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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During a mental health assessment, a client reports hearing voices that tell them to harm themselves. Which action should the nurse take FIRST?
सही उत्तर: घ) Administer an antipsychotic medication as prescribed.
The immediate priority is assessing for imminent danger. A suicidal ideation assessment is paramount. Options 1 and 2 could prolong the conversation if danger is present. Option 4 may be necessary later, but safety comes first.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with major depressive disorder reports feeling hopeless about the future. The nurse understands that this statement suggests:
सही उत्तर: ख) The client’s ability to experience joy has been permanently diminished.
The statement ‘hopeless about the future’ is a core symptom of major depressive disorder – anhedonia. While it might appear like grief (option 4), it’s deeper and more pervasive in depression. Insight isn't necessarily lacking; it’s a fundamental symptom. Option 2 reflects a permanent inability to feel pleasure, but the presentation here is not about a loss.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client diagnosed with acute mania. Which of the following interventions should be included in the care plan?
सही उत्तर: ख) Encourage frequent socialization activities.
Maintaining a regular sleep-wake cycle is crucial for managing mania as it helps stabilize mood. While the other options might be helpful in some cases, they are not as fundamental to addressing acute manic symptoms as structured environment (option 3) which reduces stimulation and potential triggers. Benzodiazepines are primarily used for anxiety and should be cautiously employed due to their potential to worsen agitation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with paranoid schizophrenia expresses a belief that the hospital staff are deliberately poisoning his food. Which nursing intervention is MOST appropriate at this time?
सही उत्तर: ग) Provide a quiet environment and monitor the client's behavior for signs of agitation.
Providing a quiet environment and monitoring is the most appropriate initial response. This focuses on safety and observation without directly challenging the delusion, which could escalate distress. Option 1 is inappropriate as it’s premature to administer medication; option 2 attempts to argue with the delusion, which is generally ineffective and can worsen paranoia. Option 3 is a component of the response but not the most prioritized.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 3-year-old child is brought to the clinic with a history of vomiting and diarrhea for the past 24 hours. The child appears dehydrated. Which action should the nurse take FIRST?
सही उत्तर: ख) Checking the child's vital signs
The first priority is to address dehydration with ORS, which replaces lost electrolytes and fluids. Checking vital signs and monitoring urine output are important but follow initial fluid replacement. IV fluids should be administered under medical supervision.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A newborn infant is exhibiting signs of neonatal jaundice. The nurse is preparing to administer phototherapy. Which instruction is MOST important for the nurse to provide to the parents?
सही उत्तर: ग) ‘Monitor the baby’s temperature frequently’
Protecting the infant's skin with dark clothing shields it from excess UV light exposure during phototherapy. Uncovered exposure would be harmful. Monitoring temperature is important but not the primary focus of phototherapy. A warm room maintains adequate heat, which is already addressed by the treatment
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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During routine prenatal care, a pregnant woman reports experiencing frequent heartburn. Which of the following interventions would be MOST effective in relieving this discomfort?
सही उत्तर: ग) Consume large meals frequently throughout the day
Elevating the head of the bed reduces pressure on the stomach, alleviating heartburn. Increased fluid intake doesn't directly address the cause, frequent large meals can worsen symptoms and lying on one side exacerbates them.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-month-old infant is brought to the clinic for follow-up care. The nurse observes that the baby is displaying signs of developmental delay, specifically difficulty with gross motor skills. Which intervention would be MOST appropriate for the nurse to implement?
सही उत्तर: घ) Consult with a pediatrician regarding referral for evaluation
Offering bright, stimulating toys is a developmentally appropriate intervention that can encourage movement and interaction. The other options are potentially harmful or inappropriate for an infant with developmental delay.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman presents with severe headache, blurred vision, and swelling of the hands and face. Laboratory tests reveal elevated protein in her urine. Based on these findings, which of the following conditions is MOST likely?
सही उत्तर: ख) Pre-eclampsia
Pre-eclampsia is characterized by hypertension and proteinuria during pregnancy, aligning with the client’s symptoms. Gestational diabetes primarily affects glucose levels, blurred vision can be a symptom but is less specific, thrombophlebitis involves blood clots and hyperemesis gravidarum is severe nausea/vomiting.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is teaching a client with diabetes about foot care. Which instruction is MOST important?
सही उत्तर: ख) Apply lotion liberally to the feet to keep them moisturized.
Inspecting the feet daily with a bright light allows for visualization of any cuts, blisters, or other abnormalities. This is the most critical preventative measure for diabetic foot care. While moisturizing helps prevent dryness, it doesn’t directly address risk factors like neuropathy.
💬 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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