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 with a history of chronic heart failure is admitted to the hospital for worsening shortness of breath. The nurse assesses that the patient's edema is primarily in the sacral region. What is the MOST likely cause?
सही उत्तर: ख) Right Ventricular Failure
Right ventricular failure leads to increased pressure in the venous system, causing fluid to leak into the peripheral tissues, particularly the lower extremities (sacrum). Pulmonary hypertension is associated with shortness of breath but not primarily sacral edema. Mitral stenosis and atrial fibrillation are heart rhythm disorders, not primary causes of peripheral edema.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents to the clinic complaining of increasing pain radiating down their left leg following a recent injury. Examination reveals decreased sensation and motor strength in the foot. What is the MOST likely diagnosis?
सही उत्तर: ख) Sciatica
Sciatica, caused by compression of the sciatic nerve, often presents with radiating pain down the leg, sensory changes, and weakness. The other options (osteoarthritis, DVT, peripheral neuropathy) typically present differently – osteoarthritis with joint stiffness and inflammation, DVT with swelling and warmth, and peripheral neuropathy with distal symmetrical numbness.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with hypertension is being started on amlodipine. The nurse should advise the patient to monitor their weight daily because:
सही उत्तर: ख) B) Amlodipine can cause fluid retention, leading to weight gain.
Option B is correct. Amlodipine is a calcium channel blocker that primarily causes vasodilation and reduces peripheral vascular resistance, which can lead to fluid retention (edema) and consequently weight gain. The other options describe inaccurate mechanisms or effects.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with chronic obstructive pulmonary disease (COPD) requires bronchodilator therapy. Which of the following adverse effects should the nurse MOST closely monitor after administering albuterol?
सही उत्तर: ग) C) Tachycardia and tremors.
Option C is correct. Albuterol, a beta-adrenergic agonist, can cause tachycardia (rapid heart rate) and tremors as a common side effect due to its stimulation of the sympathetic nervous system. Options A, B, and D are not typical adverse effects of albuterol.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient is receiving intravenous ranitidine for treatment of gastritis. Which statement by the patient indicates understanding of the medication’s action?
सही उत्तर: ग) C) ‘This drug reduces the amount of acid produced in my stomach.’
Option C is correct. Ranitidine (a histamine H2-receptor antagonist) works by reducing gastric acid secretion. The other options describe either contraindicated behaviors or effects of a different medication. Option A and D are inaccurate.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient taking lithium is prescribed a thiazide diuretic for hypertension management. The nurse understands that which potential interaction requires close monitoring?
सही उत्तर: ख) B) Enhanced diuretic effect, potentially leading to electrolyte imbalances.
Option B is correct. Lithium and thiazide diuretics both affect fluid and electrolyte balance – lithium causes hyperkalemia, while thiazides cause hypokalemia. Combining them significantly increases the risk of imbalances. Option A is not a common interaction. Option C is incorrect and Option D is a potential but less frequent effect.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client with severe burns. Which of the following nursing interventions is MOST important to prevent hypovolemic shock?
सही उत्तर: क) Administer intravenous fluids rapidly to restore circulating volume.
Hypovolemic shock is a significant risk in burn patients due to extensive fluid loss through damaged skin. Rapid intravenous fluid administration is crucial for restoring circulating volume and maintaining blood pressure. While other interventions are important, they do not address the immediate threat of hypovolemia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with schizophrenia is experiencing hallucinations and delusions related to paranoia and distrust. The nurse recognizes that an environment characterized by predictability, routine, and clear boundaries would be MOST beneficial in reducing the client's anxiety and promoting a sense of safety. Which setting best supports this approach?
सही उत्तर: ख) A quiet room with minimal distractions and consistent routines
The most supportive setting is a quiet room with minimal distractions and consistent routines. This predictable environment reduces sensory overload and promotes feelings of safety and security for someone experiencing paranoia and delusions. It's aligned with principles of creating a therapeutic milieu in mental health nursing.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client diagnosed with bipolar disorder II who presents with persistent low mood and depressive symptoms. Which medication class would be MOST indicated as a first-line treatment option to elevate mood?
सही उत्तर: घ) Mood Stabilizers
SSRIs are commonly used as a first-line treatment for bipolar II disorder to elevate mood. While other options might be used in specific situations, SSRIs target the serotonin system effectively treating depressive symptoms associated with this condition. Mood stabilizers offer a broader approach but aren’t typically started first.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client experiencing an episode of severe anxiety expresses feelings of impending doom and a constant sense of being trapped. Which therapeutic approach would be MOST suitable to address these immediate, intense emotions?
सही उत्तर: घ) Humanistic Counseling
Crisis intervention techniques are the most appropriate response in this acute situation. These techniques focus on providing immediate support, reducing anxiety levels, and helping the client regain a sense of control. CBT and psychodynamic therapy are longer-term interventions not suitable for an acute crisis.
💬 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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