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 nurse is reviewing information about child abuse. Which of the following findings would *most strongly* suggest potential physical abuse?
सही उत्तर: ख) Unexplained bruising and lacerations
Unexplained bruising and lacerations are classic indicators of physical abuse, signifying a forceful trauma. While other options may be associated with neglect or emotional distress, they don't directly point to intentional physical harm.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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According to Erikson's theory of psychosocial development, what is the *primary* developmental task for a toddler (approximately 1-3 years old)?
सही उत्तर: ग) Industry vs. Inferiority
Erikson’s stage of ‘Autonomy versus Shame and Doubt’ focuses on the toddler's efforts to assert independence and control over their environment, which is a core concept within this age group’s development.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pediatrician suspects that a 4-year-old child may have rickets. Which vitamin deficiency is *most likely* responsible for this condition?
सही उत्तर: ख) Vitamin D
Rickets is primarily caused by a deficiency of Vitamin D, which is crucial for calcium absorption and bone mineralization in children. While other vitamins play roles in overall health, Vitamin D’s specific role in skeletal development makes it the primary cause of rickets.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a newborn infant diagnosed with cystic fibrosis. Which of the following results would be *most* indicative of this condition?
सही उत्तर: ख) Serum Chloride: 92 mEq/L
A sweat chloride level of 92 mEq/L (or higher) is the hallmark diagnostic test for cystic fibrosis. This reflects the impaired ability of the sweat glands to excrete chloride ions due to defective ion transport mechanisms. The other options represent normal ranges.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A mother reports that her 6-month-old infant has been experiencing frequent episodes of vomiting and watery diarrhea for the past 24 hours. The infant appears lethargic and is not taking fluids well. What is the nurse’s *most* appropriate initial action?
सही उत्तर: घ) Encouraging the mother to monitor the infant's temperature closely.
The correct answer is 3 because dehydration is the primary concern with diarrhea in infants. ORS provides electrolytes and fluids necessary for hydration. Options 1 & 2 are inappropriate as they don’t address the immediate threat of dehydration. Option 4 is a secondary consideration.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing a client with Crohn's disease for discharge. The client has been prescribed mesalamine. What is the MOST important teaching point to convey to the patient regarding this medication?
सही उत्तर: ग) Report any signs of bleeding, fever or abdominal pain to the physician immediately
The most important teaching point is about reporting adverse effects of mesalamine, specifically bleeding. This medication can cause gastrointestinal irritation and potentially serious complications that need immediate medical attention. Taking it on an empty stomach doesn’t significantly change absorption; probiotics aren't routinely prescribed with mesalamine; and while monitoring stools is relevant for Crohn’s, it’s secondary to recognizing systemic side effects.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with diabetic ketoacidosis (DKA) is exhibiting Kussmaul respirations (deep, rapid breathing). Which nursing intervention is MOST important to implement IMMEDIATELY?
सही उत्तर: घ) Administer insulin as prescribed by the physician.
DKA is characterized by metabolic acidosis, and Kussmaul respirations are the body’s attempt to compensate. Insulin administration is key to reversing the underlying cause of DKA – hyperosmolarity - and ultimately, stopping the respiratory compensation. Frequent monitoring of blood glucose is crucial for adjusting treatment. Carbohydrate consumption will worsen hyperglycemia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a client with heart failure who reports experiencing orthopnea (shortness of breath when lying flat) and paroxysmal nocturnal dyspnea (sudden episodes of shortness of breath at night). Which intervention would BEST assist the patient in managing these symptoms?
सही उत्तर: घ) Maintain bed elevation with sandbags under the legs.
Maintaining bed elevation with sandbags provides gravity assistance in preventing fluid accumulation and alleviating orthopnea. Diuretics are used for management but need a doctor's prescription. Restricting fluids might not be effective and could cause dehydration. Ambulation is helpful long term but doesn’t address the immediate symptom.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a patient post-operatively following a total hip arthroplasty. The patient reports increasing pain at the surgical site, despite being prescribed opioid analgesics. Which of the following interventions should the nurse implement FIRST?
सही उत्तर: क) Administer an additional dose of opioid analgesic as prescribed by the physician.
The first priority is always assessing the patient's condition. Administering more medication without proper assessment could worsen the situation. Assessing vital signs helps determine if there's a systemic issue contributing to pain. Encouraging non-pharmacological methods is beneficial but secondary. Notifying the surgeon should follow initial assessment.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 68-year-old client is admitted with respiratory distress and a chest X-ray reveals a pneumothorax. The nurse observes that the client's breath sounds are absent unilaterally, and the client’s vital signs show decreased oxygen saturation. What immediate nursing action is MOST important? a) Administer oxygen via nasal cannula. b) Assess capillary refill in all extremities. c) Elevate the affected side of the body with a sandbag. d) Initiate chest expansion exercises
सही उत्तर: ग) Elevate the affected side of the body with a sandbag.
The priority is to stabilize the client's airway and respiratory status. Assessing capillary refill provides critical information about peripheral perfusion, essential for guiding treatment decisions and assessing potential shock due to the pneumothorax. While oxygen administration, elevation of the affected side, and chest expansion exercises are important supportive measures, assessment of perfusion takes precedence.
💬 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।
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