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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During routine prenatal care at 32 weeks gestation, a pregnant client reports experiencing intermittent contractions that are not progressing and do not result in cervical dilation or effacement. She describes them as ‘practice contractions’. Which of the following interventions is MOST appropriate for the nurse to implement? a) Encourage frequent sips of clear fluids. b) Instruct the client to rest in a warm bath. c) Advise the client to monitor the frequency and duration of contractions. d) Prescribe bed rest with knees drawn up to the chest.
सही उत्तर: घ) d) Prescribe bed rest with knees drawn up to the chest.
Option D is correct as it addresses preterm labor symptoms by promoting relaxation and reducing uterine activity. Options A, B, and C are supportive measures but do not address the underlying cause of these 'practice contractions'. The mother should be advised that they are likely normal physiological changes related to cervical softening.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-month-old infant presents to clinic with symptoms including poor weight gain, irritability, and a bulging fontanelle. The mother reports that the baby is not thriving as well as other infants her age. What is the MOST likely underlying cause of these symptoms? a) Acute respiratory infection. b) Iron deficiency anemia. c) Congenital hypothyroidism. d) Early-onset bacterial meningitis.
सही उत्तर: ग) c) Congenital hypothyroidism.
Option C is correct because congenital hypothyroidism commonly presents with poor growth, irritability, and a bulging fontanelle in infancy. Option A is possible but less specific, Option B can cause similar symptoms but is usually associated with other signs like pallor, and Option D is typically associated with fever and altered mental status.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A preterm infant (32 weeks gestation) presents to the emergency department with respiratory distress, rapid breathing, and a weak cry. Physical examination reveals signs of prematurity including lanugo and decreased muscle tone. Which intervention would be MOST appropriate for the nurse to implement initially? a) Administer oxygen via nasal cannula at 2 liters per minute. b) Initiate intravenous fluids with Dextrose Solution. c) Place the infant in a humidified incubator. d) Begin phototherapy using a blue light source.
सही उत्तर: क) a) Administer oxygen via nasal cannula at 2 liters per minute.
Option A is correct because preterm infants often require supplemental oxygen due to underdeveloped lungs and respiratory distress. The other options are less appropriate as immediate interventions for this presentation. Option B is not immediately required, Option C provides humidity but doesn't address the underlying respiratory issue, and Option D is phototherapy, which has specific indications beyond prematurity.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is teaching a client about oral hygiene. Which statement by the client indicates a need for further instruction?
सही उत्तर: ग) C) ‘I can only use plain water to rinse’
Option C is correct because using plain water alone for rinsing does not provide the antimicrobial effect needed in oral hygiene. Options A, B and D are appropriate statements demonstrating understanding of oral hygiene principles.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following actions demonstrates the BEST understanding of asepsis?
सही उत्तर: ख) B) Using separate equipment for each procedure
Option B is correct because using separate equipment reflects the principle of preventing contamination and transmission of infection. Options A, C and D demonstrate poor understanding of aseptic techniques.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing to administer medication to a client. What is the FIRST step the nurse should take?
सही उत्तर: क) A) Verify the physician's order
Option A is correct. The primary responsibility of the nurse is to verify the physician's order before administering any medication. This ensures patient safety and prevents medication errors. Options B, C and D are secondary steps in the process.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following nursing interventions is MOST appropriate when caring for a client receiving intravenous fluids via an infusion pump?
सही उत्तर: ग) C) Assessing the client’s skin around the IV insertion site every 4 hours
Option B is correct. Continuous monitoring of vital signs (blood pressure, heart rate, respiratory rate) is critical when administering fluids via an infusion pump to detect and address any complications promptly. Options A, C and D are incorrect practices related to IV fluid administration.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following medications is MOST likely to be prescribed for the management of hypertension in a patient with heart failure?
सही उत्तर: ख) Lisinopril (an ACE inhibitor)
Option 1 is correct. ACE inhibitors like Lisinopril are frequently used in heart failure to reduce afterload and prevent ventricular remodeling, especially when there's evidence of fluid retention. While other options have their uses in cardiovascular disease, Lisinopril’s specific benefit for managing hypertension in the context of heart failure makes it the most suitable choice.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with type 2 diabetes mellitus is prescribed metformin (Glucophage). Which statement by the patient indicates a need for further teaching?
सही उत्तर: क) ‘I will continue to consume large amounts of carbohydrates.’
Option 0 is correct. Patients on metformin must understand that a high carbohydrate intake can negate the drug's effect and could cause hyperglycemia. The other options represent appropriate information regarding metformin use.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient taking warfarin (Coumadin) has an INR of 6.5. What is the MOST important nursing intervention?
सही उत्तर: ग) Notify the physician regarding the elevated INR and potential bleeding risk.
The correct answer is 2. An INR of 6.5 indicates a significantly increased risk of bleeding. The nurse's priority is to immediately inform the physician about this finding and discuss appropriate management strategies. Options 1 and 3 reflect actions that could worsen the situation; option 4 is important but secondary to addressing the anticoagulation issue.
💬 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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