अन्तर्राष्ट्रिय नर्सिङ लाइसेन्स NCLEX-RN, DHA, HAAD र CBT तयारी

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

381. A newborn infant is exhibiting a yellow discoloration of the skin and eyes. The nurse knows this condition is referred to as jaundice. Which intervention should the nurse implement FIRST?

     कPlace the baby in a cool environment. खInitiate phototherapy with a special blue light. गAdminister intravenous fluids to increase urine output. घMonitor the infant’s vital signs closely.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

382. A 36-year-old woman presents to the clinic complaining of vaginal bleeding and mild abdominal pain at 28 weeks of gestation. Initial assessment reveals a blood pressure of 140/90 mmHg and proteinuria in her urine. What is the MOST immediate nursing intervention?

     कAdminister Rho(D) immune globulin immediately. खInitiate intravenous fluids and monitor maternal vital signs closely. गPrepare for possible preterm labor and administer tocolytics. घOrder a complete blood count and coagulation studies.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

383. A nurse is teaching a pregnant client about the importance of folic acid supplementation. Which of the following explanations is MOST accurate?

     क‘Folic acid helps build strong bones and teeth.’ ख‘Folic acid reduces the risk of neural tube defects in the developing fetus.’ ग‘Folic acid increases the mother’s energy levels during pregnancy.’ घ‘Folic acid prevents premature birth.’
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

384. A postpartum woman is concerned about milk supply for her newborn. Which statement by the nurse would be MOST helpful in addressing this concern?

     क‘Don’t worry too much; most mothers eventually figure it out.’ ख‘Frequent nursing or pumping, typically every 2-3 hours, can stimulate milk production.’ ग‘The baby’s appetite will naturally regulate itself over time.’ घ‘Avoid supplementing with formula to maintain your exclusive breastfeeding goal.’
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

385. A pregnant woman at 32 weeks gestation reports experiencing intermittent contractions, each lasting approximately 30 seconds and occurring every 10 minutes. Which of the following is the MOST appropriate initial nursing intervention?

     कAdminister oxygen to increase fetal oxygenation. खEncourage the patient to rest in a side-lying position. गAssess for signs of premature labor, including cervical dilation and effacement. घAdminister intravenous fluids for hydration.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

386. A patient with schizophrenia frequently talks about persecutors who are trying to harm them, despite no objective evidence. Which intervention is *least* appropriate in this situation?

     कValidate the client's feelings of fear and distress खAttempt to challenge the content of the delusions directly गMaintain a calm and respectful demeanor while minimizing interaction घCollaborate with the psychiatrist for medication management
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

387. A nurse is assessing a client with bipolar disorder who is experiencing manic symptoms including racing thoughts and pressured speech. The client states, ‘I have so many ideas I need to share, everyone needs to hear them!’ What is the *most* appropriate nursing intervention?

     कEncourage the client to write down their ideas for later review खLimit stimulation by reducing noise levels in the environment गOffer reassurance that they are experiencing a normal state of excitement घCollaborate with the psychiatrist to consider an immediate mood stabilizer administration.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

388. A patient diagnosed with severe depression expresses intense feelings of worthlessness and believes they are a burden to their family. Which therapeutic communication technique would be *most* effective in addressing these statements?

     क“Don’t say that, you are important!” ख“I can see how difficult this must be for you.” ग“You need to focus on the positive aspects of your life.” घ“Let's explore what makes you feel this way and identify coping strategies.”
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

389. A client with chronic schizophrenia reports hearing voices that tell them to harm themselves. The client denies any suicidal ideation but expresses feelings of hopelessness and worthlessness. What is the nurse’s *primary* intervention?

     कAdminister a sedative medication immediately to calm the client खEncourage the client to verbalize the content of the hallucinations गProvide a safe and supportive environment while reinforcing safety planning strategies घOffer reassurance that the voices are not real and will eventually disappear.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

390. A client with Alzheimer's disease repeatedly asks the same questions and becomes agitated when unable to find familiar objects in the room. Which nursing intervention would BEST support this client’s cognitive needs?

     कImplement a rigid daily schedule with frequent reminders. खCreate a calm and predictable environment with simplified visual cues. गEncourage the client to engage in complex problem-solving activities. घProvide the client with access to all available electronic devices.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।