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 with a history of heart failure is admitted to the hospital with dyspnea and edema. The nurse knows that administering furosemide (Lasix) may cause hypokalemia. Which assessment finding would indicate the need for intervention?
सही उत्तर: क) Potassium level of 4.0 mEq/L.
A potassium level of 4.0 mEq/L indicates hypokalemia, a common side effect of furosemide. This requires intervention to prevent cardiac arrhythmias. The other options are within normal ranges and do not indicate the need for immediate action.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client recovering from abdominal surgery who has an indwelling urinary catheter. Which action BEST prevents infection associated with this catheter?
सही उत्तर: ग) Keep the drainage bag lower than the level of the bladder.
Using sterile technique is crucial for preventing infection at the catheter insertion site. This minimizes the risk of bacterial contamination. While other actions are part of care, they don’t address the primary cause of infection - contamination. Maintaining proper drainage bag elevation helps prevent reflux.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with chronic obstructive pulmonary disease (COPD) is experiencing increasing shortness of breath. Which nursing action demonstrates the BEST understanding of the pathophysiology of COPD?
सही उत्तर: घ) Provide supplemental oxygen at 2 liters per minute.
The correct answer is positioning the client in a high-fowler’s position. This promotes optimal chest expansion and facilitates maximal lung function, directly addressing the reduced compliance characteristic of COPD. The other options treat symptoms but don't address the underlying physiological changes.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a client who has been immobilized in a cast for 7 days. Which intervention is MOST important to prevent deep vein thrombosis (DVT)?
सही उत्तर: ख) Encourage the client to perform ankle pumps regularly.
The most effective immediate measure to prevent DVT in a immobilized patient is encouraging regular ankle pumps, which promotes venous return. While other options may be beneficial long-term, they are not as critical in this acute situation. The tempting answer, administering medication, requires physician order and isn’t the primary nursing intervention.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient receiving long-term treatment with hydrocortisone (prednisone) has consistently elevated blood glucose levels. Which laboratory finding would BEST support the suspicion that the prednisone therapy is contributing to this hyperglycemia?
सही उत्तर: ग) Elevated serum cortisol levels
Prednisone is a potent glucocorticoid that can cause insulin resistance, leading to elevated blood glucose. An increased white blood cell count would be more indicative of an inflammatory process. Elevated cortisol levels are expected with prednisone use, and a reduced HbA1c level would contradict hyperglycemia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with a history of chronic obstructive pulmonary disease (COPD) is started on inhaled corticosteroids for bronchodilation. Which finding would MOST necessitate immediate intervention by the nurse?
सही उत्तर: घ) No change in respiratory symptoms
Inhaled corticosteroids, while beneficial, can exacerbate bronchospasm in susceptible individuals, particularly those with COPD. Significant worsening of respiratory symptoms is a critical indication requiring immediate attention to manage the potential adverse reaction. The other options represent expected or manageable side effects.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is administering intravenous heparin for a patient with deep vein thrombosis (DVT). Which laboratory test is MOST critical for monitoring the effectiveness and safety of this therapy?
सही उत्तर: ख) Prothrombin Time/International Normalized Ratio (PT/INR)
Heparin's primary mechanism involves inhibiting clotting factors. Monitoring PT/INR is essential because heparin influences the coagulation cascade, directly affecting this test. CBC and urine protein analysis are not primarily used to monitor heparin’s anticoagulant effects. Serum albumin level is unrelated.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient is prescribed amoxicillin for a bacterial infection. The patient also regularly consumes grapefruit juice. What potential interaction should the nurse primarily monitor for regarding this medication?
सही उत्तर: ख) Decreased bioavailability of the amoxicillin due to CYP3A4 inhibition
The patient’s consumption of grapefruit juice can inhibit CYP3A4, an enzyme responsible for metabolizing many drugs including amoxicillin. This results in decreased bioavailability and elevated drug levels, increasing the risk of adverse effects. The other options are less directly related to this specific interaction.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a client with suspected meningitis. The nurse notes nuchal rigidity (stiff neck), positive Kernig’s sign, and photophobia. Which of the following nursing interventions is MOST important to implement immediately?
सही उत्तर: ख) Place the client in a side-lying position with knees bent
Option 1 is correct. Placing the client in a side-lying position with knees bent helps to reduce meningeal irritation and prevent further complications associated with increased intracranial pressure; options 2,3 and 4 are supportive but do not address the neurological symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client following a total hip arthroplasty (THA) has developed unilateral swelling, warmth, and pain in their affected leg. Which finding would MOST strongly suggest prosthetic infection?
सही उत्तर: ग) A temperature of 37.8°C (100.04°F)
Option 2 is correct. An elevated white blood cell count (>10,000/μL) is a key indicator of infection following THA. Options 1 and 3 are not specific for infection; option 4 would be expected but does not indicate infection.
💬 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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