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 diagnosed with Schizophrenia exhibits flat affect and limited speech. Which nursing intervention would be MOST appropriate at this time?
सही उत्तर: क) Administer the prescribed antipsychotic medication immediately.
Option 0 is correct. Providing a quiet, structured environment aligns with managing the client's psychosis by reducing external stimuli. Options 1, 2, and 3 are less immediately beneficial as they don’t directly address the core symptoms of Schizophrenia – emotional blunting and reduced verbal output.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is educating a new mother about breastfeeding. Which statement by the mother indicates a need for further instruction? a) “I will ensure I am comfortable and relaxed while nursing.” b) “My baby should latch onto the breast with a wide-open mouth.” c) “The baby may root around on the breast to find the nipple.” d) “I can express milk and offer it to the baby if needed.”
सही उत्तर: ग) c
Option C is correct. A normal latch involves a wide-open mouth allowing the baby to effectively draw milk from the areola, not just the nipple. Options A, B and D indicate appropriate understanding of breastfeeding techniques.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a newborn who has meconium-stained stool. Which finding would be MOST concerning? a) The stool’s color is dark green. b) The stool’s odor is pungent. c) The stool is difficult to pass and causes abdominal distention. d) The stool is soft and easily passed.
सही उत्तर: ख) b
Option C is correct. Meconium-stained stool, particularly when associated with abdominal distention, can indicate fetal distress during labor, potentially leading to hypoxia and neurological damage in the newborn. Options A, B and D are normal variations that do not warrant immediate concern.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 32 weeks gestation complains of sudden onset vaginal bleeding and abdominal cramps. The nurse recognizes this as a potential sign of placental abruption. Which action should the nurse take FIRST? a) Encourage the patient to rest in bed. b) Administer oxygen via nasal cannula. c) Notify the physician immediately and prepare for possible surgical intervention. d) Assess the fetal heart rate continuously.
सही उत्तर: ग) c
Option C is correct. Placental abruption is a serious obstetric emergency requiring immediate medical attention, including potential delivery of the infant via cesarean section. Options A, B and D are important supportive measures but do not address the critical need for prompt diagnosis and intervention. This aligns with standard protocols for managing placental abruption.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A mother reports her 6-month-old child is experiencing frequent projectile vomiting and watery diarrhea. The nurse recognizes this as a potential sign of dehydration. Which of the following nursing interventions is MOST important at this time? a) Offering small, frequent meals of bland foods. b) Administering antidiarrheal medication as prescribed by the physician. c) Establishing intravenous (IV) fluid replacement therapy. d) Monitoring the child’s urine output and skin turgor.
सही उत्तर: घ) d
Option C is correct. Dehydration in a young infant requires immediate IV fluid replacement to restore electrolyte balance and maintain hydration. Options A, B and D are supportive measures but do not address the acute need for fluid resuscitation. This is consistent with national guidelines on pediatric dehydration management.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a newborn who is receiving phototherapy. Which of the following actions should the nurse prioritize? a) Allowing the infant to wear dark clothing to enhance treatment. b) Placing the infant on a padded surface away from direct sunlight and external light sources. c) Applying cool compresses to the infant’s abdomen. d) Frequently changing the infant’s diapers to prevent skin irritation.
सही उत्तर: ख) b
Option B is correct. Phototherapy relies on minimizing exposure to all light sources to effectively convert bilirubin into a form excreted in urine. Options A, C, and D are inappropriate interventions that could interfere with the phototherapy process or cause harm to the infant. This aligns with DHA guidelines for neonatal care.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with long-standing hypertension reports experiencing intermittent claudication in their left leg while walking. Which finding would further support the diagnosis of peripheral artery disease (PAD)?
सही उत्तर: ख) b) Coolness and pallor of the affected limb upon ambulation.
Option A is correct because diminished peripheral pulses are a hallmark sign of PAD, reflecting reduced blood flow due to narrowed arteries. The other options describe symptoms that may occur with PAD but are not as definitive indicators as compromised pulses.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with newly diagnosed type 2 diabetes mellitus has a blood glucose level of 350 mg/dL and reports feeling very thirsty and confused. Which intervention should the nurse prioritize?
सही उत्तर: ग) c) Assess the client’s airway, breathing, and circulation (ABCs).
Option C is correct because this client demonstrates signs of diabetic ketoacidosis (DKA), a medical emergency requiring immediate assessment of ABCs. DKA can quickly lead to respiratory distress and circulatory compromise. Options A, B, and D are inappropriate for this severe presentation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with chronic obstructive pulmonary disease (COPD) is prescribed inhaled bronchodilators. Which statement by the client indicates a correct understanding of their medication regimen?
सही उत्तर: ग) c) ‘I will rinse my mouth with water after using my inhaler to prevent oral thrush’
Option C is correct; rinsing the mouth with water after using inhaled medications (especially those containing corticosteroids) is a crucial instruction to prevent oral thrush, a common side effect. Options A and D are incorrect due to inappropriate dosing and unrealistic expectations regarding medication effectiveness. Option B is wrong because patients should take them at symptom onset.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client presents to the emergency department with suspected deep vein thrombosis (DVT) based on unilateral leg swelling and pain. The physician orders a lower extremity ultrasound. What is the primary purpose of this diagnostic test?
सही उत्तर: ख) b) To identify blood clots within the veins of the leg.
Option B is correct because an ultrasound is specifically used to visualize and detect blood clots within the deep veins of the leg, which is the hallmark of DVT. Options A, C, and D describe other assessments or risk factors related to vascular issues but do not represent the primary function of a lower extremity ultrasound in diagnosing DVT.
💬 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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