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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During a session with a client experiencing delusional thinking about being poisoned, which nursing intervention is MOST crucial? a) Immediately challenge the client's delusions directly. b) Attempt to reason with the client using logical arguments. c) Provide a calm and supportive environment while focusing on reality testing and reducing anxiety. d) Contact law enforcement to have the client removed.
सही उत्तर: घ) d
Option C is correct. Directly challenging delusions can be counterproductive, increasing distress. A supportive approach aimed at reality testing and managing anxiety is more effective. Options A, B, and D are inappropriate responses in this situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with bipolar disorder presents with racing thoughts, pressured speech, and inflated self-esteem. Which medication class would be MOST appropriate as an initial intervention? a) Selective Serotonin Reuptake Inhibitors (SSRIs) b) Atypical Antipsychotics such as Risperidone or Olanzapine c) Benzodiazepines for anxiety relief d) Lithium Carbonate for mood stabilization.
सही उत्तर: ख) b
Option B is correct. Atypical antipsychotics are typically first-line treatment for manic episodes of bipolar disorder due to their ability to effectively manage psychotic symptoms and elevate mood. Options A, C, and D are less appropriate for the acute management of mania.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with severe depression expresses suicidal ideation accompanied by feelings of hopelessness and worthlessness. Which immediate action should the nurse take? a) Encourage the client to talk about their feelings openly. b) Immediately alert security personnel to ensure safety. c) Assess the client’s intent, plan, and access to means. d) Offer reassurance that things will get better soon.
सही उत्तर: ग) c
Option C is correct. Assessing suicide risk involves a thorough evaluation of intent, plan, and access to lethal means – this is the priority intervention for a client in crisis. Options A, B, and D are less immediately crucial.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with Schizophrenia presents with disorganized thinking and tangential speech. The nurse’s primary goal in this initial interaction should be: a) To provide a detailed explanation of the medication regimen. b) To establish a therapeutic relationship based on empathy and trust. c) To immediately correct the client's thought processes. d) To explore the client’s current stressors and symptoms.
सही उत्तर: ख) b
Option B is correct. In early stages of psychosis, building rapport and trust is crucial for effective communication and engagement. Options A, C, and D are less appropriate as they prioritize direct intervention or complex explanations which may overwhelm the client.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following describes the optimal positioning for a client receiving enteral feeding via a nasogastric tube?
सही उत्तर: ग) Head of bed at a neutral position (60-90 degrees)
A neutral head position (60-90 degrees) is ideal for enteral tube feedings. This minimizes gastric distention, reduces aspiration risk and facilitates optimal flow through the tube. Elevation at 90 degrees can cause reflux and may increase the risk of aspiration.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing to administer an intramuscular injection. Which of the following anatomical sites would be MOST appropriate for an adult client?
सही उत्तर: ख) Vastus lateralis muscle
The vastus lateralis (lateral thigh) is generally considered the preferred site for IM injections in adults due to its consistent size, adequate muscle mass, and proximity to major nerves. The deltoid is generally avoided as it has a small muscle mass and can cause nerve damage.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a newly admitted client who is experiencing confusion and agitation. Which initial assessment finding would be MOST important for the nurse to document?
सही उत्तर: ग) Client's ability to follow simple commands
The most critical information at this stage is the client’s cognitive status. Documenting the inability to follow commands directly relates to the presenting symptoms (confusion and agitation). While other options are important, they aren't immediately prioritized as indicators of acute mental status changes. The high blood pressure or edema could be related but secondary to the confusion.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with a deep wound presents to the clinic. The nurse assesses that the wound shows signs of purulence and increased redness surrounding the area. Which nursing intervention is MOST appropriate at this time?
सही उत्तर: घ) Cleanse the wound with saline solution and notify the physician
Purulent drainage and increased redness indicate infection. Cleansing the wound with saline and reporting it to the physician are essential steps in managing an infected wound. The other options could worsen the situation or not address the primary issue – a potential infection.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is teaching a client newly diagnosed with type 2 diabetes about dietary modifications. Which of the following instructions should the nurse emphasize?
सही उत्तर: ग) Monitor blood glucose levels regularly and adjust food intake accordingly
Regular blood glucose monitoring and adjusting food intake based on those readings is crucial for managing type 2 diabetes. Emphasis should be placed on personalized dietary adjustments, while other options are generally not beneficial or are potentially harmful practices.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with a history of chronic obstructive pulmonary disease (COPD) presents to the emergency department complaining of severe shortness of breath and chest tightness. The nurse recognizes that which medication should be administered immediately to provide rapid relief?
सही उत्तर: ग) Intramuscular Epinephrine
Intramuscular epinephrine is a bronchodilator and vasoconstrictor that rapidly opens the airways and decreases vascular congestion in acute COPD exacerbations. While albuterol (nebulized) can be used, it takes longer to take effect than epinephrine. Prednisone is an anti-inflammatory medication with slower onset. Morphine has no role in treating acute respiratory distress.
💬 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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