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

151. A nurse is assessing a newborn who was delivered by vaginal delivery with some bruising to the scalp. The infant’s head circumference is slightly larger than expected. Which of the following findings would *most* indicate cephalohaematoma?

     कA) Presence of clear serous fluid draining from the laceration site. खB) A well-defined, bluish-purple mass palpated over the vertex of the skull. गC) Increased capillary refill time in the hands and feet. घD) Reports of the infant exhibiting a strong Moro reflex.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

152. A client with bipolar disorder cycles through periods of manic energy followed by severe depressive episodes. During a manic episode, the client impulsively makes large purchases and engages in risky behaviors. Which nursing intervention would be MOST appropriate to manage this behavior?

     कImplement strict restraints to prevent harm खEncourage the client to explore the reasons behind their impulsive behavior गProvide a calm, quiet environment and monitor the client closely घAdminister a sedative medication immediately to induce calmness
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

153. A client diagnosed with severe depression expresses a belief that their thoughts are being monitored by an external force. Which of the following interventions is MOST aligned with the nurse's role?

     कDirectly challenge the client’s delusions to restore reality testing खHelp the client identify and express underlying feelings of hopelessness and worthlessness गProvide factual information about delusional disorders and their treatment options घMaintain a neutral stance, allowing the client to verbalize their experience without judgment
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

154. A client with a history of PTSD following a traumatic military experience is exhibiting significant anxiety, nightmares, and flashbacks. Which nursing intervention would be MOST effective in addressing these symptoms?

     कEncourage the client to recount the details of the trauma repeatedly खSuggest the client engage in distracting activities like watching television गImplement relaxation techniques such as deep breathing or guided imagery घAdvocate for immediate hospitalization due to the severity of the symptoms
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

155. A client diagnosed with Schizophrenia reports hearing voices that criticize and insult him constantly. Which of the following nursing interventions would be MOST appropriate?

     कEncourage the client to ignore the voices खOffer reassurance that the voices are just a symptom and will eventually disappear गEngage in active listening, validating the client’s experience while gently challenging the reality of the voices घImmediately administer antipsychotic medication as prescribed
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

156. A client presenting with symptoms of acute mania, including pressured speech and racing thoughts, suddenly experiences a period of profound sadness and withdrawal. The nurse’s initial assessment should primarily focus on:

     कAssessing for suicidal ideation and intent खEvaluating the client's medication regimen for stimulant effects गDetermining if the client is experiencing a psychotic episode घChecking vital signs to rule out a medical cause
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

157. A client with Parkinson's disease has been prescribed levodopa/carbidopa. The nurse understands that carbidopa is added to this combination drug primarily to:

     कIncrease the absorption of levodopa खReduce nausea and vomiting associated with levodopa गPrevent premature conversion of levodopa to dopamine in the periphery घEnhance the therapeutic effects of levodopa on motor control
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

158. A patient taking warfarin (Coumadin) has an INR of 5.2. Which statement by the patient demonstrates an understanding of the importance of regular monitoring?

     क'I can stop taking this medication if I feel better.' ख'I will continue to take my vitamin K supplement as prescribed.' ग‘I need to avoid eating foods that might affect my blood clotting.’ घ'I understand why I need to have regular blood tests to check my INR.'
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

159. A nurse is administering oral amoxicillin to a child. The patient reports nausea and vomiting. Which of the following actions is MOST appropriate?

     कImmediately administer activated charcoal to absorb the medication खAdminister an antiemetic (e.g., ondansetron) as prescribed गWithhold all other medications and observe for resolution घIncrease the dose of amoxicillin to enhance its therapeutic effect
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

160. A patient is receiving intravenous morphine for pain management. Which of the following adverse effects should the nurse monitor MOST closely?

     कHypotension and Bradycardia खIncreased Appetite and Euphoria गHyperglycemia and Polyuria घMuscle Weakness and Seizures
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।