अन्तर्राष्ट्रिय नर्सिङ लाइसेन्स NCLEX-RN, DHA, HAAD र CBT तयारी
अन्तर्राष्ट्रिय नर्सिङ लाइसेन्स – NCLEX-RN, DHA, HAAD र CBT
NCLEX-RN / DHA / HAAD · NCLEX-RN / DHA / HAAD / CBT
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 patient receiving intravenous heparin is experiencing bleeding gums. What should the nurse do?
सही उत्तर: ख) B) Immediately discontinue the heparin infusion and notify the physician
Bleeding gums are a classic sign of heparin-induced thrombocytopenia (HIT). Discontinuing the infusion is crucial due to the risk of thrombosis. Monitoring platelet counts and administering Vitamin C wouldn’t address the underlying issue.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with type 2 diabetes is being started on metformin. What important instruction should the nurse provide regarding gastrointestinal side effects?
सही उत्तर: ग) C) ‘Report any nausea, diarrhea, or abdominal discomfort immediately’
Metformin is notorious for causing gastrointestinal side effects like nausea and diarrhea. The nurse must emphasize reporting these symptoms promptly so that the dose can be adjusted if needed. Option A misrepresents how metformin works; B doesn't address potential issues; and D isn't a primary strategy.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient taking amlodipine (a calcium channel blocker) reports experiencing muscle cramps. Which intervention should the nurse implement FIRST?
सही उत्तर: घ) D) Check the patient’s magnesium level and supplement as needed
Muscle cramps are a known side effect of amlodipine, which can cause vasoconstriction and reduce peripheral blood flow. Supplementing with potassium or magnesium is indicated if those levels are deficient, contributing to the cramping. Increasing fluid intake doesn't directly address this specific symptom.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following statements best describes the rationale for using enteric-coated tablets?
सही उत्तर: ग) C) The coating prevents premature disintegration and dissolution in the stomach
The primary purpose of enteric coatings is to protect drugs that are unstable in acidic conditions (like many antibiotics). This prevents degradation in the stomach, allowing for absorption further down the small intestine. Options A and D are incorrect; B is a consequence, not the reason.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with chronic heart failure is prescribed furosemide (Lasix). Which assessment finding would require immediate intervention by the nurse?
सही उत्तर: ख) B) Patient reports mild shortness of breath while resting
Shortness of breath is a common symptom of fluid overload, which furosemide aims to treat in heart failure. Option C (elevated potassium) is a frequent side effect of loop diuretics and requires urgent management. Options A and D are expected findings and don’t necessitate immediate intervention.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with heart failure is prescribed furosemide (Lasix) intravenously. Which electrolyte level should the nurse monitor MOST closely?
सही उत्तर: क) A) Serum potassium.
Option A is correct. Furosemide, a loop diuretic, significantly increases potassium excretion, leading to hypokalemia (low potassium levels). This is the most critical electrolyte imbalance to monitor and manage in patients receiving this medication. Options B, C, and D are less directly affected by furosemide’s primary action.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing to administer an intramuscular injection of vitamin B12. Which technique should the nurse use to minimize discomfort and potential tissue damage?
सही उत्तर: ख) B) Using a Z-track method, inserting the needle at a 45-degree angle, and aspirating before injecting.
Option B is correct. The Z-track method minimizes drug leakage into surrounding tissues by directing the solution across the muscle fibers. This reduces pain and the risk of tissue damage. Option A is not recommended for IM injections, option C is inappropriate as it's a subcutaneous technique, and option D increases the risk of pain and bruising.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with a history of chronic obstructive pulmonary disease (COPD) is admitted with acute shortness of breath. The nurse auscultates wheezes and rhonchi in both lungs. Which nursing intervention would be MOST effective at immediately relieving the patient's distress?
सही उत्तर: ग) C) Elevating the head of the bed to 30 degrees and administering bronchodilator medication as prescribed.
Option C is correct. Elevating the head of the bed facilitates lung expansion by decreasing the work of breathing. Administering a bronchodilator as prescribed provides direct relief of airway constriction. Option A is less effective than immediate positioning and medication administration. Option B may not be tolerated due to distress, and option D can potentially worsen bronchospasm.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following nursing interventions is MOST important when educating a client newly diagnosed with Type 1 Diabetes regarding foot care?
सही उत्तर: ग) C) Inspecting feet daily, washing gently with lukewarm water and drying thoroughly, and applying a moisturizing lotion.
Option C is correct. Regular foot inspection, gentle cleaning with lukewarm water, thorough drying, and moisturizer application are crucial for diabetic patients due to impaired sensation and increased risk of infection. Option A is inappropriate as petroleum jelly can trap moisture and increase the risk of fungal infections. Option B is not recommended due to potential injury risks from open-toed shoes. Option D could damage delicate skin.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a newly admitted patient who has been complaining of shortness of breath and swelling in their ankles. The patient's blood pressure is 140/90 mmHg, and their heart rate is 92 bpm. Which of the following findings would be MOST concerning and require immediate intervention?
सही उत्तर: क) A) A crackles heard bilaterally during auscultation of the lungs.
Option A is correct. Crackles (rales) in the lungs are indicative of fluid accumulation, commonly associated with heart failure or pulmonary congestion which aligns with the patient’s symptoms and elevated blood pressure. Options B, C, and D represent normal or less immediately concerning findings compared to a respiratory distress state. “
💬 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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