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 patient experiencing delusions of persecution, believing that their neighbors are deliberately trying to poison them, displays a primary symptom associated with which mental health condition?
सही उत्तर: ख) b) Schizophrenia Spectrum Disorder
Delusions of persecution (believing others are trying to harm you) is a hallmark symptom of Schizophrenia Spectrum Disorder. Options a, c, and d represent distinct conditions with different core symptoms – dissociative disorder involves fragmented identities, PTSD involves flashbacks related to traumatic events, and borderline personality disorder involves unstable relationships and emotional regulation
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with severe depression expresses suicidal ideation accompanied by feelings of hopelessness and worthlessness. Which assessment question demonstrates the *most* effective approach to assess for imminent risk of suicide?
सही उत्तर: ग) c) ‘Do you have a plan to harm yourself’
Asking directly about suicidal ideation and a plan is the most effective way to assess immediate risk. While options a, c, and d are important components of an assessment, they do not specifically address the presence of a concrete plan, which is a critical indicator of imminent danger (reference NCLEX-RN Content Outline).
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient experiencing acute agitation and catatonia following an antipsychotic medication reaction requires immediate intervention. Which of the following interventions would be the *most* appropriate initial step?
सही उत्तर: ख) b) Implementing restraints to ensure safety
Benzodiazepines are commonly used as an antidote for antipsychotic-induced catatonia, which is characterized by immobility and withdrawal from reality. Restraints should be a last resort after exhausting other interventions to minimize patient distress (option b).
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client presenting with disorganized thought processes, auditory hallucinations involving commands from strangers, and paranoid delusions is exhibiting signs most consistent with:
सही उत्तर: ख) b) Schizophrenia Spectrum Disorder
Schizophrenia Spectrum Disorder (SSD) includes symptoms like disorganized thought, hallucinations, and delusions. While other options may present with psychotic features, the combination of disorganized thought and auditory hallucinations is most indicative of SSD.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient experiencing severe anxiety related to social situations, characterized by intense fear of being judged or scrutinized by others, most appropriately demonstrates symptoms associated with which mental health disorder?
सही उत्तर: ख) b) Generalized Anxiety Disorder
Generalized Anxiety Disorder (GAD) is defined by persistent and excessive worry about various events or activities. Options a, c, and d represent distinct disorders with different primary symptoms – schizophrenia involves psychosis, bipolar disorder features mood swings, and OCD involves intrusive thoughts and compulsions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 28 weeks gestation reports experiencing lower abdominal pain, vaginal spotting, and increased urinary frequency. Which intervention should the nurse implement *first*?
सही उत्तर: ख) Notify the physician immediately.
This presentation is highly suggestive of preterm labor or preeclampsia. Immediate notification of the physician is paramount for further evaluation and management – this is the priority intervention. Magnesium sulfate, monitoring of fetal HR, and encouraging movement are important supportive measures but following protocol for potentially life-threatening conditions comes first.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A mother brings her 6-month-old child to the clinic complaining of excessive crying and difficulty sleeping. The nurse observes that the infant is frequently arching his back during periods of crying. What is the *most* likely diagnosis?
सही उत्तर: ख) Gastroesophageal Reflux (GER).
Excessive crying and arching back in infants are classic symptoms of gastroesophageal reflux. GER is characterized by stomach contents flowing back up into the esophagus. The other options are less likely to present with this specific symptom pattern.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant, 3 hours old, has a temperature of 38.9°C (102°F). The infant is irritable, lethargic, and has poor feeding. Which nursing intervention is *most* appropriate?
सही उत्तर: घ) Maintain meticulous skin hygiene.
The primary concern is neonatal infection (sepsis). Maintaining meticulous skin hygiene and monitoring temperature are crucial steps. Acetaminophen is not typically used in neonates due to potential side effects. Frequent breastfeeding alone won’t address sepsis. A warm bath can cause heat loss.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a pregnant woman at 36 weeks gestation. The client reports experiencing increased vaginal bleeding and passage of small clots. What is the *priority* nursing action?
सही उत्तर: क) Administer Rho(D) immune globulin (RhoGAM).
The priority is to address the potential hemorrhage. Vaginal bleeding during pregnancy can indicate placental abruption, which is a life-threatening emergency. Rho(D) immune globulin prevents sensitization to Rh factor. Rest and assessing for preterm labor are important but secondary to controlling the bleeding. Intravenous fluids are supportive care.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant demonstrates persistent vomiting, lethargy, and poor feeding. The nurse suspects necrotizing enterocolitis (NEC). What is the MOST important nursing intervention at this time? a) Encourage frequent small feedings. b) Maintain a strict fluid restriction. c) Initiate continuous suctioning of the oral cavity. d) Provide a warm, quiet environment for rest.
सही उत्तर: ग) c
NEC is characterized by inflammation and ulceration of the gastrointestinal tract. Continuous suctioning (option c) directly addresses this by removing feeds that could further irritate the damaged mucosa. Options a, b, and d are inappropriate as they exacerbate the problem.
💬 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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