अन्तर्राष्ट्रिय नर्सिङ लाइसेन्स NCLEX-RN, DHA, HAAD र CBT तयारी

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

131. A client experiencing auditory hallucinations reports hearing voices criticizing their appearance. The nurse’s primary goal in this situation should be to:

     कA) Immediately administer an antipsychotic medication as prescribed by the physician. खB) Encourage the client to describe the voices, explore their feelings about them, and assess for any triggers or stressors. गC) Maintain a neutral demeanor and avoid engaging with the client’s statements to prevent reinforcing the hallucinations. घD) Schedule a meeting with the client's family to discuss concerns about their mental health.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

132. A client with a history of heart failure presents to the clinic complaining of edema in both ankles and shortness of breath. Which finding would MOST likely contribute to this presentation?

     कa) Hyperthyroidism खb) Chronic obstructive pulmonary disease (COPD) गc) Right ventricular hypertrophy घd) Hypothyroidism
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

133. A client with type 1 diabetes mellitus is experiencing hypoglycemia. The nurse observes the client becoming confused, irritable, and exhibiting tremors. What should the nurse’s NEXT action be?

     कa) Administer a rapid-acting insulin injection खb) Provide the client with glucose containing snack (e.g., fruit juice or crackers) गc) Assess the client's level of consciousness and airway घd) Monitor the client’s blood glucose levels every 15 minutes
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

134. A client with chronic obstructive pulmonary disease (COPD) presents to the emergency department with severe shortness of breath and cyanosis. Arterial blood gases reveal a PaO2 of 55 mmHg and a PaCO2 of 60 mmHg. Which intervention should the nurse implement FIRST?

     कa) Administer oxygen via nasal cannula at 2 liters per minute खb) Initiate mechanical ventilation with positive pressure support गc) Provide intravenous bronchodilators (e.g., albuterol) घd) Insert a urinary catheter to monitor fluid balance
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

135. A nurse is caring for a client who has been admitted with acute bacterial endocarditis. Which of the following laboratory findings would MOST strongly support this diagnosis?

     कa) Elevated white blood cell count with neutrophils खb) Decreased hemoglobin and hematocrit levels गc) Prolonged prothrombin time (PT) and partial thromboplastin time (PTT) घd) Normal serum creatinine level
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

136. A nurse is preparing to administer an intramuscular injection. Which of the following techniques minimizes discomfort for the patient? a) Injecting rapidly into the muscle. b) Using a small needle gauge. c) Aspirating before injecting to ensure placement within the muscle tissue. d) Stretching the skin tautly before administering the injection.

     कa खb गc घd
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

137. Which of the following nursing actions best demonstrates the principle of 'patient-centered care'? a) Following a strict adherence to physician orders without questioning. b) Assessing the patient’s pain using only objective scales. c) Involving the patient in the development of their discharge plan and providing education about medication management. d) Prioritizing tasks based solely on the nurse's assessment of urgency.

     कa खb गc घd
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

138. A nurse is assessing a client recovering from surgery. Which vital sign reading warrants immediate intervention? a) Blood pressure 130/80 mmHg. b) Heart rate 72 bpm with regular rhythm. c) Respiratory rate 24 breaths per minute with shallow depth. d) Temperature 98.6°F (37°C).

     कa खb गc घd
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

139. A patient with chronic obstructive pulmonary disease (COPD) is experiencing shortness of breath. Which nursing intervention would be most appropriate to immediately reduce the work of breathing? a) Encouraging the patient to cough forcefully. b) Administering oxygen at 2 liters per minute via nasal cannula. c) Having the patient sit up and lean forward with their head elevated. d) Providing a cool mist humidifier near the patient’s bed.

     कa खb गc घd
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

140. A nurse is teaching a patient about proper hand hygiene. Which of the following instructions should the nurse include in the teaching? a) Wash hands with soap and water only after touching another person. b) Use an alcohol-based hand rub for at least 10 seconds when hands are visibly soiled. c) Rinse hands with cold water only, as warm water can harbor more germs. d) Only wash hands if you have been in contact with someone who is sick.

     कa खb गc घd
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।