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 on levothyroxine should be taught to take it:
सही उत्तर: ग) On an empty stomach in the morning
Levothyroxine is best absorbed on an empty stomach, about 30-60 minutes before breakfast. Calcium, iron and antacids reduce its absorption.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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An unconscious client with hypoglycemia has no IV access. Which drug can a caregiver give?
सही उत्तर: ख) Glucagon
Glucagon (IM, SC or intranasal) raises blood glucose by stimulating glycogen breakdown. Oral glucose is unsafe in an unconscious client due to aspiration risk.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which drug class can mask the tachycardia and tremor that warn of hypoglycemia in a diabetic client?
सही उत्तर: क) Beta-blockers
Beta-blockers block adrenergic warning signs such as palpitations and tremor. Sweating is often preserved and can be a remaining clue.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which oral antidiabetic drug class carries the greatest risk of hypoglycemia?
सही उत्तर: घ) Sulfonylureas (e.g. glipizide)
Sulfonylureas stimulate insulin release regardless of glucose level, so hypoglycemia is common. Metformin alone rarely causes hypoglycemia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client taking metformin is scheduled for a CT scan with iodinated contrast. What is the concern?
सही उत्तर: ग) Risk of lactic acidosis
Contrast media can impair kidney function, reducing metformin clearance and increasing lactic acidosis risk. Metformin is often held around the time of contrast according to renal function and protocol.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client takes insulin lispro before breakfast. When is the client most at risk of hypoglycemia?
सही उत्तर: ख) Within 1-3 hours after injection
Rapid-acting insulin lispro has onset in about 15 minutes and peaks around 1-3 hours. It should be given just before or with a meal.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which insulin has no pronounced peak and provides basal coverage for about 24 hours?
सही उत्तर: क) Insulin glargine
Glargine is a long-acting basal insulin with a relatively flat profile. NPH is intermediate-acting with a peak at about 4-12 hours.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which insulin should not be mixed with any other insulin in the same syringe?
सही उत्तर: घ) Insulin glargine
Glargine has an acidic pH and forms microprecipitates at injection; mixing changes its action profile. Regular and NPH can be mixed.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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When mixing regular and NPH insulin in one syringe, which is drawn up first?
सही उत्तर: ग) Regular (clear) insulin
The rule is 'clear before cloudy' so the regular vial is not contaminated with NPH. Air is injected into the NPH vial first, then into regular.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which insulin is the only type that can be given intravenously in standard practice?
सही उत्तर: ख) Regular insulin
Regular (short-acting) insulin is the insulin given IV, for example in diabetic ketoacidosis. Long-acting and intermediate insulins are for subcutaneous use only.
💬 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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