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 pregnant woman in her 32nd week of gestation reports experiencing increased vaginal bleeding and abdominal pain. Based on this information, which of the following is the MOST immediate priority for the nurse?
सही उत्तर: क) Administer Rho(D) immune globulin to prevent Rh sensitization.
Rho(D) immune globulin is the immediate priority due to the risk of Rh incompatibility with the fetus. The other options address supportive care but do not directly address the acute bleeding and pain situation which could indicate placental abruption. False option 1 – Rho(D) is given if maternal Rh status is unknown or positive and fetal Rh status is negative.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a client who has an intravenous (IV) infusion site that is exhibiting signs of inflammation – redness, warmth, and tenderness along the vein. What is the *most likely* interpretation of these findings?
सही उत्तर: ग) The vein is experiencing phlebitis
Phlebitis (inflammation of a vein) is the most common explanation for these signs. While options A, B, and C could potentially be causes, phlebitis directly explains the presenting symptoms – redness, warmth, and tenderness - which are key indicators.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is taking an adult client's apical pulse using a stethoscope. Where should the nurse place the bell of the stethoscope to obtain the most accurate reading?
सही उत्तर: घ) Radial artery
The apical pulse is taken at the radial artery, utilizing the bell of the stethoscope for optimal auscultation. The brachial, femoral and internal carotid arteries are not standard locations for obtaining the apical pulse.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a patient undergoing a central venous catheter insertion. According to established guidelines (referencing HAAD standards), which of the following actions should the nurse prioritize?
सही उत्तर: घ) Maintaining strict aseptic technique throughout the process
Strict aseptic technique is paramount when inserting central venous catheters to prevent infection. Options A and B focus on supplementary steps rather than the core principle of maintaining a sterile field. Option D is therefore correct.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client presents to the emergency department with a deep laceration on their forearm. Upon assessment, the nurse observes eviscerated tissue protruding from the wound. What is the *immediate* priority action for the nurse?
सही उत्तर: क) Apply direct pressure to the wound with a sterile gauze pad
Applying direct pressure is the immediate first step to control bleeding and minimize further contamination. Options B, C, and D address secondary concerns but are not the initial critical action in this situation. This option aligns directly with standard wound management protocols.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing to administer an intravenous (IV) infusion at a rate of 75 mL per hour. The order specifies the IV fluid should run for 8 hours. What is the total volume of fluid to be infused?
सही उत्तर: ख) 750 mL
The calculation is simple: (75 mL/hour) * 8 hours = 600 mL. Option A (625mL) is closest and therefore the most tempting answer if the calculations weren't precisely checked. The correct answer is 600ml.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client recently diagnosed with type 2 diabetes mellitus has been prescribed metformin. Which instruction is MOST important for the nurse to provide regarding medication administration?
सही उत्तर: ख) 'You should take this medication before meals to control your blood glucose.'
Metformin's primary action and key instruction is its administration with food, specifically meals. This helps minimize gastrointestinal side effects. It’s crucial to take the drug before meals to maximize effect on blood glucose. Missed doses should always be reported.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following laboratory findings would most likely indicate a complication related to a colostomy?
सही उत्तर: ख) Elevated white blood cell count.
A rising white blood cell count (leukocytosis) is a common indicator of inflammation and infection, often associated with complications such as mucous fistula or peristomal skin breakdown around a colostomy. Elevated albumin suggests protein loss which might be noted but less indicative than an inflammatory response.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with a diagnosis of chronic obstructive pulmonary disease (COPD) is experiencing exacerbation symptoms including increased shortness of breath, productive cough, and wheezing. Which nursing intervention would be MOST appropriate?
सही उत्तर: घ) Provide supplemental oxygen at 2L/min via nasal cannula.
For COPD exacerbations, bronchodilators (not corticosteroids) are typically used as first line treatment. Supplemental oxygen is crucial to maintain adequate oxygen saturation and addressing the breathing difficulty through positioning aids in comfort. Hyperventilation is detrimental in COPD patients.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient following total knee arthroplasty (TKA) reports significant pain, swelling, and redness around the surgical site 24 hours post-operatively. Which intervention should the nurse implement FIRST?
सही उत्तर: ग) Elevate the operative leg above heart level.
The primary concern in this scenario is potential infection or compartment syndrome. Prompt administration of analgesics, as ordered and assessing for signs of worsening inflammation (pain, swelling, redness) are priority actions to manage pain and potentially prevent serious complications. Elevating the leg is important but comes after initial assessment and pain management.
💬 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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