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 educating a couple about newborn infant care. Which of the following statements best describes the recommended method for breastfeeding?
सही उत्तर: घ) The mother should angle her body to minimize nipple pain
A correct latch is crucial for breastfeeding success and comfort. Angling the mother’s body helps the baby take in more areola, reducing nipple pain. The other options describe incorrect positioning or techniques that can lead to inefficiencies and discomfort.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A postpartum client who delivered vaginally 24 hours ago complains of significant discomfort around the incision site. Which intervention would be most appropriate for the nurse to implement?
सही उत्तर: घ) Maintaining meticulous hygiene and dressing changes
Maintaining cleanliness and proper wound care around the incision site is essential for preventing infection and promoting healing. Frequent movement can cause discomfort, opioids are not typically used for initial postpartum pain management, and a warm compress could potentially introduce infection.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A mother reports that her 6-month-old child frequently pulls toys towards their mouth. This behavior suggests:
सही उत्तर: ख) Oral Motor Skills Development
Pulling objects towards the mouth is a typical milestone indicating the development of oral motor skills and exploration through the mouth in infants. The other options present alternative explanations for this behavior that are less aligned with the scenario.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant, 3 days old, presents with a temperature of 38.9°C (102°F), lethargy, and poor feeding. The nurse's priority action is to:
सही उत्तर: ख) Notify the pediatrician immediately
The infant’s symptoms—fever, lethargy, and poor feeding—strongly suggest sepsis, a serious infection. Prompt notification of the pediatrician is crucial for timely diagnosis and treatment. The other options are not immediate priorities in this scenario.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a pregnant woman at 38 weeks gestation. The patient reports experiencing increased vaginal discharge and mild itching. Based on this assessment, what is the most likely diagnosis?
सही उत्तर: क) Gestational Diabetes Mellitus
Gestational diabetes mellitus (GDM) is characterized by elevated blood glucose levels in pregnancy which can cause increased vaginal discharge and itching. The other options are less likely based on the presented symptoms. This question targets basic understanding of common pregnancy complications.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with hypertension is prescribed nifedipine, a calcium channel blocker. Which statement regarding nifedipine's use is *most* important for the nurse to communicate to the patient? a) You may experience dizziness or lightheadedness, especially when standing up quickly. b) You should take this medication with food to minimize gastrointestinal upset. c) You can increase your daily sodium intake to counteract the effects of the drug. d) This medication will completely eliminate your need for other blood pressure medications.
सही उत्तर: क) a
Option A is correct. Nifedipine, a vasodilator, frequently causes orthostatic hypotension (dizziness when standing), which is a key side effect the patient must be warned about. The other options are incorrect advice regarding drug interactions or overall management.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient is receiving intravenous heparin for deep vein thrombosis. Which of the following findings would *most* immediately indicate a potential adverse reaction requiring immediate intervention? a) Mild nausea. b) Elevated partial thromboplastin time (PTT). c) Decreased platelet count. d) Localized edema at the injection site.
सही उत्तर: ग) c
Option B is correct. Heparin causes a prolonged PTT, which is the standard clinical indicator of an excessive response and potential heparin overdose. The other options are less concerning immediate reactions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient taking levothyroxine (synthetic thyroid hormone) reports experiencing palpitations and anxiety. Which of the following adverse effects is *most* likely contributing to these symptoms? a) Decreased cardiac output. b) Increased sensitivity to catecholamines. c) Reduced renal blood flow. d) Enhanced insulin secretion.
सही उत्तर: ख) b
Option B is correct. Levothyroxine increases metabolic rate and stimulates the release of catecholamines (epinephrine, norepinephrine), which can directly cause palpitations and anxiety. The other options are less likely consequences of levothyroxine use.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient is prescribed a metered-dose inhaler (MDI) for asthma. Which of the following techniques demonstrates the *most* appropriate method for delivery to minimize drug deposition in the mouth and throat? a) Exhale forcefully while activating the MDI. b) Press the canister against the side of the mouth and activate. c) Purse the lips and aim the MDI toward the lower portion of the tongue, then activate. d) Quickly press the actuator and inhale deeply.
सही उत्तर: ग) c
Option C is correct. This technique creates a seal around the mouth, directing the aerosolized medication directly into the lungs. The other options will result in more deposition of the drug in the oral cavity.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with chronic iron deficiency anemia is prescribed oral ferrous sulfate. Which of the following dietary modifications would *most* effectively enhance the absorption of this medication? a) Consuming large amounts of dairy products. b) Taking the medication with orange juice or tomato juice. c) Avoiding all sources of vitamin C. d) Limiting protein intake.
सही उत्तर: ख) b
Option B is correct. Ferrous sulfate absorption is significantly increased when taken with foods containing citric acid (like orange juice or tomato juice). The other options are incorrect because dairy products interfere, Vitamin C decreases absorption, and limiting protein doesn't directly impact iron absorption. This aligns with standard pharmacological principles.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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