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 nurse is assessing a newborn infant who was born at 37 weeks gestation. The infant's skin has a bluish cast (cyanosis), respirations are rapid, and the mucous membranes are pale. The nurse observes that the baby’s hands and feet are cool to the touch. Which of the following is the MOST likely explanation for this finding?
सही उत्तर: ग) Meconium aspiration syndrome
The combination of cyanosis, rapid respirations, cool extremities and mucous membrane pallor strongly suggests RDS. This condition causes surfactant deficiency which leads to alveolar collapse during breathing; this impacts oxygen exchange. The other options could contribute to respiratory distress but don’t explain the whole clinical picture as effectively.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 32 weeks gestation reports a sudden onset of severe headache accompanied by visual disturbances and right upper quadrant abdominal pain. The nurse’s MOST important action is to:
सही उत्तर: ख) Notify the obstetrician immediately and initiate monitoring
The symptoms – severe headache, visual disturbances, and right upper quadrant pain – are strongly suggestive of pre-eclampsia. This is a potentially life-threatening condition requiring immediate obstetrician notification and close monitoring. The other options are supportive measures but do not address the acute nature of the presentation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A postpartum client presents with regular uterine contractions, a fundus measurement of 8cm, and vaginal bleeding of approximately 50-100ml per hour. Based on these findings, which intervention should the nurse prioritize?
सही उत्तर: ग) Insert a Foley catheter to monitor urinary output
The client’s presentation indicates postpartum hemorrhage (PPH). Applying direct pressure is the immediate first-line intervention to control vaginal bleeding. While other options are important in managing PPH, they are not the *priority* action at this stage. Administering oxytocin or Pitocin could exacerbate the situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant’s vital signs are temperature 37.2°C, heart rate 140 bpm, respiratory rate 40 breaths/min and oxygen saturation 98%. The mother reports that the baby is fussy and difficult to settle. Which of the following actions is MOST appropriate for the nurse to take?
सही उत्तर: घ) Offer a warm bath to comfort the infant
The baby’s vital signs are within normal limits, but the fussiness suggests possible early distress. Elevated heart and respiratory rates combined with oxygen saturation slightly below 100% warrant further investigation and potential admission to the NICU for close monitoring and intervention – this is the most prudent immediate step. The other options are less critical interventions at this point.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with type 2 diabetes mellitus is prescribed Glimepiride for blood glucose control. Which assessment finding would the nurse MOST closely monitor to ensure adequate therapeutic effect? a) Serum potassium levels. b) Urinary output. c) Blood glucose levels. d) White blood cell count.
सही उत्तर: ग) c
Option C is correct. Glimepiride, a sulfonylurea, stimulates insulin release from the pancreas. Therefore, the nurse needs to monitor blood glucose levels closely to assess the drug's effectiveness and avoid hypoglycemia. Options A, B, and D are less directly related to the pharmacological action of this medication.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with chronic heart failure is prescribed Spironolactone. The nurse understands that this medication’s primary therapeutic action is to: a) Directly dilate peripheral blood vessels. b) Block aldosterone receptors, reducing sodium and water retention. c) Stimulate the myocardium to increase contractility. d) Decrease myocardial oxygen demand.
सही उत्तर: ख) b
Option B is correct. Spironolactone is an aldosterone antagonist that decreases sodium and water reabsorption in the kidneys, leading to reduced fluid volume and edema – a key feature of heart failure management. Options A, C, and D describe other cardiovascular drugs with different mechanisms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following statements BEST describes the pharmacodynamic effect of a selective serotonin reuptake inhibitor (SSRI)? a) Decreases gastric acid secretion. b) Increases dopamine release in the striatum. c) Inhibits the reabsorption of serotonin, increasing its concentration in the synaptic cleft. d) Blocks beta-adrenergic receptors.
सही उत्तर: ग) c
Option C is correct. SSRIs work by blocking the reuptake of serotonin from the synapse, leading to increased serotonin levels and enhanced neurotransmission. Option A describes a different mechanism (proton pump inhibitors), B describes dopamine agonists, and D describes beta-blockers.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is administering oral Metoprolol to a client with hypertension. Which assessment finding would warrant immediate intervention? a) Client reports mild dizziness. b) Blood pressure 140/90 mmHg. c) Client states they are feeling unusually cold and have dilated pupils. d) Heart rate 68 bpm.
सही उत्तर: ग) c
Option B is correct. A blood pressure of 140/90 mmHg is above the target range for many hypertensive clients, indicating a need for intervention. While dizziness (A) and dilated pupils (C) can be associated with Metoprolol, they are less critical than maintaining adequate blood pressure. The normal heart rate (D) does not pose an immediate danger.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with symptoms including blurred vision, tinnitus, and nausea. The physician orders intravenous acetylcysteine. Which of the following mechanisms is primarily responsible for the therapeutic effect of this medication in this scenario? a) Inhibition of platelet aggregation. b) Reduction of oxidative stress by scavenging free radicals. c) Stimulation of gastric acid secretion. d) Enhancement of vasoconstriction.
सही उत्तर: ख) b
Option B is correct. Acetylcysteine is a powerful antioxidant that neutralizes free radical damage, particularly in the cochlea and retina, which are responsible for the symptoms presented by the patient. Options A, C, and D describe other pharmacological actions of medications but do not represent acetylcysteine’s primary mechanism.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with a suspected bowel obstruction is experiencing severe abdominal pain and nausea. Which nursing intervention is MOST appropriate at this stage?
सही उत्तर: ग) Monitoring the client’s abdominal girth and bowel sounds regularly.
Frequent monitoring of abdominal girth and bowel sounds is essential in assessing the severity of a possible obstruction. Palpation is contraindicated.
💬 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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