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

451. A patient with chronic schizophrenia reports hearing voices that criticize their appearance and abilities. The patient expresses feelings of worthlessness and hopelessness. According to the DSM-5, which of the following is the *most* appropriate initial nursing intervention?

     कAdminister a sedative medication to reduce anxiety related to the auditory hallucinations. खEncourage the patient to verbalize their fears and anxieties without judgment. गProvide reassurance that the voices are not real and help the patient focus on positive aspects of their life. घImmediately contact the patient’s family to involve them in the treatment plan.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

452. A patient is receiving intravenous heparin for deep vein thrombosis (DVT) prevention. Which assessment finding requires IMMEDIATE intervention?

     कMild nausea and vomiting खSlight increase in platelet count गSigns of bleeding, such as hematemesis or melena घIncreased urine output
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

453. A patient taking warfarin (Coumadin) requires frequent monitoring. Which laboratory test is MOST important to assess the effectiveness of warfarin therapy?

     कComplete Blood Count (CBC) खSerum Electrolytes गInternational Normalized Ratio (INR) घLiver Function Tests (LFTs)
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

454. Which of the following medications is commonly used as a first-line treatment for supraventricular tachycardia (SVT)?

     कMetoprolol खEsmolol गFurosemide घLabetalol
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

455. A nurse is administering intravenous (IV) morphine for pain management. Which of the following assessments is MOST important to monitor during this administration?

     कRespiratory rate and depth खBlood pressure and pulse rate गPain scale rating and level of consciousness घPupil size and reaction to light
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

456. A patient is scheduled to receive intravenous adenosine for suspected supraventricular tachycardia (SVT). Which assessment finding would immediately signal a successful response to adenosine administration?

     कA) Increased heart rate and blood pressure. खB) Bradypnea (slow, regular breathing) with a normal sinus rhythm on ECG monitoring. गC) Tachypnea (rapid, shallow breathing) and irregular EKG tracing. घD) Hypotension and cyanosis.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

457. A patient with a history of heart failure is being discharged on furosemide (Lasix). The healthcare provider instructs the nurse to administer it at bedtime. What physiological reason supports this administration timing?

     कA) To maximize absorption through the stomach lining. खB) Because furosemide has a longer half-life, administering it at night reduces peak drug levels and minimizes daytime dizziness. गC) It prevents interference with food intake during the day. घD) Furosemide is more effective when taken before meals to enhance its diuretic effect.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

458. A patient receiving intravenous heparin requires careful monitoring. The nurse understands that a key indicator of therapeutic efficacy and potential complications is assessing the patient's coagulation profile. When should a trough level of an IV antibiotic be drawn?

     कA) Immediately after starting the heparin infusion. खB) At 12-hour intervals during continuous infusion. गC) Before each dose of heparin, particularly if the patient experiences bruising or bleeding. घD) Only when the patient develops signs of deep vein thrombosis (DVT).
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

459. A patient diagnosed with tuberculosis (TB) is prescribed rifampin. Which laboratory test should the nurse routinely monitor to assess for potential liver toxicity?

     कA) Complete Blood Count (CBC). खB) Liver Function Tests (LFTs), specifically bilirubin and transaminases. गC) Urinalysis. घD) Serum Electrolytes.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

460. A patient is prescribed amoxicillin/clavulanate for a bacterial infection. The healthcare provider specifically advises the patient to take the medication with food. Why is this recommendation made?

     कA) To enhance the absorption of the clavulanic acid component of the drug. खB) To minimize the risk of nausea and vomiting associated with amoxicillin. गC) To reduce the potential for gastrointestinal irritation from the amoxicillin itself. घD) To ensure complete elimination of the antibiotic from the patient's system by midday.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।