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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Which finding is characteristic of tardive dyskinesia?
सही उत्तर: घ) Involuntary lip smacking and tongue thrusting
Tardive dyskinesia involves involuntary oral-buccal-lingual movements after long-term antipsychotic use and may be irreversible. The AIMS scale is used to screen for it.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client on an antipsychotic paces constantly and says, 'I can't sit still.' This side effect is called:
सही उत्तर: ग) Akathisia
Akathisia is a subjective feeling of inner restlessness with an urge to move, often misread as anxiety or agitation. Akinesia is the opposite, a reduction of movement.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which medication is commonly given to relieve acute dystonia caused by antipsychotics?
सही उत्तर: ख) Benztropine
Anticholinergic drugs such as benztropine or diphenhydramine rapidly relieve acute dystonic reactions. Haloperidol is a cause of dystonia, not its treatment.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client taking haloperidol develops sustained upward deviation of the eyes and neck twisting within days of starting the drug. This is:
सही उत्तर: क) Acute dystonia
Acute dystonia, including oculogyric crisis and torticollis, appears early, often within the first days. Tardive dyskinesia develops after long-term use and involves involuntary oral-facial movements.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which adverse effect is most associated with second-generation antipsychotics such as olanzapine?
सही उत्तर: घ) Weight gain and metabolic syndrome
Olanzapine and similar atypical antipsychotics commonly cause weight gain, hyperglycemia and dyslipidemia. Clients need monitoring of weight, waist circumference, glucose and lipids.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client on clozapine reports a sore throat and fever. What is the nurse's priority action?
सही उत्तर: ग) Withhold the dose and report for a blood count check
Sore throat and fever may signal agranulocytosis, a life-threatening adverse effect of clozapine. The nurse should hold the drug and arrange an urgent neutrophil count rather than treat symptoms alone.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which laboratory value should be monitored regularly for a client taking clozapine?
सही उत्तर: ख) Absolute neutrophil count
Clozapine can cause severe neutropenia (agranulocytosis), so the absolute neutrophil count is monitored regularly. Serum ammonia is linked to valproate toxicity, not clozapine.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which period carries an increased suicide risk in a severely depressed client starting antidepressants?
सही उत्तर: क) When energy begins to improve early in treatment
As antidepressants start working, energy may return before mood lifts, giving the client energy to act on suicidal thoughts. This is why close monitoring is needed in the first weeks, especially in young people.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which instruction is most important for a client starting sertraline for depression?
सही उत्तर: घ) Full therapeutic effect may take several weeks
SSRIs usually take about 2-6 weeks to produce noticeable antidepressant effect, so clients should continue taking them. Stopping abruptly when mood improves risks relapse and discontinuation symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client taking an SSRI is started on tramadol and develops agitation, hyperthermia, tremor and hyperreflexia. What is the most likely condition?
सही उत्तर: ग) Serotonin syndrome
Serotonin syndrome presents with mental status changes, autonomic instability and neuromuscular hyperactivity such as hyperreflexia and clonus. Neuroleptic malignant syndrome instead causes 'lead-pipe' rigidity with slowed reflexes.
💬 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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