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 requiring intravenous administration of a medication needs to calculate the volume rate of infusion over 1 hour. The prescribed dose is 250 mg to be infused over 60 minutes. What is the appropriate infusion rate in mL/hour?
सही उत्तर: ख) B) 8.33 mL/hour.
To calculate the infusion rate (mL/hour), we divide the dose (250 mg) by the time (60 minutes): 250mg / 60min = 4.17 mg per minute. Converting to mL/hour requires a conversion factor (1 mL = 8 drops and 1 drop = 0.05mL): 4.17mg/minute * 60 minutes/hour * 0.05mL/drop * 8 drops/mL = approximately 8.33 mL/hour.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with type 2 diabetes mellitus is prescribed metformin 500 mg twice daily. Which of the following statements best describes the primary mechanism of action of this medication?
सही उत्तर: ग) C) Reduction of hepatic glucose production.
Metformin primarily works by reducing hepatic glucose production – the amount of glucose produced by the liver. This is the most accurate description of its mechanism. Options A and D are incorrect because metformin doesn't directly affect insulin or amylin; Option B is partially correct but incomplete as it only describes one aspect.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with severe depression is expressing feelings of hopelessness and a belief that life is not worth living. The nurse’s response exemplifies which therapeutic communication technique?
सही उत्तर: ख) Using reflective statements such as ‘It sounds like you’re feeling overwhelmed’
Reflective listening is key when a patient expresses deep distress and feelings of hopelessness. It demonstrates empathy and validates the patient's emotions, creating a safe space for further exploration. The other options are less appropriate responses as they can minimize the patient’s experience or offer potentially invalidating advice.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client admitted to a psychiatric unit is exhibiting disorganized speech and illogical thought processes. The nurse observes that the client is constructing elaborate, fantastical stories involving mythical creatures. What should the nurse prioritize?
सही उत्तर: घ) Documenting the client’s behavior objectively without interpretation
The priority is maintaining a non-judgmental environment while carefully observing. Directly questioning the narratives can be distressing for the client, potentially escalating their anxiety. Allowing uninterrupted expression provides valuable data for assessment and allows the nurse to understand the context of the delusions. Documentation should focus on factual observations without subjective interpretation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presenting with symptoms of acute psychosis, including disorganized thought processes and delusions of persecution, is demonstrating significant agitation. Which of the following approaches is MOST appropriate for the nurse to take initially?
सही उत्तर: ग) Provide a calm environment and allow the client to express themselves freely
Prioritizing a calm approach and allowing expression is crucial when managing acute psychosis. Directly challenging delusions can escalate agitation. While medication may be needed, it’s not the immediate first step. Restraints are reserved for situations where safety is immediately threatened. This aligns with best practices in mental health nursing.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with Schizophrenia is experiencing auditory hallucinations of voices criticizing their appearance. The nurse’s first intervention should be to:
सही उत्तर: ख) Encourage the client to identify and discuss the content of the hallucination
The most appropriate initial response is encouraging the client to identify and discuss the content. This utilizes the therapeutic communication technique of validation, helping the client process their experience while demonstrating empathy – reducing anxiety and distress. The other options are less effective immediately; medication takes time to take effect, distraction may not address underlying issues, and reassurance alone isn't a strategy for managing hallucinations.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pediatrician is examining a 6-month-old infant who presents with fanning of the toes and dorsiflexion of the big toe when the sole is stroked. Which finding best supports the diagnosis of neurological maturity?
सही उत्तर: ख) Absence of sucking reflex.
The positive Babinski reflex (dorsiflexion of the big toe with stimulation) is indicative of neurological maturity and myelination. It's a key sign that the nervous system is developing appropriately. Other options are features of premature infants or indicate neurological dysfunction. Option 2 – sucking reflexes disappear at this age.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is teaching a new mother about breastfeeding. Which statement best describes the importance of frequent breastfeedings for the infant?
सही उत्तर: ख) Frequent nursing ensures consistent stimulation of milk production by the mammary glands.
Consistent nursing stimulates milk production by repeatedly activating the mammary glands. Frequent feedings are directly linked to increased prolactin levels which drive milk synthesis. Other options describe secondary effects or benefits but don't explain the primary mechanism. Option 2 - is most accurate.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A postpartum client has been experiencing vaginal leakage for the past 4 hours. The nurse notes that the lochia is scant, pinkish, and odor-free. Which intervention should the nurse implement FIRST?
सही उत्तर: घ) Assess for signs of infection, such as fever or foul odor.
The priority is to assess for infection given the description of the lochia. While pain management and measures to address vaginal leakage are important, assessing the characteristics of the discharge is paramount in determining if it's normal postpartum bleeding or a sign of complications like bacterial vaginosis or endometritis. Option 1 – analgesics aren't indicated until after assessment.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a newborn immediately after birth who presents with a soft, pliable lump on the vertex of the head. Which finding would MOST likely differentiate this condition from cephalhematoma?
सही उत्तर: ग) Firm, well-defined borders surrounding the lesion.
Caput succedaneum is characterized by a firm, well-defined border around the head swelling, unlike cephalhematoma which presents as bruising without defined borders. Option 1 – bruising indicates cephalohematoma, not caput. Options 2 and 3 are either features of or incorrect regarding both conditions.
💬 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।
नमस्ते! पाठ्यक्रम, सामान्य ज्ञान, भाषा परीक्षा वा कुनै प्रश्नको उत्तर बुझ्न सोध्नुहोस्।
AI ले गल्ती गर्न सक्छ। महत्वपूर्ण कुरा आधिकारिक स्रोतमा जाँच्नुहोस्।