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 nursing intervention is MOST important when assisting a client who is experiencing constipation?
सही उत्तर: ख) Encouraging increased fluid intake.
The correct answer is ‘Encouraging increased fluid intake.’ Adequate hydration softens stools and facilitates bowel movements. While fiber, stimulant laxatives, and palpation have their roles, promoting fluid intake is the initial and most fundamental intervention for constipation management.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the primary purpose of maintaining adequate hydration in patients receiving intravenous fluids?
सही उत्तर: ख) To facilitate wound healing.
The correct answer is ‘To maintain electrolyte balance and support cellular function.’ Adequate hydration directly impacts electrolyte levels (sodium, potassium) critical for various bodily processes. While hydration aids in blood pressure regulation and wound healing to some extent, its core purpose within IV fluid therapy centers on supporting normal physiological functions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient is admitted with a diagnosis of acute respiratory distress syndrome (ARDS). The nurse understands that maintaining adequate pulmonary perfusion is crucial for treatment. Which intervention BEST supports this goal?
सही उत्तर: ग) Implementing frequent coughing and deep breathing exercises
Frequent coughing and deep breathing exercises help mobilize airway secretions and improve alveolar ventilation, thereby maintaining adequate pulmonary perfusion. The other options negatively impact gas exchange or fluid balance.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a client with suspected meningitis. Which finding would be MOST indicative of increased intracranial pressure?
सही उत्तर: ग) Decreased level of consciousness
Decreased level of consciousness is a classic sign of elevated intracranial pressure due to its effect on the brainstem. The other options are not directly related to increased ICP. Pupils can be dilated with meningeal irritation but this isn't always present, and an absent corneal reflex can have many causes.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient recovering from open-heart surgery develops edema in the lower extremities. Which nursing intervention would be MOST effective to reduce this edema?
सही उत्तर: क) Elevating the affected legs above heart level
Elevation of the legs above the heart significantly reduces venous return, decreasing hydrostatic pressure in the lower extremities and effectively reducing edema. The other options are either ineffective or could exacerbate the condition.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with chronic heart failure is prescribed furosemide (Lasix). The nurse monitors the patient closely for which electrolyte imbalance as a potential side effect?
सही उत्तर: ख) Hypokalemia
Furosemide is a loop diuretic that aggressively promotes sodium and water excretion, leading to significant potassium loss. This hypokalemia is a very common side effect of this medication. The other options are not typically associated with furosemide use.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient has been admitted with peritonitis following an exploratory laparotomy. The nurse anticipates administering intravenous fluids. Which fluid type is MOST appropriate for initial resuscitation in this situation?
सही उत्तर: ग) Lactated Ringer's Solution
Lactated Ringer’s solution contains electrolytes and bicarbonate, mimicking the body’s fluids and helping to correct acidosis – a common complication of peritonitis. Normal saline is isotonic and doesn't provide buffering capacity. Dextrose solutions can worsen hyperglycemia, and hypertonic sodium chloride could cause fluid imbalances.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient diagnosed with hypertension is prescribed lisinopril, an ACE inhibitor. Which laboratory test should be monitored regularly as part of this patient’s follow-up care?
सही उत्तर: घ) D) Lipid panel.
ACE inhibitors like lisinopril can cause hyperkalemia (elevated potassium levels) due to their effect on renal function. Regular monitoring of serum potassium is essential to detect and manage this potential side effect.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with chronic obstructive pulmonary disease (COPD) is prescribed salmeterol inhalation for maintenance therapy. Which instruction is most important for the nurse to provide regarding its administration?
सही उत्तर: ग) C) ‘Use this medication only when experiencing acute symptoms of COPD.’
It’s crucial that patients understand proper inhaler technique to maximize drug delivery. Shaking and rinsing the mouth after each dose helps prevent thrush (oral candidiasis) and ensures optimal medication effectiveness. The other options are incorrect or misinterpret the purpose of maintenance therapy.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient is receiving intravenous fluconazole for a fungal infection. Which assessment finding would be most concerning and require immediate notification of the healthcare provider?
सही उत्तर: घ) D) Decreased appetite.
Fluconazole is known to cause visual disturbances as a significant adverse effect. This requires immediate attention and investigation. Options A, B, and D are common side effects of fluconazole but are not critical emergencies.
💬 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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