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 client admitted for acute mania presents with racing thoughts, pressured speech, and extreme restlessness. Which non-pharmacological intervention would be MOST appropriate to assist the client in regaining a sense of control and reducing agitation?
सही उत्तर: ग) Providing a quiet, dimly lit room with minimal stimulation
The most appropriate response is 'Providing a quiet, dimly lit room with minimal stimulation'. During acute mania, sensory overload can exacerbate agitation. A calming environment reduces stimulation and promotes relaxation. The other options could potentially worsen the client’s state.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with Schizophrenia reports hearing voices that criticize their appearance and accuse them of wrongdoing. The nurse understands these auditory hallucinations are a primary symptom of which underlying condition?
सही उत्तर: ख) Decreased dopamine activity
The correct answer is 'Decreased dopamine activity'. Dopamine dysfunction is a core feature of schizophrenia, leading to hallucinations and delusions. The other options represent potential effects of imbalances in other neurotransmitters but are not the primary driver of psychotic symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient taking diphenhydramine (an antihistamine) reports dry mouth. Which pharmacological action of this medication is primarily responsible for this symptom?
सही उत्तर: ख) Blockage of histamine receptors
Option 1 (Blockage of histamine receptors) is correct. Diphenhydramine is an antihistamine that blocks H1 histamine receptors, which are responsible for stimulating the production and release of saliva. Options 2, 3, and 4 describe other actions of diphenhydramine.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which finding in a newborn would MOST strongly suggest an initial assessment for hypoglycemia?
सही उत्तर: घ) An acrocyanotic reflex.
A weak, rapid pulse (option 3) is a classic sign of hypoglycemia in newborns. The other options are not specifically associated with this condition. Acrocyanosis is commonly seen but doesn't indicate hypoglycemia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A mother reports that her newborn has a large, yellow-orange discoloration of the skin, particularly prominent on the face and torso. This finding is MOST concerning for:
सही उत्तर: ग) Hemolytic Disease of the Newborn (HDN).
The described presentation - a large, yellow-orange discoloration – is highly suggestive of Hemolytic Disease of the Newborn (HDN) – option 2. This condition involves excessive breakdown of red blood cells, leading to elevated bilirubin levels. While physiologic jaundice can cause yellowing, it typically appears later and is less intense.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn delivered at 32 weeks gestation weighs 1.5 kg and is exhibiting signs of respiratory distress, including nasal flaring, retractions, and grunting. The nurse understands that this is most likely due to:
सही उत्तर: ग) Respiratory Distress Syndrome (RDS).
At 32 weeks gestation, the infant’s lungs are not fully developed and primarily affected by Respiratory Distress Syndrome (RDS) - option 2. TBPD typically occurs in preterm infants after 36 weeks of gestation. Meconium aspiration is a possible complication but less likely as primary cause at this gestational age. Pneumonia presents with different symptoms like fever and crackles.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A neonate is exhibiting signs of physiologic jaundice. Which of the following interventions is MOST crucial in managing this condition?
सही उत्तर: ख) Initiating phototherapy with blue light.
Phototherapy with blue light (option 1) is the gold standard treatment for physiologic jaundice. This process converts bilirubin into a form that can be excreted by the kidneys. Ascorbic acid and raising the infant’s head are not effective treatments. A warm compress may actually increase bilirubin production.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A gravida 3, para 2 woman presents to labor and delivery with contractions every 5 minutes. Her cervix is dilated to 4 cm. Based on these findings, what is the nurse’s *primary* initial action?
सही उत्तर: ख) Encourage ambulation and relaxation techniques to manage pain.
The most appropriate initial action is encouraging ambulation and relaxation techniques (option 1). This aligns with established guidelines for promoting a natural labor progression. Administering oxytocin prematurely could lead to uterine hyperstimulation. Assessing fetal heart rate and maternal vitals are important but secondary to the initial management of spontaneous labor. Initiating IV fluids should be considered, but isn't the *primary* first step.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a patient post-operatively who has had a thoracotomy. Which action demonstrates the MOST appropriate nursing intervention? a) Encouraging the patient to cough frequently. b) Applying gentle traction to the incision. c) Maintaining the operative side in the dependent position. d) Applying ice packs to the surgical site
सही उत्तर: ग) c
Option B is correct because gentle traction on the incision helps to reduce swelling, promotes drainage of fluids from the wound, and aids in comfort. The other options are incorrect or could potentially cause harm (e.g., frequent coughing can increase pain, dependent positioning increases risk of complications, ice packs don't address underlying issues).
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with severe diarrhea is experiencing dehydration. Which nursing assessment finding would indicate that the intravenous fluid replacement is effective? a) Decreased urine output. b) Elevated heart rate and blood pressure. c) Increased skin turgor (elasticity). d) Diminished bowel sounds
सही उत्तर: घ) d
Option C is correct. Improved skin turgor (elasticity) indicates that the client's tissues are rehydrated, a direct result of intravenous fluid replacement. The other options represent signs of continued dehydration.
💬 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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