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 nurse is caring for a newborn immediately after birth who is exhibiting signs of respiratory distress – rapid, labored breathing with nasal flaring and retractions. Which intervention should the nurse implement *first*?
सही उत्तर: ख) Initiating suctioning of the airway
Respiratory distress in newborns often requires immediate removal of secretions from the airway. Suctioning is the first step to clear the upper airways and facilitate easier breathing. Other options are less appropriate for the acute respiratory issue.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-month-old infant presents with fever, irritability, and poor feeding. The nurse suspects an ear infection (otitis media). What is the *most* important action for the nurse to take before administering any medication?
सही उत्तर: ख) Assess the child's airway and breathing
Before administering any medications, particularly antibiotics, assessing the infant's airway and breathing is paramount to ensure safety. This prioritizes immediate life-saving interventions. The other options are less critical in this acute situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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During postpartum assessment, a nurse observes that a client has persistent vaginal bleeding after delivery that is heavier than normal lochia. What is the *primary* nursing concern in this situation?
सही उत्तर: ख) Risk of uterine atony
Uterine atony (failure of the uterus to contract) is the most common cause of postpartum hemorrhage. While other complications are possible, uterine atony takes precedence in this scenario given the description of persistent heavy bleeding.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant, 3 days old, is exhibiting signs of dehydration – poor skin turgor, decreased tears, and sunken fontanelles. The nurse notes the infant's urine output is significantly less than expected. Based on these findings, what is the *most* appropriate initial nursing intervention?
सही उत्तर: क) Administering intravenous fluids immediately
Dehydration in a newborn requires immediate fluid replacement. Intravenous fluids are the fastest and most effective method to correct this condition. The other options address supportive care but do not directly treat the underlying dehydration.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A primigravida client at 38 weeks gestation reports intermittent contractions starting at 0900 hours. By 1200 hours, she is experiencing regular contractions every 5 minutes, each lasting 60 seconds, with fetal movement. What is the nurse's *first* action?
सही उत्तर: ख) Notify the physician immediately
The scenario describes active labor progressing rapidly. Immediate notification of the physician is crucial for timely management, potentially including interventions like induction. The other options are secondary or inappropriate responses in this critical situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following nursing actions best demonstrates the principle of patient autonomy when obtaining consent for a procedure?
सही उत्तर: ख) Explaining the procedure in detail, including potential risks and benefits, and allowing the patient to ask questions and make an informed decision.
The correct answer is ‘Explaining the procedure in detail, including potential risks and benefits, and allowing the patient to ask questions and make an informed decision.’ This demonstrates respect for the patient’s right to make decisions about their own healthcare. It fulfills the requirements of informed consent.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with a new pressure ulcer on their sacrum is being educated about preventative measures. Which instruction should the nurse prioritize?
सही उत्तर: क) Change position every 4 hours.
The correct answer is ‘Change position every 4 hours.’ Frequent repositioning is the *most* critical intervention to prevent pressure ulcers by redistributing pressure. While all options are helpful, regular movement directly addresses the cause of the ulcer. Using a foam mattress is secondary and topical ointments are not primary preventative measures.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing to administer intravenous fluids. Which fluid volume should be used to administer 250 mL of 0.9% sodium chloride solution over one hour?
सही उत्तर: घ) 250 mL
The correct answer is ‘250 mL.’ This calculation uses the standard formula: Time (in hours) x Volume (in mL) = Total Volume. (1 hour) * (250 mL) = 250 mL. The other options are incorrect calculations of time, volume or concentration.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a patient recovering from major surgery. The patient reports feeling cold and shivering. What is the *most* appropriate initial nursing intervention?
सही उत्तर: क) Administer oxygen to the patient.
The correct answer is ‘Provide blankets and encourage the patient to increase their activity.’ Shivering is a physiological response to heat loss. Providing warmth (blankets) and encouraging movement help generate body heat. The other options are inappropriate interventions for shivering. “Administer oxygen” addresses potential respiratory distress but not the primary cause of shivering, “Increase activity level” can worsen the situation, and “Apply an ice pack” would further decrease core temperature.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pharmacist is explaining the purpose of a ‘loading dose’ to a nursing student. Which statement BEST describes the rationale behind using a loading dose?
सही उत्तर: ख) To minimize the frequency of subsequent doses
A loading dose is administered initially to quickly achieve the desired therapeutic drug concentration in the body. This reduces the need for frequent, smaller doses later on and avoids fluctuations around the target level – a faster approach than multiple small doses.
💬 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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