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 a history of psychosis expresses the belief that they are being followed by government agents. Which approach BEST exemplifies therapeutic communication in this situation?
सही उत्तर: ग) Maintain a calm and neutral demeanor while acknowledging the client’s feelings
A calm, neutral approach avoids escalating the situation. Directly challenging or reasoning won't change delusional beliefs. Restraints are not appropriate unless there is immediate danger. Validating feelings (without validating delusion) can establish rapport.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient expresses feelings of hopelessness and worthlessness following the death of their spouse. They report a loss of interest in activities they once enjoyed and experience significant fatigue. Which initial therapeutic intervention would be MOST appropriate for this client?
सही उत्तर: ग) Provide empathetic listening and validate the patient's feelings of grief
Empathetic listening allows the patient to express their complex emotional experience. While other options might be helpful later, immediate validation is crucial for grief support. Focusing on positive memories or offering simplistic reassurances can minimize the patient’s distress.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with disorganized thinking, illogical speech, and strange beliefs. According to the DSM-5 criteria, this presentation MOST likely indicates which of the following diagnoses?
सही उत्तर: क) Schizophrenia
Schizophrenia is characterized by these symptoms – disorganized thought, illogical speech, and unusual beliefs. The other options do not typically present with this level of cognitive disarray.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with type 2 diabetes is taking metformin. Which of the following actions should the nurse prioritize regarding medication administration?
सही उत्तर: घ) Administering Metformin 30 minutes before meals
Metformin increases insulin sensitivity and reduces hepatic glucose production. Taking it 30 minutes before meals maximizes its effect on controlling postprandial blood glucose levels. Consuming a large meal can increase the risk of hypoglycemia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with a history of asthma is prescribed montelukast (a leukotriene receptor antagonist). The nurse should instruct the patient to monitor for which potential adverse effect?
सही उत्तर: ग) Bronchospasm
Montelukast can rarely cause bronchospasm in susceptible individuals. While bradycardia and peripheral edema are less common side effects of this drug class, the risk of bronchodilation is most pertinent given the patient's existing asthma diagnosis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient receiving intravenous heparin requires a continuous infusion. The infusion rate is ordered at 1,000 units per hour. The heparin solution contains 10,000 units in 250 mL of fluid. Calculate the flow rate (mL/hour) for this infusion.
सही उत्तर: घ) 160
First, calculate the concentration: 10,000 units / 250 mL = 40 units/mL. Then, to deliver 1,000 units per hour, you need 1,000 / 40 = 25 mL/hour. This calculation is incorrect; the correct answer is 80 mL/hour.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a patient experiencing benzodiazepine overdose. Which medication should be administered *immediately* to counteract the effects of the overdose?
सही उत्तर: ग) Naloxone
Naloxone is a specific opioid antagonist that rapidly reverses the sedative and respiratory depressant effects of benzodiazepines. Morphine and fentanyl are opioids with similar effects, while propofol is an anesthetic agent and does not counteract benzodiazepine overdose.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client is prescribed sertraline (a selective serotonin reuptake inhibitor - SSRI). Which of the following foods should the nurse advise the client to limit consumption of while taking this medication?
सही उत्तर: घ) Dark Chocolate
SSRIs like sertraline can increase serotonin levels in the body. Consuming large amounts of dark chocolate can significantly elevate serotonin, potentially leading to adverse effects such as nausea, vomiting, or anxiety. Apples, bananas and strawberries do not pose a significant risk of over-stimulating the serotonergic system.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client is being discharged after an excision biopsy of a skin lesion. The nurse provides the following discharge teaching: ‘It’s important to keep the incision clean and dry, and you should avoid prolonged sun exposure.’ What is the PRIMARY rationale for this instruction?
सही उत्तर: ख) To promote wound healing.
Promoting wound healing is a primary goal of the discharge teaching. Keeping the incision clean (preventing infection) and avoiding prolonged sun exposure contribute to optimal wound healing by protecting it from trauma and UV radiation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is reviewing a client's medication list for a post-operative infection. The client is taking piperacillin/tazobactam. Which adverse effect should the nurse monitor for MOST closely?
सही उत्तर: घ) Pancreatitis
Piperacillin/tazobactam has a significant risk of causing pancreatitis, particularly at higher doses or in clients with a history of gallstones. The other options are less commonly associated with this antibiotic.
💬 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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