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 client with anxiety disorder consistently avoids social situations due to fear of judgment. The nurse is using Cognitive Behavioral Therapy (CBT) techniques. Which of the following actions BEST exemplifies this approach?
सही उत्तर: ग) Helping the client identify and challenge negative thoughts and beliefs related to social situations
Identifying and challenging negative thoughts (2) is a core component of CBT. By helping the client recognize distorted thinking patterns, they can learn to modify their responses to anxiety-provoking situations. The other options represent traditional approaches to treating anxiety that don't utilize CBT’s active technique-based strategy.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with schizophrenia reports hearing voices that tell him he is worthless and should commit suicide. Which of the following nursing interventions is MOST effective?
सही उत्तर: घ) Maintain a supportive presence, acknowledging the distress while gently encouraging the client to explore their feelings
Maintaining a supportive presence (3) is key. While directly confronting the voice hallucinations may be unhelpful and distressing, a calm and empathetic approach allows for exploration of the experience and provides a sense of support. The other options are less effective in managing psychotic symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is providing care for a client diagnosed with bipolar disorder experiencing an acute manic episode. The client expresses grandiose delusions of wealth and power. Which response demonstrates 'false reassurance'?
सही उत्तर: ग) ‘You seem to be experiencing some unrealistic thoughts about your financial situation; let's talk about them calmly.’
Offering reassurance about a delusion (2) is false reassurance. It validates the irrational belief, which reinforces it. The other options acknowledge the delusional thinking but don't offer validation, rather they seek to explore further or gently challenge the thought, which is appropriate.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with psychosis states, ‘They are watching me! They want to hurt me!’ Which of the following nursing actions is MOST appropriate?
सही उत्तर: घ) Encourage the client to engage in distracting activities to shift their attention
Maintaining a calm and quiet environment (3) is crucial when a psychotic client expresses delusions. It reduces anxiety and minimizes potential agitation while allowing for observation. Reasoning with the delusional thought will not change the patient’s experience, administering medication without assessment could have side effects, and distracting activities may be ineffective in addressing the underlying psychosis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with severe depression expresses suicidal thoughts. The nurse’s initial intervention should be to:
सही उत्तर: ख) Assess the client's intent, method, and access to means
The most appropriate initial action is to assess the client's immediate risk. (1) This involves determining if there is an intention to die, a specific method in mind, and access to means that could be used. The other options are secondary interventions; offering comfort alone doesn’t address the risk, and attempting to talk without assessment is potentially harmful.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with heart failure is receiving diuretics. The nurse observes that the client's potassium level has decreased significantly. Which action should the nurse take FIRST? a) Notify the physician regarding the potassium deficiency. b) Encourage the client to consume more fruits and vegetables. c) Administer a potassium supplement as prescribed. d) Monitor the client’s urine output closely.
सही उत्तर: घ) d) Monitor the client’s urine output closely.
Option C is correct because diuretics cause potassium loss, and supplementing potassium is a direct intervention to address this electrolyte imbalance. Options A, B, and D are important but do not immediately treat the immediate deficiency.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with chronic obstructive pulmonary disease (COPD) is experiencing an exacerbation of their condition. Which nursing intervention would be MOST beneficial? a) Encouraging the client to cough forcefully. b) Administering bronchodilators as prescribed. c) Restricting fluids to prevent fluid overload. d) Placing the client in a supine position.
सही उत्तर: ख) b) Administering bronchodilators as prescribed.
Option B is correct because administering bronchodilators directly addresses the underlying airway obstruction, which is central to COPD exacerbations. Options A, C, and D are inappropriate or potentially harmful interventions for this situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client post-operative following a colectomy reports severe abdominal pain, nausea, and vomiting. Upon examination, the nurse observes bright red blood in the patient’s emesis. Which intervention is the MOST appropriate initial action? a) Administer antiemetic medications as prescribed. b) Insert an NG tube to decompress the stomach. c) Assess the client's vital signs and monitor for signs of shock. d) Apply ice packs to the abdomen.
सही उत्तर: घ) d) Apply ice packs to the abdomen.
Option C is correct because the immediate concern is potential hypovolemic shock due to significant gastrointestinal bleeding. Assessing vital signs and monitoring for shock symptoms are crucial first steps. Options A, B, and D address secondary issues but do not immediately tackle the life-threatening hemorrhage.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with pneumonia is prescribed intravenous antibiotics. Which nursing assessment finding would indicate the antibiotic therapy is effective? a) Decreased respiratory rate. b) Decrease in sputum volume. c) Elevated temperature. d) Increased white blood cell count.
सही उत्तर: ग) c) Elevated temperature.
Option B is correct because a reduction in sputum volume reflects the decrease of pathogens and inflammation associated with pneumonia treatment. Options A, C, and D are all potential indicators of infection worsening or an adverse reaction to the medication.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client presents to the clinic with complaints of increasing fatigue, swelling in their ankles and feet, and shortness of breath. Laboratory results reveal elevated serum creatinine and BUN levels. Which nursing intervention is MOST appropriate at this time? a) Encourage the patient to increase their fluid intake. b) Monitor the patient's weight daily and report any significant changes. c) Administer a potassium supplement as ordered. d) Instruct the patient to avoid salty foods.
सही उत्तर: ख) b) Monitor the patient's weight daily and report any significant changes.
Option B is correct because monitoring weight is crucial in managing fluid retention, a common symptom of kidney failure. Options A, C, and D are inappropriate or could exacerbate the condition. Increasing fluids can worsen edema, potassium supplementation needs careful monitoring in renal failure, and restricting salt is a general recommendation but not the priority intervention here.
💬 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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