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 presents to the emergency department complaining of sudden onset chest pain radiating to their left arm, accompanied by shortness of breath and nausea. An ECG reveals ST-segment elevation in leads V1-V3. Which is the MOST appropriate initial nursing intervention?
सही उत्तर: ख) Initiate oxygen therapy at 2L/min via nasal cannula
Oxygen therapy is crucial in this scenario as the client is experiencing acute myocardial infarction (STEMI). The other options are less immediately relevant to the priority of stabilizing the patient's respiratory status. Cardiology consultation will follow, but immediate intervention for oxygenation is key.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is teaching a patient newly diagnosed with COPD about inhaled corticosteroid medications. Which instruction should the nurse include in the teaching?
सही उत्तर: ख) ’Rinse your mouth thoroughly with water after using the inhaler to prevent oral thrush.’
Inhaled corticosteroids can cause oral thrush (a fungal infection in the mouth) due to maintaining moisture. Rinsing the mouth after administration is a crucial preventative measure. The other options are incorrect advice regarding use and dosage.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 32-year-old woman, G3P2 (gravida 3, para 2), presents to labor and delivery at 38 weeks gestation with regular contractions. She reports a sudden onset of severe headache, visual disturbances, and epigastric pain. Based on these findings, which diagnosis is most likely?
सही उत्तर: ग) Preeclampsia.
The correct answer is ‘Preeclampsia.’ The symptoms described (severe headache, visual disturbances, epigastric pain) are classic signs of preeclampsia. The other options do not align with this constellation of findings.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn is exhibiting signs of respiratory distress including nasal flaring, retractions, and grunting. The nurse’s assessment reveals a meconium-stained amniotic fluid sample. Which intervention would be most appropriate at this time?
सही उत्तर: ख) Initiate bulb suctioning of the airway.
The correct answer is ‘Prepare for immediate endotracheal intubation.’ Meconium aspiration syndrome (MAS) is a significant risk in newborns with meconium-stained amniotic fluid. Rapid progression of respiratory distress necessitates immediate airway management. Oxygen alone may not be sufficient.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A primiparous (first time) mother reports experiencing vaginal bleeding after delivery. Which of the following actions should the nurse prioritize?
सही उत्तर: क) Administer Rho(D) immune globulin to prevent Rh sensitization.
The correct answer is ‘Administer Rho(D) immune globulin to prevent Rh sensitization.’ After delivery, maternal antibody levels against Rh factor can cross the placenta and cause hemolytic anemia in a subsequent Rh-negative infant. Rho(D) immunoglobulin (RhoGAM) prevents this. The other options are incorrect because they do not address the immediate concern of postpartum hemorrhage.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with a history of heart failure requires hourly monitoring of urine output. What specific urine volume (in mL) would trigger immediate notification of the physician?
सही उत्तर: ख) 500-800 mL
A urine output range of 200-400 mL hourly is considered significantly reduced in a patient with heart failure and warrants immediate medical attention. Higher volumes are generally acceptable, while lower volumes can indicate serious problems.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing to administer an intramuscular injection. Which anatomical location is generally considered MOST appropriate for adults due to its relatively low risk of nerve damage?
सही उत्तर: ग) Gluteus medius muscle
The vastus lateralis muscle (Option 2) is the most commonly recommended site for intramuscular injections in adults because it's located away from major nerves and blood vessels, reducing the risk of complications. The other options are at higher risk.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is educating a client about the proper technique for administering subcutaneous insulin. Which learning domain does the nurse primarily focus on during this teaching?
सही उत्तर: ग) Psychomotor
The primary focus (Affective) is on the client's emotional response and willingness to learn and adhere to the self-injection technique – crucial for long-term success. Cognitive, Psychomotor, and Sensory domains are less relevant in this specific teaching moment.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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When teaching a patient with type 2 diabetes about foot care, which of the following statements is MOST important?
सही उत्तर: क) 'Check your feet daily for blisters or sores.'
The most crucial point for a diabetic patient regarding foot care is checking for blisters or sores daily (Option 1). This addresses the potential for ulceration, which is a serious complication of diabetes. Options 2, 3 and 4 are relevant but secondary to immediate wound detection.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with a BMI of 26.5 kg/m² presents to the clinic. According to World Health Organization (WHO) classification, what category does this client fall into?
सही उत्तर: ख) Category 2 - Overweight
A BMI of 26.5 falls within the overweight range (Category 2) according to WHO standards. Options 1 and 4 are incorrect as they represent normal and morbid obesity, respectively. Option 3 is incorrect because it describes obese.
💬 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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