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 preterm newborn (30 weeks gestation) is experiencing respiratory distress, characterized by rapid, shallow breathing and nasal flaring. Which physiological explanation best describes the cause of this distress?
सही उत्तर: ख) Hypoventilation due to surfactant deficiency
(1) – Respiratory Distress Syndrome (RDS) in preterm infants is primarily caused by a lack of adequate surfactant, leading to alveolar collapse and impaired gas exchange. The other options represent different respiratory issues that could occur, but aren’t the primary cause in this scenario.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is educating a mother about breastfeeding. Which statement best demonstrates the nurse's understanding of the importance of proper latch?
सही उत्तर: ख) ‘The baby should open their mouth into an ‘A’ shape when latched onto the breast.’
(1) – A correct latch is crucial for efficient milk transfer and preventing nipple pain. Option 2 describes the optimal shape of the baby's mouth during a proper latch. Options 3 & 4 represent incorrect techniques that can lead to ineffective feeding.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 38 weeks gestation reports experiencing regular contractions that are intermittently painful but have not yet progressed to cervical dilation or effacement. The nurse recognizes that this is most likely:
सही उत्तर: ग) Braxton Hicks Contractions
(2) – ‘Braxton Hicks’ contractions are irregular, non-progressive uterine contractions typically occurring in late pregnancy. Options 1 & 3 indicate progression of labor; option 4 describes a more defined threat of labor.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-month old infant is brought to the clinic by their parents who report the baby frequently ‘fanning’ their toes when the sole of the foot is stroked. This physical finding is most indicative of:
सही उत्तर: घ) Normal Reflex Response
(3) – The described response (dorsiflexion of the big toe with stroking) is a classic clinical sign of positive Babinski’s reflex, which is consistent with normal neurological development in infants. Options 1, 2, and 3 represent other potential conditions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient taking warfarin is scheduled for an elective surgery. Which statement BEST describes the nurse’s role in managing the patient's anticoagulation prior to the procedure?
सही उत्तर: घ) Monitor the patient closely for signs of bleeding and administer vitamin K if necessary
Option 3 is correct. 'Bridging' involves using a short-acting anticoagulant like LMWH (low molecular weight heparin) to temporarily cover warfarin’s effects during surgery, reducing the risk of complications. The other options misrepresent the careful collaboration and monitoring required.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents to the clinic complaining of chest pain. The physician prescribes nitroglycerin sublingually. Which of the following instructions is MOST important for the nurse to provide regarding its use?
सही उत्तर: घ) ‘Take the medication with a glass of water and keep it under your tongue’
Option 3 is correct. Nitroglycerin works by dilating blood vessels, relieving chest pain associated with angina. It needs to be kept under the tongue for quick absorption. Options 1 and 2 are incorrect as they relate to other conditions and uses. Option 4 provides a less effective administration method.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a pregnant woman at 36 weeks gestation who reports experiencing frequent heartburn. The nurse’s priority action should be to:
सही उत्तर: ख) Advise the client to eat small, frequent meals and avoid lying down after eating
The correct answer is 1. Heartburn is common in pregnancy due to hormonal changes that relax the esophageal sphincter. Small, frequent meals and avoiding lying down immediately after eating are proven methods to alleviate symptoms. The other options – administering medication (without assessment), instructing the client to elevate their head (which can be helpful but less immediate) and increasing fluid intake (which may exacerbate heartburn) – are not the priority initial steps.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client experiencing acute psychosis. The client suddenly begins screaming, thrashing violently, and exhibiting disorganized thought processes. What is the PRIORITY nursing action?
सही उत्तर: ख) Attempt to redirect the client’s attention with conversation
Option 1 is correct. The priority action is administering a sedative medication as the client poses an immediate risk of harm to themselves or others. The other options delay critical intervention.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a patient with severe depression who expresses feelings of hopelessness and worthlessness. Which intervention would be MOST appropriate to address this client's immediate emotional distress?:
सही उत्तर: ग) Providing empathetic listening and validating the client’s emotions
Option 2 is correct as providing empathy and validation allows the patient to feel heard and understood. This directly addresses feelings of hopelessness. The other options are interventions that may be helpful long-term but don't address immediate distress.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with bipolar disorder presents with racing thoughts, pressured speech, and inflated self-esteem. Based on these presenting characteristics, which stage of a manic episode is the nurse most likely observing?:
सही उत्तर: ग) Phase 3 (psychotic manic phase)
Option 2 is correct. The symptoms – racing thoughts, pressured speech, and inflated self-esteem – are characteristic of the heightened, most intense period of a manic episode. The other phases have distinctly different symptom profiles.
💬 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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