अन्तर्राष्ट्रिय नर्सिङ लाइसेन्स NCLEX-RN, DHA, HAAD र CBT तयारी

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

841. A patient with severe depression expresses suicidal ideation accompanied by feelings of hopelessness and worthlessness. The nurse's FIRST action should be:

     कOffer the patient a sedative to reduce agitation. खImmediately notify security personnel to ensure the patient’s safety. गEngage in active listening, expressing empathy and validating the patient’s feelings. घAsk the patient directly if they have a plan to harm themselves.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

842. A client recently diagnosed with obsessive-compulsive disorder (OCD) reports performing repetitive hand washing rituals multiple times per day. Which therapeutic approach is MOST suitable for the nurse to implement?

     कEncourage the patient to set time limits for each ritual. खImmediately stop the patient from engaging in the behavior. गProvide psychoeducation about OCD and its cyclical nature. घImplement a token reward system for resisting the urges.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

843. A patient experiencing acute psychosis expresses paranoid delusions and believes they are being followed by government agents. Which initial nursing intervention is MOST appropriate?

     कImmediately administer an antipsychotic medication. खEncourage the patient to talk about their fears openly. गMaintain a calm, reassuring presence while minimizing stimulation. घAttempt to reason with the patient using logical arguments.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

844. A patient diagnosed with schizophrenia is exhibiting catatonic behavior – immobility, mutism, or bizarre postures. Which medication class is MOST likely contributing to this side effect?

     कSelective Serotonin Reuptake Inhibitors (SSRIs) खBenzodiazepines गAntipsychotics (e.g., Haloperidol) घAntidepressants
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

845. A patient presents to the mental health clinic reporting disorganized thinking, pressured speech, and inflated self-esteem. Based on these symptoms, which of the following diagnoses is MOST likely?

     कSchizophrenia खMajor Depressive Disorder गGeneralized Anxiety Disorder घBipolar I Disorder
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

846. A postpartum client presents with a fundus that is firm but displaced to the right and above the umbilicus. The nurse's assessment reveals fetal heart rate monitoring is within normal limits. What is the MOST likely finding?

     कFetal distress. खPlacental abruption. गUterine atony. घA retained placental fragment.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

847. A newborn infant weighing 3.2 kg has been admitted to the NICU for evaluation. Based on current growth charts, what is the MOST likely approximate weight of the infant at 1 year of age?

     क6.8 kg ख9.1 kg ग13.5 kg घ18.1 kg
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

848. A 6-month-old infant is brought to the clinic by the mother due to concerns about delayed development. The nurse observes that the baby exhibits fanning of the toes and dorsiflexion of the big toe when the sole is stroked – a reflex known as the Babinski reflex. What does this finding MOST likely indicate?

     कThe infant has a normal neurological development. खThe infant may have an underlying neurological condition such as cerebral palsy. गThe infant is experiencing excessive stimulation. घThe infant’s musculoskeletal system is developing appropriately.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

849. A newborn infant presents to the NICU with symptoms including irritability, poor feeding, tremors, and high-pitched cry. The infant's mother reports that she used opioids during pregnancy. The nurse suspects neonatal abstinence syndrome (NAS). Which intervention is MOST important for the nurse to implement immediately?

     कAdminister morphine to decrease the infant’s distress. खInitiate phototherapy to reduce opioid levels in the infant’s system. गMaintain a calm and quiet environment for the infant. घEncourage frequent breastfeeding.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

850. A pregnant woman at 36 weeks gestation reports experiencing intermittent lower abdominal cramping and vaginal spotting. Which of the following actions is MOST appropriate for the nurse to take FIRST?

     कAdminister intravenous fluids to stabilize the client's blood pressure. खAssess fetal heart rate patterns and uterine contractions. गInstruct the client to apply a warm compress to her abdomen. घEncourage the client to rest in a comfortable position.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।