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 with severe depression expresses thoughts of self-harm but denies intent. Which nursing intervention is MOST crucial? a) Immediately restrict the patient’s access to all potential means of harm. b) Validate the patient's feelings and offer empathy while exploring suicidal ideation. c) Encourage the patient to engage in activities they used to enjoy to distract them from their thoughts. d) Schedule a follow-up appointment with the psychiatrist for medication review.
सही उत्तर: ख) b) Validate the patient's feelings and offer empathy while exploring suicidal ideation.
Option B is correct – actively engaging, validating, and assessing intent is crucial when dealing with suicidal ideation. Immediate restriction (A) could escalate risk if the patient feels unsupported. Options C and D are important but less urgent than immediate assessment.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with Schizophrenia exhibits disorganized speech, bizarre beliefs, and unusual motor behaviors. Which nursing intervention is MOST appropriate? a) Encourage the client to engage in structured activities to improve cognitive function. b) Maintain a safe environment for the client and their family while respecting the client’s delusions. c) Provide psychoeducation about the illness and its treatment options to the client's family. d) Implement behavioral interventions aimed at suppressing the client’s unusual behaviors.
सही उत्तर: ख) b) Maintain a safe environment for the client and their family while respecting the client’s delusions.
Option B is correct, focusing on safety and respect for delusional thinking. While other options have a role in support, ensuring safety is paramount. Options A and C are secondary to immediate needs.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes *transference* in psychodynamic theory? a) The patient’s conscious awareness of their feelings and thoughts. b) The unconscious redirection of feelings from one person to another, often originating in early relationships. c) The patient’s ability to objectively analyze their own behavior. d) The therapist's influence on the patient's beliefs and values.
सही उत्तर: ख) b) The unconscious redirection of feelings from one person to another, often originating in early relationships.
Option B is correct. Transference describes the unconscious projection of past relational experiences onto the current therapeutic relationship, particularly with the therapist. Options A, C, and D describe other concepts in psychodynamic theory.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient experiencing acute anxiety presents with rapid heart rate, hyperventilation, and trembling. The nurse's *first* action should be to: a) Administer a benzodiazepine medication immediately. b) Provide reassurance and encourage slow, deep breathing techniques. c) Assess the patient’s medical history for potential contributing factors. d) Document the patient’s symptoms in detail.
सही उत्तर: ख) b) Provide reassurance and encourage slow, deep breathing techniques.
Option B is correct as it represents immediate, appropriate intervention for acute anxiety – calming techniques. Option A is premature, as medication should be considered after initial reassurance. Option C is important but secondary to immediate symptom management. Option D is a necessary step, but not the priority action.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman presents with severe nausea and vomiting, leading to dehydration. Which of the following nursing interventions is MOST important in the initial management of this condition? a) Administering intravenous fluids immediately. b) Encouraging frequent small meals throughout the day. c) Monitoring electrolyte levels closely and administering potassium supplements as needed. d) Providing a bland diet rich in crackers and toast.
सही उत्तर: क) a
Option (a) is correct because severe nausea and vomiting can rapidly lead to dehydration and electrolyte imbalance. Immediate intravenous fluids are crucial to restore fluid volume and correct these imbalances. Options (b), (c), and (d) address supportive measures but don't directly tackle the immediate threat of dehydration.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client is post-operative following an esophagogastrectomy. Which dietary instruction should the nurse prioritize to minimize the risk of dumping syndrome?
सही उत्तर: ख) Avoid high-sugar foods and beverages.
Option 1 is correct. Dumping syndrome occurs when food moves too quickly from the stomach into the small intestine. Avoiding high sugar and carbohydrate intake reduces this rapid emptying. Options 2,3 & 4 are general healthy eating advice but do not address the specific issue of dumping syndrome.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with Type 1 Diabetes Mellitus is experiencing diabetic ketoacidosis (DKA). The nurse observes the patient’s breath to be fruity. What laboratory finding would MOST strongly support the diagnosis of DKA?
सही उत्तर: ग) Arterial blood gas showing pH 7.30, PaCO2 45 mmHg, and HCO3- 12 mEq/L.
Option 2 is correct. A fruity breath odor is a hallmark sign of DKA due to the presence of ketone bodies. The specific arterial blood gas values (pH, PaCO2, HCO3-) reflect the metabolic acidosis associated with DKA. Options 1 & 3 represent normal glucose and electrolyte levels; Option 4 has a potassium level that does not correlate to DKA.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which intravenous fluid infusion should be used with caution when administering a blood transfusion to a client experiencing hypovolemic shock?
सही उत्तर: ग) Lactated Ringer's Solution.
Option 2 is correct. Lactated Ringer’s solution contains electrolytes that closely mimic the composition of blood, minimizing the risk of fluid overload and electrolyte imbalances which are complications of hypovolemic shock. Options 1 & 3 contain high levels of sodium; Option 4 is too concentrated for most situations.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with cirrhosis is experiencing ascites. The physician orders lactulose 30 mg orally every 8 hours. What is the PRIMARY rationale for administering this medication in this case?
सही उत्तर: ख) To decrease ammonia levels in the blood by promoting bacterial fermentation in the colon.
Option 1 is correct. Lactulose acts as a osmotic agent in the colon, reducing ammonia production through bacterial fermentation. This decreases hepatic encephalopathy. Options 2 & 3 describe actions of other medications; Option 4 describes a different mechanism than lactulose.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client recovering from a total hip arthroplasty (THA) reports pain rated as an 8 on a scale of 0 to 10. The nurse assesses that the client also states, ‘I can’t sleep because it hurts so much.’ What is the MOST appropriate nursing intervention?
सही उत्तर: क) Administer analgesics as prescribed and encourage the client to try distraction techniques.
Option 0 is correct. Addressing the patient’s emotional distress (the pain complaint) is crucial for comfort and coping strategies. Options 1 & 2 focus solely on physical interventions without considering the psychological component of pain management. Option 3 is a necessary part of care, but not the priority here.
💬 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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