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 patient recently admitted to a mental health unit states, ‘I feel like everyone is watching me and judging my every move.’ This statement most closely reflects which symptom of anxiety?:
सही उत्तर: घ) Depersonalization
Option 3 is correct as this description aligns with the core experience of social phobia and generalized anxiety. The other options represent distinct symptoms or disorders within mental health.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a client with a pressure injury that is extensively covered by slough and eschar. According to established staging guidelines, how should this pressure injury be classified?
सही उत्तर: घ) D) Stage 5 Pressure Injury
Option C is correct. A stage 4 pressure injury is defined as full-thickness tissue loss with exposed bone or tendon. The presence of slough and eschar obscuring the base prevents accurate staging. Options A, B, and D refer to different levels of damage not described in this scenario.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing to administer an intradermal injection (e.g., tuberculin skin test). What angle of insertion should be used?
सही उत्तर: ख) B) 30-45 degrees
Option A (10-15 degrees) is the correct angle for intradermal injections. This creates a small, raised bump of fluid beneath the skin, allowing for visualization and accurate measurement of the reaction. The other options are incorrect angles that would result in absorption into the systemic circulation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing to administer subcutaneous heparin. The order reads: Heparin 10 mL subcutaneously. The available heparin solution is 1000 units/mL. How many milliliters of the heparin solution should the nurse administer?
सही उत्तर: घ) D) 20 mL
Option C is correct: (10 mL / 1000 units/mL) = 0.01 mL. A nurse needs to administer 10 mL, not 0.01 mL as stated in the question. Option A is incorrect because the dose ordered was for 10 mL. Options B and D are incorrect, implying administration of a much smaller volume.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a newly admitted client who has been complaining of nausea and lightheadedness. Which finding would most likely indicate a need for further investigation?
सही उत्तर: ख) B) Client’s blood pressure reads 90/60 mmHg.
Option B is correct because hypotension (90/60 mmHg) in a newly admitted client with nausea and lightheadedness is a significant finding that warrants immediate investigation to rule out serious underlying causes such as dehydration, cardiac issues, or medication side effects. Options A, C and D are less concerning and do not immediately indicate a critical medical issue.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with chronic obstructive pulmonary disease (COPD) is prescribed a bronchodilator via metered-dose inhaler (MDI). Which nursing instruction is MOST important to ensure proper medication use?
सही उत्तर: घ) Instruct the patient to rinse their mouth with water after each use
Rinsing the mouth immediately after using an MDI is crucial to prevent oral thrush (candidiasis) caused by the medication’s residual effects. Holding one's breath can increase systemic absorption, and forceful exhalation does not enhance drug delivery.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client who has just undergone a thoracostomy (chest tube insertion). Which assessment finding would warrant immediate notification of the physician?
सही उत्तर: ग) The chest tube spontaneously disconnecting from the system
Spontaneous disconnection of a chest tube is a serious complication that requires immediate physician intervention. The other options are normal or expected findings and do not indicate an urgent need for medical attention.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following nursing interventions is MOST appropriate for a client with a new diagnosis of type 2 diabetes mellitus?
सही उत्तर: ख) Teaching the patient to monitor blood glucose levels regularly and adjust insulin dosage as needed
The cornerstone of managing type 2 diabetes is a balanced diet with regular blood glucose monitoring and adjustments. This approach emphasizes patient education and self-management skills. The other options represent either inappropriate dietary recommendations or potentially harmful practices.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client recovering from major abdominal surgery develops diarrhea and dehydration. Which nursing intervention is MOST important at this time?
सही उत्तर: ग) Encouraging the patient to increase their fiber intake for regular bowel movements
The client's priority is fluid and electrolyte replacement due to dehydration. Rapid fluid replacement is crucial in this situation. While monitoring is necessary, it's secondary to addressing the immediate hydration deficit. Options 1 & 3 are not immediately relevant; option 4 is appropriate but not the *most* important.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient has been admitted with pneumonia. The nurse knows that the primary goal of treatment is to:
सही उत्तर: ख) Increase oxygen intake and improve gas exchange
The primary goal of treating pneumonia is to improve gas exchange and increase oxygen intake. While other interventions may be part of a comprehensive plan, focusing on these aspects directly addresses the underlying problem. The other options are either inappropriate for initial treatment or could potentially cause harm.
💬 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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