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 receiving intravenous furosemide (Lasix) reports dark urine. What is the most likely explanation for this finding?
सही उत्तर: ख) Increased renal blood flow
Furosemide is a loop diuretic that increases urinary output by inhibiting sodium reabsorption in the thick ascending limb of the loop of Henle. This leads to increased excretion of electrolytes, including magnesium and calcium, which can result in dark urine ( Randall's Syndrome). Hypovolemia would generally cause decreased urine output.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following medications would be most appropriate to administer *after* a patient has been successfully treated with morphine for severe pain?
सही उत्तर: क) Fentanyl
Fentanyl is a short-acting opioid antagonist that reverses the effects of opioids like morphine. It works by binding to opioid receptors and blocking further activation. Acetaminophen, ibuprofen, and codeine are all analgesics but do not reverse opioid effects.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which statement best describes the mechanism of action for metoprolol, a commonly used beta-blocker?
सही उत्तर: ग) Reduces heart rate and blood pressure by blocking beta receptors in the heart
Metoprolol is a beta-blocker that specifically targets beta receptors in the cardiovascular system, leading to decreased heart rate and subsequently reduced blood pressure. The other options describe different pharmacological mechanisms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient is prescribed amlodipine besylate for hypertension. The nurse anticipates which of the following common adverse effects in this patient?
सही उत्तर: क) Peripheral edema
Amlodipine is a calcium channel blocker that primarily causes peripheral edema due to vasodilation and increased capillary filling. The other options are not typical adverse effects of this medication.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a client experiencing abdominal pain and is considering applying heat therapy. Which of the following conditions should the nurse MOST immediately contraindicate its use? a) Mild indigestion. b) Appendicitis with peritoneal inflammation. c) Muscle spasm due to menstrual cramps. d) Constipation.
सही उत्तर: ख) b
Option B is correct. Applying heat to an area of inflammation (like appendicitis) can significantly worsen the condition by increasing tissue edema and potentially spreading infection. The other options are generally considered safe for heat application without specific contraindications.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is providing discharge teaching to a client recently diagnosed with stress urinary incontinence (SUI). Which of the following exercises would be MOST appropriate for the nurse to teach the client? a) Deep squats. b) Performing Kegel exercises (pelvic floor muscle contractions). c) High-impact aerobic activities, such as running. d) Prolonged holding of urine.
सही उत्तर: ख) b
Option B is correct. Kegel exercises specifically strengthen the pelvic floor muscles, which are weakened in clients with SUI, helping to improve urinary control. The other options would likely worsen incontinence or cause discomfort.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A healthcare provider is assessing a client with a newly created stoma. Which of the following descriptions best indicates a healthy stoma? a) An erythematous (red) area surrounding the stoma, with significant edema. b) A moist, pink, and well-vascularized area around the stoma with minimal surrounding tissue reaction. c) A blackened, scabbed appearance at the stoma site. d) A dry, cracked, and fissured stoma with signs of infection.
सही उत्तर: ख) b
Option B is correct. A healthy stoma presents as a moist, pink, and well-vascularized area around the newly created opening, demonstrating successful tissue healing and integration. Options A, C, and D are indicative of complications or poor wound healing.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is educating a client about medication administration. Which of the following best describes the primary source of assessment data for a conscious, oriented adult client? a) Diagnostic test results (e.g., blood work). b) Physician's orders and documentation. c) The client’s verbal report of symptoms, physical examination findings, and observation of their behavior. d) Nursing interventions performed by other healthcare professionals.
सही उत्तर: ग) c
Option C is correct. The primary source for assessment data with a conscious patient includes their own verbal report (what they tell the nurse), physical examination findings noted by the nurse, and direct observation of the patient's behavior and condition. Options A, B, and D represent secondary sources of information that are not the initial point of assessment.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a patient post-operative following a total knee replacement. The patient reports experiencing significant pain when attempting to shift their weight slightly on the affected leg. Which intervention would be MOST appropriate for the nurse to implement first? a) Administer an opioid analgesic as prescribed. b) Encourage the patient to perform range of motion exercises slowly and carefully, monitoring for signs of distress. c) Apply a cold compress to the knee joint for 20 minutes. d) Instruct the patient to lie still and elevate their leg.
सही उत्तर: ख) b
Option B is correct because it addresses pain management by encouraging gradual movement with careful monitoring. This allows the nurse to assess the patient's tolerance while providing support. Options A, C, and D are less appropriate as immediate interventions; analgesics should be given as prescribed, cold compresses may provide temporary relief but don’t address the root cause, and instructing the patient to lie still could exacerbate stiffness.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is administering a medication via continuous intravenous infusion. The patient's vital signs are monitored closely. Which parameter requires the MOST immediate attention during this process?
सही उत्तर: ख) Heart Rate
The heart rate is the most critical parameter to monitor during continuous IV infusions as changes can rapidly indicate a serious adverse reaction like arrhythmia or vasodilation, potentially leading to hypotension. While all options are important for patient assessment, fluctuations in heart rate require immediate intervention and correction.
💬 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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