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 pregnant woman at 36 weeks gestation reports experiencing increased vaginal bleeding and abdominal cramping. She denies any trauma. Based on this information, what is the nurse’s PRIORITY action?
सही उत्तर: ग) Encourage the patient to rest and monitor her vital signs at home
The correct answer is 2 because vaginal bleeding in late pregnancy can indicate miscarriage, placental abruption, or placenta previa – all potentially life-threatening conditions. Immediate notification of the obstetrician for evaluation and intervention is paramount. The other options address potential complications but are not the immediate priority when significant bleeding occurs.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A mother reports that her 6-month-old infant has been fussy and irritable for the past several days. The infant also exhibits a mild temperature of 38.2°C (100.8°F). Which nursing action is MOST appropriate at this time?
सही उत्तर: ख) Assess the infant's respiratory rate and auscultate lung sounds
The correct answer is 1 because a fussy, irritable infant with a mild temperature suggests an infection. Auscultating lungs and assessing respiratory rate helps rule out respiratory issues. The other options are less appropriate as they don’t address the immediate concern of potential illness. The mother's other actions (medication, fluid intake, education) are supportive but not the primary intervention.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A mother reports that her newborn infant has a high-pitched cry, is irritable, and frequently pulls at his hands and feet. The nurse observes that the infant is feeding poorly and appears restless. These symptoms are MOST consistent with which condition?
सही उत्तर: ग) Neonatal Abstinence Syndrome (NAS)
The clinical presentation – high-pitched cry, irritability, stereotyped movements (hands and feet), poor feeding, restlessness – is characteristic of Neonatal Abstinence Syndrome (NAS). While the other options can sometimes present with similar symptoms, NAS exhibits a classic pattern. “Kernighan syndrome” presents with yellowing of skin, but not this specific behavioral presentation.”
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A postpartum client is 24 hours after delivery and reports experiencing significant vaginal bleeding despite receiving uterotonic medications. The fundus uteri is palpably soft and low. What is the nurse’s FIRST action?
सही उत्तर: घ) Assess for signs of uterine rupture.
The correct answer is 3. Given the soft fundus and significant bleeding, the immediate concern is potentially retained placental fragments. A pessary can help manually guide the fragment towards expulsion. Options 1 & 2 are supportive but don’t address the core issue; option 4 needs to be considered as a differential diagnosis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant, 3 days old, presents with lethargy, poor feeding, and a body temperature of 36.7°C (98°F). The nurse observes that the infant's skin has a yellow hue, primarily in the palms, soles, and face. Which of the following is the MOST likely diagnosis?
सही उत्तर: ग) Pathological Jaundice
Kernighan Syndrome (pathological jaundice) is indicated by the yellow hue primarily in the palms, soles, and face, often accompanied by lethargy and poor feeding. Neonatal septicemia would present with other signs of infection, transient neonatal hyperbilirubinemia typically resolves within a couple weeks, and Septicemia wouldn't explain the specific location of the jaundice.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A mother reports she has been experiencing frequent Braxton Hicks contractions for the past week. She states they are becoming more regular and painful. What is the nurse’s MOST appropriate initial response?
सही उत्तर: ख) Instruct the client to rest in a comfortable position and monitor her contractions.
The correct answer is 1. Braxton Hicks contractions are normal physiological uterine contractions that prepare for labor. The best initial response is to advise rest and monitoring – these contractions typically resolve spontaneously. Options 2 & 3 offer supportive care but don’t address the underlying cause; option 4 is overly aggressive.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with psychosis is exhibiting disorganized speech. Which nursing intervention demonstrates the BEST approach?
सही उत्तर: ख) Use simple, direct language and avoid abstract concepts.
Simple, direct language is crucial when communicating with someone experiencing disorganized thought. Speaking quickly can be overwhelming. Open-ended questions can be confusing, and ignoring the speech doesn’t address the underlying issue.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient diagnosed with major depressive disorder expresses feelings of hopelessness and believes that nothing will ever improve. What is the nurse’s MOST important role in this situation?
सही उत्तर: ग) To actively listen to the patient, validate their emotions, and explore potential sources of support.
The nurse’s priority is validation and active listening. Simply dismissing the feeling or trying to convince them it's wrong won’t help. Minimizing distress isn't therapeutic. Medication should be determined by a physician.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following statements BEST describes the therapeutic goal of Cognitive Behavioral Therapy (CBT) in treating depression?
सही उत्तर: ख) To identify and modify negative thought patterns and behaviors.
CBT focuses on actively changing maladaptive thoughts and behaviors contributing to depression. Option 1 is related to psychodynamic therapy. Option 3 reflects acceptance-based approaches. Option 4 doesn’t align with CBT's structured approach.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a patient with bipolar disorder who is experiencing a manic episode. Which assessment finding would indicate the need for increased intervention?
सही उत्तर: ख) The patient expresses grandiose ideas about their future.
Grandiose ideas are a hallmark of mania and indicate an increased risk of harm to self or others. While excessive talkativeness is common, it’s not as critical as the potential for impaired judgment. Difficulty sleeping & denial aren't necessarily indicative of escalation.
💬 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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