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

391. A client with a new colostomy has been discharged from the hospital. Upon assessment, the nurse observes that the stoma appears pale, smooth, and slightly reddened. Which of the following findings would indicate a healthy colostomy stoma?

     कDark red, granular surface खBright pink, ulcerated area गFuzzy membrane with clear fluid leakage घDry, white, and scabbed appearance
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

392. A nurse is assessing a client who underwent a partial gastrectomy for stomach cancer. The client reports experiencing nausea and vomiting approximately 30 minutes after eating. Which intervention would the nurse implement FIRST?

     कAdminister antiemetic medication खEncourage small, frequent meals गInstruct the client to avoid fatty foods घElevate the head of the bed before eating
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

393. A client with chronic obstructive pulmonary disease (COPD) has an arterial blood gas (ABG) analysis showing: pH 7.30, PaCO2 55 mmHg, HCO3- 24 mEq/L. The nurse interprets this result as:

     कRespiratory acidosis खRespiratory alkalosis गMetabolic acidosis घNormal ABG values
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

394. A client recovering from major surgery is prescribed pyridoxine (vitamin B6) concurrently with isoniazid for the treatment of tuberculosis. The nurse understands that this medication is given to prevent which adverse effect?

     कPeripheral neuropathy खLiver damage गSkin rash घHypotension
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

395. A client presents to the emergency department with shortness of breath, productive cough with yellow sputum, and chest pain. The physician suspects pneumonia. Which nursing intervention is MOST important at this time?

     कAdminister oxygen via nasal cannula at 2L/min खEncourage the client to sit upright गAdminister morphine for pain relief घNotify the physician immediately regarding the suspected diagnosis
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

396. A nurse is preparing to administer intravenous fluids to a client with severe dehydration. Which statement BEST describes the priority when determining the rate of fluid replacement?

     कA) The patient’s weight, measured in kilograms, should be used to calculate the infusion rate खB) The patient’s blood pressure and heart rate should dictate the infusion rate गC) The patient's urine output should be carefully monitored during the first hour घD) The patient's age alone is sufficient for determining the appropriate infusion rate
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

397. A client is admitted to the hospital with a diagnosis of acute kidney injury (AKI) secondary to dehydration. The nurse understands that maintaining adequate hydration is crucial for recovery. Which fluid should the nurse primarily administer?

     कA) Intravenous hypotonic saline solution (0.45% NaCl) खB) Intravenous isotonic saline solution (0.9% NaCl) गC) Intravenous hypotonic glucose solution (5% dextrose) घD) Oral cranberry juice
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

398. A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD) who has been prescribed inhaled corticosteroids and long-acting beta-agonists. Which assessment finding would BEST indicate that this medication regimen is effective?

     कA) Decreased peak expiratory flow rate (PEFR) खB) Increased daytime dyspnea (shortness of breath) गC) Improved FEV1/FVC ratio घD) Elevated arterial carbon dioxide (PaCO2) levels
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

399. A patient following a total hip arthroplasty (THA) is experiencing pain that fluctuates throughout the day. The nurse recognizes that this is typical and should focus on providing comfort measures. Which of the following interventions would be MOST appropriate in managing this pain?

     कA) Administering an opioid analgesic every 4 hours as prescribed खB) Applying a warm compress to the affected hip for 20 minutes at a time गC) Encouraging the patient to engage in light, low-impact activities such as walking slowly घD) Positioning the patient on the unaffected side with the affected leg elevated
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

400. A client presents to the emergency department with signs and symptoms of severe sepsis. The nurse knows that which laboratory finding would most strongly support the diagnosis of septic shock?

     कA) Elevated white blood cell count (WBC) above 15,000/µL खB) Decreased serum lactate levels ( गC) Increased serum creatinine levels (>1.5 mg/dL घD) Normal body temperature (37°C)
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।