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 teaching is most important for a client prescribed lorazepam?
सही उत्तर: ख) Avoid alcohol because it increases CNS depression
Alcohol combined with benzodiazepines can cause dangerous sedation and respiratory depression. Benzodiazepines should be tapered, not stopped abruptly, after regular use.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the antidote for benzodiazepine overdose?
सही उत्तर: क) Flumazenil
Flumazenil is a benzodiazepine receptor antagonist. Naloxone reverses opioids, not benzodiazepines.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which statement about buspirone is correct?
सही उत्तर: घ) It takes several weeks to reduce anxiety and is not habit-forming
Buspirone is a non-benzodiazepine anxiolytic with delayed onset and low abuse potential. It is not useful for acute panic, for which fast-acting benzodiazepines may be used.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which mood stabilizer carries a risk of Stevens-Johnson syndrome, especially when the dose is increased rapidly?
सही उत्तर: ग) Lamotrigine
Lamotrigine can cause serious rash including Stevens-Johnson syndrome, so it is titrated slowly. Clients should report any new rash immediately.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client on valproic acid should have which laboratory tests monitored?
सही उत्तर: ख) Liver function tests and platelet count
Valproate can cause hepatotoxicity, pancreatitis and thrombocytopenia, so liver function and platelets are monitored. It is also teratogenic, causing neural tube defects.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which baseline test is especially important before starting lithium?
सही उत्तर: क) Renal and thyroid function tests
Lithium is excreted by the kidneys and can cause hypothyroidism and renal impairment, so baseline and periodic renal and thyroid tests are needed. Bone marrow monitoring is more relevant to carbamazepine and clozapine.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which drug class used with lithium raises the risk of lithium toxicity?
सही उत्तर: घ) Thiazide diuretics
Thiazide diuretics reduce lithium clearance and can raise serum levels significantly. ACE inhibitors and NSAIDs have a similar effect.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which instruction should the nurse give a client taking lithium?
सही उत्तर: ग) Maintain a consistent intake of salt and fluids
Low sodium or dehydration causes the kidneys to retain lithium, raising levels toward toxicity. NSAIDs such as ibuprofen can also increase lithium levels.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Early signs of lithium toxicity include:
सही उत्तर: ख) Diarrhea, vomiting and coarse tremor
Gastrointestinal upset, coarse tremor, drowsiness and muscle weakness are early warnings of lithium toxicity. A fine hand tremor alone is common at therapeutic levels.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which tool is used to screen clients on antipsychotics for tardive dyskinesia?
सही उत्तर: क) Abnormal Involuntary Movement Scale (AIMS)
The AIMS is a standardized rating scale for involuntary movements. CIWA-Ar is used for alcohol withdrawal and the Glasgow Coma Scale for level of consciousness.
💬 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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