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
-
During labour at 38 weeks gestation, a client experiences frequent uterine contractions and reports increased vaginal bleeding. Further assessment reveals positive clots in the vagina. What is the MOST immediate nursing action?
सही उत्तर: ख) Prepare for an emergency Cesarean section
The answer is 1 because positive clots and vaginal bleeding at 38 weeks indicates a risk of placental abruption, potentially leading to fetal distress. Immediate action must prioritize the mother’s wellbeing with intravenous oxytocin administration, given the need for delivery. The other choices are less critical than immediate stabilization of the situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A mother reports her 6-month-old infant has been exhibiting fanning of the toes and dorsiflexion of the big toe when the sole of the foot is stroked. This finding is MOST indicative of:
सही उत्तर: ग) Muscular Distention
The answer is 2 because this classic sign, elicited by positive Babinski reflex, is strongly associated with gastroesophageal reflux (GER) in infants. It’s a physical exam finding indicating the baby has immature lower motor neuron function. The other options don't typically present with this specific reflex response.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A newborn infant presents with significant jaundice accompanied by lethargy and poor feeding. Which of the following findings would MOST strongly suggest pathologic (non-physiological) neonatal jaundice?
सही उत्तर: घ) Visible pale skin around the eyes
The correct answer is 3 because a direct bilirubin to indirect bilirubin ratio greater than 2:1 strongly indicates liver dysfunction, which is the cause of pathologic jaundice. The other options represent normal physiological findings in newborns - bilirubin levels can be elevated, cephalhematoma is an external indication of birth and pale skin can occur with jaundice but doesn’t indicate the root cause.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A pregnant woman at 30 weeks gestation reports experiencing intermittent lower abdominal pain and vaginal spotting. Based on this information, which is the MOST appropriate initial nursing intervention?
सही उत्तर: ग) Schedule an immediate ultrasound examination
The answer is 2 because irregular uterine contractions and bleeding at 30 weeks could indicate preterm labor or placental abruption, both requiring urgent investigation. The other options are less immediately relevant; intravenous fluids may not be the priority, fetal movement assessment is important but secondary to potential complications, and reassurance alone would delay critical diagnostic steps. “Providing reassurance and monitoring for worsening symptoms” is a plausible option as initial comfort measures are appropriate alongside prompt medical evaluation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A patient is experiencing chest pain. Which nursing intervention should be the PRIORITY?
सही उत्तर: घ) Calling for assistance from other healthcare professionals.
Chest pain is often indicative of serious cardiac conditions. The priority intervention in this scenario is rapidly assessing the patient's condition to identify the cause of the pain, which will inform subsequent interventions (like administering nitroglycerin). While all options are relevant eventually, assessment takes precedence.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A nurse is preparing to administer medication via subcutaneous injection. Which of the following techniques should the nurse utilize?
सही उत्तर: ग) Using a Z-track technique to minimize epipenetic effects.
The Z-track technique is crucial for minimizing irritation and discomfort caused by subcutaneous injections by preventing direct contact of the medication with surrounding tissues. Injecting directly into the skin at a low angle (approximately 90 degrees) minimizes tissue trauma. The other options are incorrect injection techniques.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A nurse is assessing a patient newly diagnosed with type 1 diabetes mellitus. Which of the following is the MOST important initial nursing intervention?
सही उत्तर: ख) Provide education on carbohydrate counting and meal planning.
The most critical initial step for a newly diagnosed type 1 diabetic is understanding their disease process and learning how to manage it. Carbohydrate counting and meal planning are fundamental to controlling blood glucose levels. The other options – immediate insulin administration (potentially dangerous without proper assessment), monitoring alone, and high-fat diets – are secondary or inappropriate in the initial phase.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
Which laboratory finding would MOST strongly suggest the presence of disseminated intravascular coagulation (DIC)?
सही उत्तर: घ) Increased partial thromboplastin time (PTT)
DIC is characterized by a consumption of clotting factors, leading to prolonged PT and PTT. Elevated fibrinogen is a marker of the body's attempt to compensate for this loss but does not directly indicate DIC.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A patient recovering from major abdominal surgery reports nausea, vomiting, and a decreased appetite. The nurse recognizes these symptoms as potentially related to which condition?
सही उत्तर: ग) Gastroparesis
Gastroparesis, or delayed gastric emptying, is a common complication after abdominal surgery, causing nausea, vomiting, and loss of appetite. Hypothermia presents with shivering, postprandial bradycardia with slowed heart rate, acute renal failure with decreased urine output.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A 68-year-old male patient has been diagnosed with a stage III pressure ulcer on his left heel. Which intervention should the nurse implement FIRST?
सही उत्तर: घ) Administer pain medication
Elevating the affected limb reduces edema and promotes venous return, aiding in wound healing. While all options are important aspects of pressure ulcer care, elevation is the immediate priority for reducing hydrostatic pressure on the ulcerated area. Repositioning alone doesn't address the underlying pressure causing the injury.
💬 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।
नमस्ते! पाठ्यक्रम, सामान्य ज्ञान, भाषा परीक्षा वा कुनै प्रश्नको उत्तर बुझ्न सोध्नुहोस्।
AI ले गल्ती गर्न सक्छ। महत्वपूर्ण कुरा आधिकारिक स्रोतमा जाँच्नुहोस्।