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

911. A client with a diagnosis of pneumonia is exhibiting signs of respiratory distress including rapid shallow breathing, use of accessory muscles, and cyanosis. The nurse recognizes that the primary goal of nursing intervention at this stage is to:

     कPromote maximal gas exchange through postural drainage खAdminister antibiotics as prescribed by the physician गMaintain oxygen saturation levels above 92% घEncourage the client to cough forcefully
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

912. A nurse is caring for a client recovering from an open-heart surgery. The patient reports experiencing pain at the incision site that is described as sharp and radiating. Which nursing action is MOST important?

     कApply a cold compress to the surgical site खAdminister prescribed analgesics as ordered by the physician गEncourage the patient to perform gentle range-of-motion exercises घChange the dressing without assessing the surgical site further
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

913. A patient with chronic heart failure presents to the clinic with increased shortness of breath and swelling in their ankles. The nurse assesses that the client’s dyspnea is worse when lying flat. Which nursing intervention is MOST appropriate at this time?

     कAdminister oxygen via nasal cannula at 2L/min खEncourage the patient to sit upright with leg elevation गNotify the physician of the findings and await orders for diuretic medication घProvide a warm blanket to reduce anxiety related to shortness of breath
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

914. A client with bipolar disorder presents with elevated mood, increased energy, and racing thoughts. The nurse recognizes this as potential hypomania. Which action is MOST important at this time?

     कEncourage regular exercise and socialization. खInitiate a trial of lithium carbonate to stabilize mood. गMonitor the client closely for signs of mania or psychosis. घSchedule frequent therapy sessions to address negative thought patterns.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

915. A client with Schizophrenia reports hearing voices that tell them to harm others. The nurse's initial response should focus on:

     कDirectly challenging the validity of the voices. खExploring the content and context of the voices with the client. गImmediately contacting law enforcement to report a potential threat. घAdministering an antipsychotic medication as prescribed.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

916. Which of the following interventions is MOST appropriate for managing a client experiencing acute anxiety related to a recent diagnosis of schizophrenia?

     कEncourage the client to engage in structured activities and routines. खAdminister a benzodiazepine to reduce anxiety symptoms quickly. गProvide a quiet, familiar environment with minimal stimulation. घEducate the client about the potential side effects of antipsychotic medications.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

917. A client with severe depression expresses thoughts of wanting to die and feels hopeless about the future. According to the mnemonic ‘BICS’, what should the nurse’s *primary* action be?

     कAssess the client's current mood and provide empathetic listening skills. खImmediately implement a safety plan, including securing the environment and contacting emergency services. गAdminister an antidepressant medication as prescribed by the psychiatrist. घEncourage the client to engage in distracting activities.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

918. A nurse is assessing a client who has been experiencing nausea and vomiting. Which finding would be MOST indicative of hypovolemia?

     कDecreased skin turgor खCrackles in the lung fields गCapillary refill time of 3 seconds घAnxiety and restlessness
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

919. A client with a history of heart failure is being discharged home. Which nursing intervention is HIGHEST priority?

     कAdministering the prescribed diuretic medication खReviewing the client’s diet for sodium content गInstructing the client to weigh daily and report any changes घEnsuring the client understands their medications and potential side effects
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

920. A patient with pneumonia is admitted to the hospital. Which of the following actions by the nurse is MOST important in maintaining adequate oxygenation?

     कAdministering intravenous fluids at a rate of 150 mL/hour खAdjusting the bed to a high Fowler's position गEnsuring the airway is patent and providing supplemental oxygen via nasal cannula घMonitoring blood pressure every 15 minutes to detect hypotension
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।