which of the following is the BEST location to auscultate the apical pulse in an adult client? a) Brachial artery. b) Femoral artery. c) Radial artery. d) Popliteal artery

    कa खb गc घd
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

82. A nurse is assessing a newly admitted patient who is experiencing shortness of breath. The patient’s respiratory rate is 32 breaths per minute, and they are using accessory muscles to assist with breathing. Which nursing intervention is MOST appropriate at this time? a) Encourage the patient to cough forcefully. b) Administer oxygen via nasal cannula at 2 liters per minute. c) Assess the patient's pain level and administer an analgesic. d) Elevate the head of the bed to promote lung expansion.

    कa खb गc घd
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

83. A 72-year-old client who underwent a surgical resection of the colon develops severe diarrhea and dehydration following antibiotic administration. The nurse suspects Clostridium difficile infection (CDI). What is the MOST appropriate initial nursing intervention?

    कa) Administering intravenous antibiotics immediately खb) Initiating fluid replacement therapy and monitoring electrolyte balance गc) Applying a topical antiseptic to the affected area घd) Implementing strict isolation precautions to prevent further spread
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

84. A client with newly diagnosed heart failure presents with shortness of breath and peripheral edema. The nurse is educating the client about dietary modifications. Which of the following instructions is MOST important for the nurse to include?

    कa) Encourage a high-sodium diet to maintain blood volume खb) Limit fluid intake to 1-2 liters per day गc) Increase potassium intake to compensate for potential losses घd) Consume large amounts of protein to support muscle mass
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

85. A client with chronic obstructive pulmonary disease (COPD) reports difficulty breathing and uses a peak flow meter regularly. The peak flow reading is consistently lower than usual. Which intervention should the nurse prioritize?

    कa) Prescribing bronchodilators at double the current dose खb) Teaching pursed-lip breathing to enhance airflow गc) Encouraging the client to increase their activity level घd) Restricting fluid intake to prevent congestion
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

86. A 68-year-old male client is recovering from a total knee replacement (TKR). He reports significant pain and stiffness in his affected leg, particularly after periods of inactivity. Which intervention is MOST appropriate for the nurse to implement at this time?

    कa) Administering a high dose of opioid analgesics immediately upon request खb) Encouraging frequent range-of-motion exercises and passive assisted stretches गc) Applying an ice pack directly to the surgical wound for 20 minutes at a time घd) Elevating the affected leg above heart level for 30 minutes daily
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

87. A client presents to the emergency department with severe abdominal pain, nausea, and vomiting. Laboratory results reveal elevated lipase and amylase levels. Which of the following is the MOST likely diagnosis?

    कa) Appendicitis खb) Diabetic Ketoacidosis गc) Acute Pancreatitis घd) Gastric Ulcer
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

88. A client with pneumonia is coughing frequently and has a productive cough. Which nursing intervention is MOST appropriate to assist the client?

    कHaving the client sit up in bed खEncouraging the client to take deep breaths only when they feel short of breath गPositioning the client on their side to allow for lung expansion घKeeping the client in a fully upright position throughout the assessment
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

89. A nurse is preparing to administer intravenous fluids to a client with heart failure. Which assessment finding should the nurse MOST closely monitor during fluid administration?

    कClient’s capillary blood glucose level खClient’s respiratory rate and effort गClient's skin temperature distal to the IV site घClient’s urine output volume
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

90. A nurse is assessing a newly admitted patient who has been complaining of generalized weakness and fatigue. Which assessment finding would be MOST important for the nurse to report to the physician immediately?

    कBlood pressure 90/60 mmHg खHeart rate 88 bpm, regular rhythm गTemperature 37.2°C (99.0°F) घRespiratory rate 18 breaths per minute
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।