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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Which of the following is the MOST important nursing intervention for a newborn immediately following vaginal birth?
सही उत्तर: ख) Maintaining neutral temperature with radiant warming devices
Option 1 (Administering intravenous fluids) is incorrect as newborns typically do not require IV fluids immediately after birth. Option 2 (Maintaining neutral temperature) is crucial for preventing heat loss, but the immediate priority is to prevent hypothermia. Options 3 and 4 are important assessments but secondary to rapid warmth.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 32 weeks gestation reports experiencing increasing shortness of breath. Auscultation reveals crackles in both lungs. What is the MOST likely diagnosis?
सही उत्तर: ख) Gestational Asthma
Option 1 (Gestational Asthma) is correct because the symptoms described – shortness of breath and crackles – are consistent with gestational asthma, a common complication in pregnancy. Options 2 (Pneumonia), 3 (Pre-eclampsia), and 4 (Thromboembolism) are less likely given the presentation without additional supporting signs.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A fetal monitor shows intermittent late decelerations during an oxytocin infusion. Which intervention should the nurse implement *immediately*?
सही उत्तर: घ) Notify the physician regarding a potential fetal distress
Late decelerations are often associated with umbilical cord compression. Positioning the client supine with knees flexed helps to relieve pressure on the abdomen and improve uterine tone, allowing for better fetal positioning. The other options are inappropriate responses to this clinical situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman is 32 weeks gestation. Using Naegele’s rule, calculate the estimated date of delivery (EDD).
सही उत्तर: ख) January 1st, 2024
Naegele's rule calculates the EDD by adding 7 days to the first day of the woman’s last menstrual period. January 1st, 2024 is the correct calculation based on a LMP of November 15th, 2023. The other options are incorrect due to misapplication of the rule.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is teaching a client newly diagnosed with type 2 diabetes about foot care. Which instruction is MOST important for the client to understand? a) To wear sandals or flip-flops outdoors at all times. b) To inspect their feet daily for blisters, cuts, or sores and report any abnormalities immediately. c) To apply lotion liberally to their feet several times a day. d) To soak their feet in hot water before bed.
सही उत्तर: ख) To inspect their feet daily for blisters, cuts, or sores and report any abnormalities immediately.
Regular foot inspection (b) is paramount in preventing complications like ulcers, which are common in individuals with diabetes. Prompt reporting of any abnormalities is essential for timely treatment. The other options are either inappropriate or could potentially harm the client’s feet.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing to administer intravenous fluids to a patient with severe dehydration. Which assessment finding should the nurse MOST closely monitor during fluid administration? a) The client’s ability to maintain eye contact. b) The rate of infusion and any signs of fluid overload (e.g., edema, crackles). c) The client’s preferred color of clothing. d) The presence or absence of visible veins.
सही उत्तर: ख) The rate of infusion and any signs of fluid overload (e.g., edema, crackles).
Monitoring the rate of infusion (b) and observing for signs of fluid overload is critical when administering fluids to a dehydrated patient. Fluid overload can lead to serious complications such as pulmonary edema and cardiac distress, which need immediate detection. “Eye contact” (a), clothing color (c), and vein visibility (d) are not relevant to assessing fluid administration.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following actions should a nurse prioritize when assisting a client with dysphagia (difficulty swallowing)? a) Encourage the client to drink large amounts of fluids to prevent dehydration. b) Offer thick liquids and pureed foods to reduce the risk of aspiration. c) Instruct the client to eat quickly to minimize the chance of choking. d) Allow the client to feed themselves using a spoon.
सही उत्तर: ख) Offer thick liquids and pureed foods to reduce the risk of aspiration.
The primary goal when assisting a dysphagic client is to prevent aspiration (entry of food/liquid into the lungs). Thick liquids and pureed foods accomplish this (b). Drinking large amounts can increase the risk, while rapid eating and self-feeding are inappropriate.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a client with heart failure who reports shortness of breath. Which assessment finding would MOST likely confirm the diagnosis? a) Crackles in both lung fields bilaterally. b) Decreased apical pulse rate of 68 bpm and regular rhythm. c) Peripheral edema extending to the lower legs. d) Elevated blood pressure of 160/95 mmHg.
सही उत्तर: ग) Peripheral edema extending to the lower legs.
Crackles (a) are indicative of fluid accumulation in the lungs, a common symptom of heart failure. While elevated BP can be present, peripheral edema (c) is more directly related to the failing heart's inability to pump effectively and reduce central venous pressure. A normal pulse rate (b) would not support the diagnosis of heart failure.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a patient recovering from abdominal surgery. The patient reports feeling nauseous and asks for something to settle their stomach. Which nursing action is MOST appropriate at this time? a) Administer antiemetic medication as prescribed. b) Encourage the patient to eat small, frequent meals of bland foods. c) Monitor the patient's vital signs closely. d) Provide a warm bath to relax the patient’s muscles.
सही उत्तर: ख) Encourage the patient to eat small, frequent meals of bland foods.
The most appropriate initial action is to encourage bland foods and small, frequent meals (b). This addresses the symptom of nausea by settling the stomach. Options a, c, and d are not the immediate priority for managing nausea after surgery.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client taking warfarin (Coumadin) presents for a routine blood draw. The nurse should instruct the client to report which of the following symptoms?
सही उत्तर: ख) Mild nausea and vomiting
The nurse should instruct the client to report ‘Muscle pain and stiffness’ because this is a common sign of subtherapeutic anticoagulation with warfarin, indicating that the medication is not effectively preventing clot formation. The other options are less indicative of a problem with warfarin dosing.
💬 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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