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 client is admitted with a diagnosis of acute appendicitis. Which nursing intervention is MOST important at the time of initial assessment?
सही उत्तर: ख) Assess abdominal pain, vital signs, and bowel sounds.
The most crucial first step in assessing a client with acute appendicitis is evaluating their immediate symptoms (pain, vital signs) and abdominal findings (bowel sounds). This allows for rapid identification of worsening conditions. Administering antibiotics immediately or providing a specific diet isn't the priority at initial assessment; these are subsequent interventions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient is receiving intravenous heparin for deep vein thrombosis (DVT). The nurse observes signs of bleeding, including hematuria. Which action should the nurse take FIRST?
सही उत्तर: ख) Notify the physician immediately and prepare a report.
The correct answer is 1 because protamine sulfate is the antidote for heparin. Options 2 and 3 are important steps, but addressing the bleeding with the appropriate antidote takes priority. Vitamin K is not used in treating heparin overdose.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with a diagnosis of congestive heart failure is prescribed furosemide (Lasix). At what time of day should this medication be administered to maximize its diuretic effect?
सही उत्तर: ख) With breakfast, approximately 30 minutes prior to mealtime.
The correct answer is 1. Furosemide’s peak diuretic effect occurs with sodium excretion, which is highest after a meal and with postural changes like standing up. Options 2, 3, and 4 are incorrect as they don't align with the drug's pharmacokinetic profile.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with Alzheimer's disease is prescribed donepezil (Aricept). Which of the following mechanisms of action BEST describes how this medication works?
सही उत्तर: ख) It stimulates acetylcholine production in the brain.
The correct answer is 1. Donepezil is an acetylcholinesterase inhibitor, meaning it increases the amount of acetylcholine available in the synapse by preventing its breakdown. Options 2 and 3 are incorrect descriptions of the drug's mechanism. Option 4 misrepresents the process of memory formation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with a history of anaphylaxis to penicillin is receiving intravenous antibiotics for an infection. The nurse observes signs of urticaria and difficulty breathing. What is the MOST appropriate immediate nursing action?
सही उत्तर: क) Administer epinephrine as prescribed.
The correct answer is 0 because epinephrine is the standard treatment for anaphylaxis. Options 1 and 2 are incorrect as they delay critical intervention. Option 3 is necessary, but epinephrine provides immediate relief. Option 4 is ineffective in managing an acute allergic reaction.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient is prescribed warfarin for atrial fibrillation. Which dietary recommendation is MOST important for the nurse to educate the patient about?
सही उत्तर: ख) Consume large amounts of leafy green vegetables daily.
The correct answer is 1. Warfarin's efficacy relies on maintaining stable levels of Vitamin K, which is an antagonist to the drug. Citrus fruits and leafy greens are high in Vitamin K. Options 2 and 3 are incorrect as they suggest increasing or maintaining high amounts of Vitamin K, potentially counteracting warfarin’s effects. Option 4 incorrectly suggests avoiding all Vitamin K rich foods.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A postpartum client reports experiencing vaginal leakage several hours after delivery. The nurse observes bright red blood on the bedsheets. Which finding would MOST likely indicate that placental separation has occurred? a) A decrease in uterine tone as assessed by palpation. b) Presence of clots in the vaginal discharge. c) A warm, boggy uterus with a relaxed fundus. d) Increased fetal movements noted during assessment.
सही उत्तर: ख) b) Presence of clots in the vaginal discharge.
Placental separation is characterized by bleeding from the placental attachment site. A decrease in uterine tone directly reflects this separation. Clots may be present but aren't definitive; a relaxed fundus indicates less contraction, and increased fetal movement isn’t related to placental separation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant is exhibiting signs of neonatal jaundice. The nurse is preparing for phototherapy. Which of the following actions is MOST important? a) Placing the infant in a dark room to reduce melanin production. b) Positioning the infant under a full-spectrum light source at a distance of 60 cm. c) Applying cool compresses to the infant’s skin. d) Restricting breastfeeding to decrease bilirubin levels.
सही उत्तर: ग) c) Applying cool compresses to the infant’s skin.
Phototherapy utilizes specific wavelengths of light to convert bilirubin into a form that can be excreted by the body. Positioning the baby correctly under the light source is key, and a distance of 60 cm is standard practice. Options (a) and (c) are ineffective, and option (d) could negatively impact nutrition.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman presents with severe abdominal pain, vaginal bleeding, and uterine contractions. Based on these findings, which of the following interventions is MOST appropriate in the initial management? a) Administer intravenous fluids to maintain hydration. b) Initiate magnesium sulfate for seizure prophylaxis. c) Insert a Foley catheter to monitor bladder output. d) Administer oxytocin to induce labor.
सही उत्तर: ख) b) Initiate magnesium sulfate for seizure prophylaxis.
Magnesium sulfate is the standard initial treatment for preeclampsia, addressing the risk of seizures which are a serious complication. Option (a) provides hydration but doesn’t address the primary issue. Option (c) might be useful later, and option (d) could worsen the situation due to uncontrolled contractions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with psychosis consistently expresses the belief that strangers are trying to harm them. Which nursing intervention best addresses this delusion? a) Explain that their beliefs are irrational and untrue. b) Help the client identify specific triggers for these thoughts and develop coping strategies. c) Restrict the client's contact with others until the delusions subside. d) Immediately involve law enforcement to ensure the client’s safety and the safety of others.
सही उत्तर: ख) b
Option B is correct. Cognitive behavioral therapy (CBT) techniques, specifically identifying triggers and developing coping strategies, are effective in managing delusional beliefs alongside providing a safe supportive environment. Options A, C and D can exacerbate the situation.
💬 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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