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 with hypertension is prescribed lisinopril. What is the primary mechanism of action for this medication?
सही उत्तर: ख) B) Blocking angiotensin-converting enzyme (ACE) to reduce vasoconstriction and blood pressure.
Lisinopril is an ACE inhibitor. Its primary action is to block the conversion of angiotensin I to angiotensin II, leading to reduced vasoconstriction and a decrease in blood pressure. Option A describes the effect of a stimulant, option C describes another class of antihypertensive, and option D involves adrenergic receptor stimulation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing to administer a subcutaneous injection. What is the MOST important consideration regarding the injection site selection?
सही उत्तर: ग) C) Avoiding areas with major blood vessels or nerves for patient comfort
Selecting a site with palpable subcutaneous tissue maximizes the space available for the medication to be absorbed into the bloodstream. While avoiding large blood vessels and nerves is important, palpable tissue is more crucial for effective absorption than simply choosing an accessible location. Options A & D are not primary considerations.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following nursing interventions is MOST important when assisting a client with dysphagia (difficulty swallowing) with oral feeding?
सही उत्तर: ख) B) Position the client in the upright position at 30-45 degrees before, during, and after eating
Maintaining an upright position reduces the risk of aspiration by decreasing pooling of secretions in the pharynx. Positioning the client at 30-45 degrees is crucial. Options A, C and D would increase the risk of aspiration.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client recovering from abdominal surgery. The surgical wound is draining serosanguinous fluid. Which of the following actions should the nurse take to promote optimal wound healing?
सही उत्तर: ख) B) Gently cleanse the wound with sterile saline solution and apply a thin layer of antibiotic ointment
Maintaining a moist wound environment promotes granulation tissue formation, which is essential for healing. Gentle cleansing with sterile saline and a thin layer of antibiotic ointment encourages this process. Option A involves dry dressing that would be detrimental to healing. Options C and D are inappropriate measures that could compromise the healing process.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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When administering intravenous fluids, a nurse observes redness, warmth, and swelling at the infusion site. What is the MOST appropriate nursing intervention?
सही उत्तर: ख) B) Apply a cold compress to the affected area and notify the physician immediately
This scenario describes signs and symptoms consistent with infiltration at the intravenous site. Applying a cold compress provides localized vasoconstriction to reduce edema and inflammation while immediately notifying the physician is crucial for further evaluation and potential intervention (such as discontinuing the infusion). Options A, C, and D are inappropriate responses that could worsen the situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a newly admitted patient with pneumonia. Auscultation of the lungs reveals crackles primarily in the lower lobes. What does this finding MOST likely indicate?
सही उत्तर: ख) B) Fluid accumulation in the alveolar spaces
Crackles, or rales, during auscultation are typically heard when air is forced through fluid-filled airways. This most likely indicates fluid accumulation in the alveolar spaces, a common finding in pneumonia where inflammation causes edema. Options A, C, and D describe alternative physiological processes that do not align with the presence of crackles.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with nausea, vomiting, visual disturbances, and arrhythmias. The nurse knows that these symptoms are consistent with which medication's toxic effects?
सही उत्तर: क) Amoxicillin
Digoxin is a cardiac glycoside commonly associated with serious side effects including gastrointestinal distress, visual changes, and arrhythmias when toxicity occurs. Amoxicillin is an antibiotic, Metformin is for diabetes management, and Lomotil is an antiemetic – none of which cause these specific symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant presents with Horner's syndrome (ptosis, miosis, anhidrosis) on the right side. This finding MOST likely indicates:
सही उत्तर: घ) Cardiac anomaly
Option 3 (Cardiac anomaly) is correct. Horner’s syndrome in a neonate is strongly associated with lesions affecting the sympathetic chain, often due to cardiac abnormalities such as congenital heart defects. Options 1 and 2 are less likely given the specific presentation, while option 4 is an alternative but rarer cause.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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During a home visit for a postpartum client, you notice the infant is frequently rootling (attempting to suck on the air) and appears restless. This finding MOST closely suggests:
सही उत्तर: ख) Neonatal hypoglycemia
Option 1 (Successful breastfeeding) is correct as rootling is a common reflex in newborns, particularly those who are latching effectively to the breast. Options 2, 3, and 4 represent potential complications that could present with similar symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A mother reports her newborn has a bilirubin level of 18 mg/dL. Which intervention should the nurse prioritize?
सही उत्तर: ग) Initiate phototherapy with blue lights
Option 2 (Initiating phototherapy) is correct as elevated bilirubin necessitates phototherapy to reduce its production and promote excretion. Options 1, 3, and 4 are important but do not address the immediate threat of hyperbilirubinemia.
💬 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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