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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Which of the following interventions is MOST appropriate for a client experiencing diabetic ketoacidosis (DKA)? a) Administering glucose intravenously. b) Initiating fluid replacement with 0.9% sodium chloride. c) Monitoring serum bicarbonate levels frequently. d) Providing frequent small meals.
सही उत्तर: घ) d) Providing frequent small meals.
DKA is characterized by acidosis, so monitoring serum bicarbonate is essential to guide treatment and correct the acid-base imbalance. Giving glucose intravenously would worsen the DKA state.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with chronic heart failure is being discharged on digoxin. Which laboratory value requires careful monitoring? a) Serum potassium levels. b) Serum creatinine levels. c) Serum digoxin levels. d) White blood cell count.
सही उत्तर: ग) c) Serum digoxin levels.
Digoxin toxicity is often linked to renal impairment, as reduced kidney function leads to digoxin accumulation in the body. Monitoring serum creatinine helps assess kidney function and guides dosage adjustments of digoxin.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following nursing actions is MOST important when caring for a client recovering from a total hip arthroplasty (THA)? a) Encouraging deep breathing and coughing exercises immediately after surgery. b) Maintaining the patient's legs at a 90-degree angle to prevent nerve compression. c) Assessing the surgical site frequently for signs of infection, including drainage or redness. d) Applying ice packs directly to the incision site.
सही उत्तर: ख) b) Maintaining the patient's legs at a 90-degree angle to prevent nerve compression.
Early mobilization and deep breathing exercises are crucial in preventing complications like pneumonia after THA. Maintaining legs at a 90-degree angle can cause nerve damage. Ice packs should not be applied directly to the surgical wound as it could cause tissue damage.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client presenting with sudden onset abdominal pain, nausea, and vomiting has a history of gallstones. The nurse’s initial assessment reveals guarding and rebound tenderness. Based on these findings, which intervention is MOST appropriate at this stage? a) Administer intravenous fluids. b) Initiate antiemetic medication. c) Prepare the client for an exploratory laparotomy. d) Encourage oral intake of clear liquids.
सही उत्तर: ग) c) Prepare the client for an exploratory laparotomy.
The client's symptoms and physical exam findings (guarding, rebound tenderness) strongly suggest acute cholecystitis, likely due to gallstones. An exploratory laparotomy is the definitive diagnostic and treatment method. Options a, b, and d are interventions that might be used later but are not the primary immediate response in this scenario.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient has been prescribed diazepam for anxiety. What is the MOST important instruction you should provide to the patient? a) ‘Take this medication exactly three times a day as needed.’ b) ‘You may experience drowsiness, so avoid driving or operating machinery.’ c) ‘Drink plenty of juice while taking this medication.’ d) ‘Do not take this medication with alcohol’.
सही उत्तर: ख) b) ‘You may experience drowsiness, so avoid driving or operating machinery.’
Option B is correct. Diazepam (a benzodiazepine) frequently causes sedation, and advising the patient to avoid activities requiring alertness (driving, operating machinery) is paramount for safety. Options A, C, and D are either inaccurate instructions or advise contraindicated behaviors.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client taking antipsychotic medication reports experiencing involuntary muscle movements. The nurse should prioritize which assessment? a) Assessing the client’s family history of neurological disorders. b) Monitoring vital signs for hypotension or tachycardia. c) Evaluating the amplitude, frequency, and nature of the movement. d) Administering a PRN dose of benzodiazepine to reduce anxiety.
सही उत्तर: ग) c) Evaluating the amplitude, frequency, and nature of the movement.
Option C is correct. The primary nursing concern with antipsychotic medication side effects like dystonia is accurately assessing the characteristics of the involuntary movements (amplitude, frequency, and type). Options A, B, and D are relevant but secondary to characterizing the movement itself.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with bipolar disorder presents in a manic episode characterized by racing thoughts, pressured speech, and inflated self-esteem. The nurse recognizes this requires a calm and structured environment. Which intervention would be MOST appropriate? a) Encourage the patient to engage in activities that stimulate their creativity. b) Provide a quiet, comfortable room with minimal distractions and routine activities. c) Allow the patient to continue engaging in their usual social activities. d) Implement frequent, unstructured conversations to assess thought processes.
सही उत्तर: ख) b) Provide a quiet, comfortable room with minimal distractions and routine activities.
Option B is correct. In a manic episode, stimulation can exacerbate symptoms. A calm, quiet environment (minimal distractions & routine) reduces sensory overload and helps stabilize the patient's mood. Options A, C, and D are inappropriate in this situation because they increase stimulation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with severe depression expresses feelings of hopelessness and worthlessness. The nurse recognizes this as a potential risk factor for suicide. Which intervention should the nurse implement FIRST? a) Encourage the client to engage in enjoyable activities. b) Assess the client’s current mental status and identify any suicidal ideation, plan, or intent. c) Provide reassurance that things will eventually get better. d) Offer the client a list of local support groups.
सही उत्तर: ख) b) Assess the client’s current mental status and identify any suicidal ideation, plan, or intent.
Option B is correct. The immediate priority when a client expresses thoughts of hopelessness and worthlessness related to depression is to thoroughly assess for suicidal ideation, plan, or intent. This crucial step informs subsequent interventions (options A, C, and D) which are secondary to ensuring the patient's safety.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presenting with disorganized thought processes, bizarre behavior, and hallucinations has been diagnosed with schizophrenia. Which of the following nursing interventions is MOST important in addressing these symptoms? a) Encourage regular participation in structured group activities. b) Provide a quiet, predictable environment with minimal stimulation. c) Facilitate communication through creative expression (e.g., art therapy). d) Implement a strict routine with timed medication administration.
सही उत्तर: ख) b) Provide a quiet, predictable environment with minimal stimulation.
Option B is correct because a calm, predictable environment minimizes external stimuli that can exacerbate disorganized thoughts and hallucinations. Options A, C, and D are less effective immediate responses to the patient's acute symptoms; structured groups may be overwhelming, creative expression might not always be beneficial, and strict routines don’t address underlying psychosis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with obsessive-compulsive disorder (OCD) reports repeatedly washing his hands due to intrusive thoughts about germs. Which nursing intervention would be MOST effective in assisting this client? a) Immediately interrupt the handwashing behavior and explain that it’s excessive. b) Encourage the client to explore the meaning of the intrusive thoughts and challenge their validity. c) Provide a structured schedule for handwashing with specific times and techniques. d) Limit contact with potentially contaminated surfaces to reduce anxiety.
सही उत्तर: ग) c
Option B is correct. Cognitive Behavioral Therapy (CBT) techniques, specifically identifying and challenging the underlying thought patterns driving the compulsion, are a cornerstone of treatment for OCD. Options A, C, and D offer only temporary solutions or could be counterproductive.
💬 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।
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