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Q1
When writing a nursing goal, which of the following criteria makes it a SMART objective?
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Q2
A nurse measures a newborn's axillary temperature of 37.5°C. How should this temperature be interpreted?
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Q3
Which of the following best defines "standard precautions" in infection control?
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Q4
Which of the following is the most appropriate method for disinfecting a non-critical surface contaminated with blood?
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Q5
The term 'charting by exception' refers to:
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Q6
Glass vials and ampoules that are broken or used should be disposed of in which color-coded container?
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Q7
What should a nurse do if asked to perform a procedure they believe may cause unnecessary pain to the patient?
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Q8
Which nursing diagnosis is the highest priority for a patient with acute pulmonary edema secondary to heart failure?
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Q9
A patient with asthma is prescribed montelukast. What is the mechanism of action of this medication?
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Q10
Which of the following is the most common cause of acute bacterial gastroenteritis that can mimic hepatitis in early stages?
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Q11
A nurse is reviewing medication orders for a patient with CKD. Which drug requires dose adjustment or avoidance?
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Q12
Which clinical feature differentiates hypothyroid myxedema coma from severe hypothyroidism?
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Q13
A 60-year-old male presents with sudden onset of dizziness, nausea, and imbalance. Neurological examination reveals nystagmus, ataxia, and dysmetria. What is the most likely diagnosis?
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Q14
Which of the following is a key component of the "Breaking Bad News" SPIKES protocol?
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Q15
During the preoperative phase, which of the following is the nurse's most critical responsibility regarding the surgical consent form?
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Q16
A patient with severe burns is receiving 0.9 % saline at 5 L/day. After 48 hours, his serum sodium rises to 150 mmol/L. Which fluid is most appropriate to correct the hypernatremia?
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Q17
During a code blue, which medication is administered after the second shock if ventricular tachycardia persists?
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Q18
Which laboratory finding is most suggestive of rhabdomyolysis in a crush injury patient?
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Q19
A patient has a burn on the chest, the entire left arm, and the anterior part of the left leg. What is the TBSA percentage?
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Q20
Which developmental milestone is expected to be achieved by a 6-month-old infant?
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Q21
A newborn has an APGAR score of 7 at 1 minute and 9 at 5 minutes. What does this indicate?
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Q22
Which of the following is the most appropriate method for measuring the head circumference of a newborn?
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Q23
A 9-month-old infant is started on complementary feeding. Which food combination best meets the infant's needs for protein, iron, and vitamin C?
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Q24
Which of the following is the correct first-line antipyretic dose of paracetamol for a child weighing 15 kg?
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Q25
A child with febrile seizure is given rectal diazepam. Which adverse effect should the nurse monitor for?
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Q26
Which of the following findings during antenatal examination warrants immediate referral to a higher-level facility?
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Q27
Which of the following is the most common cause of maternal mortality in Nepal that antenatal care aims to prevent?
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Q28
Which of the following is a sign of uterine rupture that must be reported immediately?
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Q29
Which laboratory value is most indicative of postpartum hemorrhage requiring intervention?
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Q30
A 28-year-old G2P1 woman attends her postnatal visit at 6 weeks postpartum. She is exclusively breastfeeding. Which contraceptive method is most appropriate to initiate at this visit?
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Q31
Which of the following describes 'herd immunity'?
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Q32
Which of the following is a key component of the 'DOTS' strategy for Tuberculosis control?
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Q33
Which principle of adult learning emphasizes that learners are motivated when they see the relevance of the topic to their life?
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Q34
According to the Nepal Nursing Council, which of the following is considered a psychosocial stressor that can precipitate a psychotic episode?
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Q35
A patient is prescribed Disulfiram for the treatment of alcohol dependence. What is the most important nursing instruction regarding this medication?
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Q36
In nursing research, which term refers to the consistency of a measurement instrument in yielding the same results upon repeated administrations under similar conditions?
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Q37
When conducting a nursing audit, the term 'benchmarking' refers to:
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Q38
A nurse manager wants to evaluate the effectiveness of a newly implemented fall-prevention protocol. Which research design provides the strongest evidence?
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Q39
Which statement about maternal diet during lactation is correct?
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Q40
A woman who is 6 weeks postpartum and exclusively breastfeeding wishes to start a hormonal contraceptive. Which method can be initiated without compromising lactation?
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Q41
Which of the following is considered an 'outcome indicator' when evaluating the quality of nursing care in a medical ward?
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Q42
The term 'population attributable risk percent' (PAR%) indicates:
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Q43
A community health worker is conducting a health promotion session on type 2 diabetes prevention. Which of the following messages aligns with the most effective lifestyle modification?
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Q44
Which nursing diagnosis is most appropriate for a client who is withdrawing from chronic alcohol use and reports cravings for alcohol?
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Q45
According to the five-step evidence-based practice model, after appraising the evidence the next step is to:
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Q46
Which of the following is an example of a maladaptive defense mechanism frequently addressed in Nepali psychiatric nursing practice?
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Q47
A woman at 28 weeks gestation presents with vaginal bleeding and clots. On speculum exam, the cervix is closed with no active bleeding. Which finding would suggest placental abruption rather than placenta previa?
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Q48
At what gestational age is the routine screening for Group B Streptococcus performed in pregnant women?
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Q49
Which vaccine in the Nepal schedule is the only one administered via the subcutaneous route?
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Q50
Which of the following items is classified as a "sharp" that requires a puncture-proof container?
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Q51
During intraoperative care, the nurse observes that the surgical lights have been left on for an extended period, causing the patient's skin to become warm. Which principle is being violated?
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Q52
In the Ottawa Charter for Health Promotion, which action area focuses on strengthening individuals' ability to identify and achieve personal health goals?
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Q53
The Community Health Profile tool used in a needs assessment evaluates several domains. Which domain is NOT included in this tool?
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Q54
A nurse is planning discharge teaching for a client with cocaine dependence who is entering a residential rehabilitation program. Which instruction is most essential to reduce risk of relapse?
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Q55
If a community health worker wants to compare the proportion of households using latrines before and after a health promotion intervention, which statistical test should be used?
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Q56
The National Leprosy Eradication Programme classifies leprosy patients for treatment into which two categories?
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Q57
In cognitive-behavioral therapy for depression, which technique helps the client identify and record negative automatic thoughts?
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Q58
A postpartum woman 3 hours after a vaginal delivery has 800 mL of vaginal bleeding, a soft uterus, and a blood pressure of 100/60 mmHg. Which uterotonic should be given next after oxytocin failure?
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Q59
Which antiepileptic drug is most commonly used for seizure prophylaxis in the first 7 days after a severe traumatic brain injury?
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Q60
When counseling a mother being discharged on postpartum day 2 after an uncomplicated vaginal delivery, which statement about contraception is correct?
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Q61
Which law enacted by the Nepalese government prohibits smoking in indoor public places and is enforced by community health nurses?
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Q62
A nurse uses the SBAR (Situation, Background, Assessment, Recommendation) communication tool during shift report. Which component of critical thinking does SBAR primarily support?
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Q63
In the context of occupational health, which of the following is categorized as a 'psychosocial hazard' for teachers in the Nepalese school system?
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Q64
A 70-year-old man with a history of chronic obstructive pulmonary disease is admitted with pneumonia. Arterial blood gas shows pH 7.32, PaCO2 60 mmHg, and HCO3- 28 mmol/L. What is the primary acid-base disorder?
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Q65
A patient with chronic kidney disease stage 3 is prescribed calcium carbonate as a phosphate binder. When should the nurse advise the patient to take this medication?
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Q66
A 45-year-old male with septic shock is receiving norepinephrine 0.3 µg/kg/min. His MAP is 62 mmHg, lactate 5.2 mmol/L, and central venous oxygen saturation (ScvO₂) 58%. According to Surviving Sepsis Campaign bundles, which intervention should be prioritized next?
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Q67
Which condition is a contraindication to breastfeeding in Nepal?
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Q68
Which of the following best represents objective data in a nursing progress note?
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Q69
Which factor most increases the risk of intraoperative awareness in patients receiving general anesthesia?
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Q70
Which of the following foods provides the highest amount of vitamin D per 100 g suitable for a 2-year-old child?
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Q71
The Magnet Recognition Program emphasizes which of the following?
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Q72
Which of the following is the most critical nursing priority for a patient during the 'acute phase' of a myocardial infarction to prevent the development of heart failure?
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Q73
For rapid pain relief in a patient with a second-degree burn, which analgesic administration route provides the fastest onset?
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Q74
A patient is prescribed medication 'stat'. What does this order mean to the nurse?
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Q75
In the Transtheoretical Model of behavior change, which description best characterizes the precontemplation stage?
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Q76
During a paediatric nutritional assessment, the nurse wants to calculate the daily caloric requirement for a 3-year-old child weighing 14 kg. Which formula is most appropriate?
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Q77
In Nepal's National Injury Prevention Programme, what is the primary source of funding for community-based first-aid training?
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Q78
Which of the following is a characteristic of an 'open-ended' question used in therapeutic communication?
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Q79
During a nursing audit, a discrepancy is found between the documented hand hygiene compliance rate and the observed rate. This discrepancy is referred to as:
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Q80
In the community health nursing process, which step involves the systematic collection of both primary and secondary data to understand the health status of a defined population?
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Q81
Which nursing intervention best addresses akathisia induced by antipsychotic medication?
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Q82
A pregnant woman at 36 weeks gestation reports sudden gush of clear fluid from the vagina with no contractions. What is the most likely diagnosis and immediate nursing action?
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Q83
A 60-year-old man with a long-standing duodenal ulcer suddenly develops vomiting of undigested food, persistent fullness after meals, and visible peristalsis in the epigastrium. The most likely complication is:
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Q84
A 1-year-old child is assessed for developmental milestones. The nurse expects which language milestone?
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Q85
A 24-year-old breastfeeding woman at 4 months postpartum wants a contraceptive method that she can discontinue on her own with rapid return to fertility, and is acceptable during lactation. Which method is most appropriate?
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Q86
For a patient with type 2 diabetes mellitus newly registered at a community health centre under WHO PEN, what is the recommended first-line oral glucose-lowering agent?
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Q87
Which of the following clinical features best distinguishes a lacunar infarct from a cortical infarct?
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Q88
A postpartum woman 4 days after a vaginal delivery presents with fever 38.7 °C, lower abdominal pain, and foul-smelling lochia. Which organism is most commonly implicated in postpartum endometritis in Nepal?
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Q89
Which statement best differentiates suicidal ideation from suicidal intent?
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Q90
A patient with acute pyelonephritis is receiving IV ciprofloxacin. Which assessment finding indicates a therapeutic response?
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Q91
What is the correct method for measuring respiratory rate in a child according to the IMCI protocol?
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Q92
A 2-year-old child presents with severe dehydration. What is the preferred initial route for fluid replacement?
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Q93
A 55-year-old man with longstanding hypothyroidism presents with a TSH of 0.2 µIU/mL and free T4 of 1.8 ng/dL. Which nursing assessment finding is most consistent with excessive levothyroxine dosing?
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Q94
During mannitol therapy, a patient's serum sodium rises to 155 mmol/L. What is the most appropriate nursing intervention?
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Q95
A child with moderate dehydration is being treated with ORS. The nurse notes the child has developed sudden respiratory distress and crackles upon auscultation. What is the most likely complication?
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Q96
On a partograph, the action line is drawn parallel to the alert line beginning at which cervical dilation point?
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Q97
A 70-year-old woman with chronic heart failure is started on furosemide IV. Which vital-sign change indicates effective diuresis?
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Q98
The primary goal of inhaled corticosteroid therapy in persistent asthma is to:
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Q99
Which step in the health education planning cycle involves identifying the target population's existing knowledge, attitudes, and practices related to a health issue
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Q100
For community-based cardiovascular risk assessment, the National Non-Communicable Disease Programme in Nepal recommends the use of which tool?
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Q101
Which indicator would be classified as a 'behavioral risk factor' in a community health assessment?
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Q102
A patient with schizophrenia believes that the television news anchor is sending secret coded messages intended only for them. This belief exemplifies which type of delusion?
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Q103
According to Piaget, at approximately what age does the concrete operational stage begin?
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Q104
During a nursing audit, the term 'benchmarking' most accurately refers to:
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Q105
Which of the following statements about the urea breath test for Helicobacter pylori is accurate?
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Q106
According to Nepal's national immunization schedule, at what age (in months) is the first dose of the measles-rubella (MR) vaccine administered to children?
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Q107
A 32-year-old woman with a history of migraine with aura seeks hormonal contraception. Which method is contraindicated for her according to WHO medical eligibility criteria?
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Q108
The Case Mix Index (CMI) is primarily used to:
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Q109
A nurse is providing education to a patient with newly diagnosed non-small cell lung cancer about the purpose of a survivorship care plan. Which statement best reflects the plan's primary goal?
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Q110
A child under five presents with cough or difficulty breathing and the health worker detects stridor only when the child is crying. According to IMCI, what is the appropriate classification and management?
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Q111
What is the recommended interval for delayed cord clamping in a healthy term newborn?
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Q112
In a hospital setting, which of the following is the primary purpose of using a 'puncture-proof' container for sharps?
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Q113
A patient is being prepared for surgery. The nurse notes the patient is taking Warfarin. Which of the following is the most critical preoperative lab value to monitor?
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Q114
During a home visit, the community health nurse teaches a mother how to care for the newborn's umbilical cord. Which practice is recommended by Nepal's newborn care guidelines?
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Q115
A client with Cushing's syndrome is at risk for which electrolyte imbalance?
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Q116
Which of the following is the most common cause of 'hypernatremic dehydration' in infants?
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Q117
Which of the following is the most critical nursing assessment for a patient receiving theophylline therapy for chronic asthma?
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Q118
In nursing management, 'Unity of Command' is a principle that ensures organizational efficiency. What does this principle specifically dictate?
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Q119
When documenting in a legal health record, which of the following phrases should be avoided to maintain professional neutrality?
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Q120
A mother who is HIV-positive and on antiretroviral therapy delivers a healthy term infant. What feeding practice is recommended in Nepal to prevent mother-to-child transmission?
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Q121
Long-term use of silver sulfadiazine in burn patients is most associated with which adverse effect?
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Q122
In the National Immunization Programme, which vaccine is administered at birth to prevent neonatal tuberculosis?
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Q123
A patient with chronic kidney disease (CKD) presents with muscle weakness and peaked T-waves on an ECG. Which medication should the nurse anticipate administering first to stabilize the cardiac membrane?
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Q124
In a nursing research study, what is the primary purpose of a 'pilot study'?
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Q125
Which of the following is a non-therapeutic communication barrier known as 'Giving Advice'?
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Q126
In a patient with chronic hepatitis B, which laboratory finding most strongly suggests progression to cirrhosis?
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Q127
The proper method for disposing of a used needle and syringe after vaccination is to…
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Q128
Which reversible method has the lowest typical-use failure rate, approximately 0.2 % per year?
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Q129
A client with diabetes mellitus reports feeling shaky, sweaty, and confused. The fingerstick glucose is 55 mg/dL. The client is conscious and able to swallow. What is the immediate nursing action?
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Q130
In the community-based management of Mental Health, the primary goal of 'Rehabilitation' for a patient with schizophrenia is to:
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Q131
What is the recommended zinc dose for a child aged 6–24 months with acute diarrhoea in the IMCI protocol?
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Q132
Which method is most appropriate for decontaminating liquid waste contaminated with blood before it is discharged into the municipal sewer, according to Nepal guidelines?
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Q133
A 40-year-old woman on doxorubicin-based chemotherapy for breast cancer is scheduled for her fourth cycle. Which baseline cardiac assessment is mandatory before continuing doxorubicin?
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Q134
A community survey reports a 95% confidence interval for hypertension prevalence of 17.4% to 22.6%. The correct interpretation is:
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Q135
What needs of a patient does a nurse address?
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Q136
What is the process of adding information to a patient's chart called?
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Q137
The nurse can best ensure the safety of a client suffering from dementia who wanders from the room by which action?
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Q138
The first‑line antibiotic for intrapartum prophylaxis against Group B Streptococcus is:
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Q139
A patient is prescribed a medication to be administered 'HS'. At what time should the nurse administer this medication?
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Q140
A mother is concerned that her 2-day-old newborn is not eating enough. The nurse notes the infant has 5 wet diapers and 3 stools in the last 24 hours. The nurse should interpret this as:
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Q141
A nurse is assessing a client for suicide risk and notes the client has a history of previous suicide attempts. How does this factor influence the risk assessment?
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Q142
Which of the following is the primary purpose of performing a 'Quickening' assessment during antenatal care?
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Q143
A patient with a 40% TBSA burn is in the emergent phase. The nurse observes a sudden drop in blood pressure and an increase in heart rate. What is the most likely cause?
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Q144
Which of the following best describes the purpose of a surgical scrub before an operation?
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Q145
At what age does a child typically achieve the developmental milestone of building a tower of 6 cubes?
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Q146
Which of the following nutritional deficiencies is most commonly associated with 'Bitot's spots' in children within the community settings of Nepal?
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Q147
Which of the following is an example of a psychosocial hazard that can affect school staff according to Nepal's Occupational Safety and Health guidelines?
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Q148
A researcher wants to determine if there is a significant difference in the mean recovery time (in days) between patients receiving traditional care and those receiving a new nursing protocol. Which statistical test is most appropriate?
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Q149
Which phrase is an example of a minimal encourager that a nurse might use during a therapeutic conversation?
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Q150
Which of the following nursing interventions is most effective in preventing the complication of 'stasis' in a patient with an intestinal obstruction awaiting surgery?
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Bachelor in Nursing (BN) Licensing Exam preparation SET 2
150 multiple-choice questions · 150 questions · 2h 30m · Bachelor-level licensing
Your progress is saved on this device as you practice.