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Q1
Which of the following best describes the process of classical conditioning in the context of nursing?
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Q2
What is the most accurate way to collect a sterile urine sample?
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Q3
What is the primary purpose of using a fetal heart rate monitor during labor?
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Q4
A patient is receiving a tuberculosis treatment regimen containing ethambutol. Which of the following findings would warrant immediate investigation?
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Q5
Which of the following best describes a goal of rehabilitation related to a patient's quality of life?
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Q6
A patient complains of persistent nausea and vomiting. Which of the following is the MOST important initial nursing action?
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Q7
When advocating for a patient with a mental illness, what is the MOST important consideration?
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Q8
A nurse is preparing to insert a nasogastric tube. Which patient position is most appropriate?
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Q9
Which of the following BEST describes the primary focus of epidemiology?
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Q10
What is the primary purpose of administering oxygen to a neonate with suspected Respiratory Distress Syndrome (RDS)?
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Q11
Which of the following best describes the role of ethambutol in TB treatment?
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Q12
Which fetal skull area is most vulnerable to forceps trauma?
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Q13
Which of the following is a key element of providing supportive care to a patient at the end of life?
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Q14
A patient reports difficulty starting the flow of urine during collection. What should the nurse do FIRST?
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Q15
Which of the following is a priority nursing intervention for a patient experiencing a cerebellar convulsion?
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Q16
Which of the following is a key characteristic of the 'exploration' phase in a crisis?
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Q17
When calculating the correct dose of medication for a 3-year-old child, the nurse should always prioritize:
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Q18
Which of the following is the primary consideration when selecting the deltoid muscle for intramuscular injections?
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Q19
How can an understanding of emotional responses impact a nurse's assessment of a patient's overall health?
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Q20
A patient recovering from a stroke is exhibiting increased weakness in their left arm and leg. Which of the following is the MOST appropriate initial nursing intervention?
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Q21
What is the most important element in supporting a patient's mental health?
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Q22
A patient with thrombocytopenia is scheduled for a minor surgical procedure. The nurse's MOST important action is to:
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Q23
A woman experiencing obstructed labor has been in active labor for 24 hours with no fetal progress. Which diagnostic test is MOST crucial to determine the cause of obstruction?
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Q24
What is a common clinical implication of a placental malformation?
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Q25
A woman in the second stage of labor is experiencing uterine tetany. Which vital sign would be MOST concerning?
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Q26
A nurse is preparing to irrigate a urinary catheter. What is the key consideration regarding the solution used?
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Q27
Which vital sign is MOST critical to monitor in a patient with a suspected spinal injury?
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Q28
A 6-month-old infant is babbling. This behavior is best interpreted as:
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Q29
The nurse is preparing to assist with 'Helping Baby Breathe' (HBB). What is the *initial* action the nurse should take?
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Q30
Which leadership style is most appropriate when a nurse needs to quickly implement a change in care protocols due to a sudden patient deterioration?
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Q31
What is the *most* important factor to assess when a patient is receiving immunotherapy?
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Q32
What is the significance of monitoring an EEG?
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Q33
What is the primary focus of nursing care for a middle-aged adult experiencing chronic pain?
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Q34
A patient is experiencing frequent urinary incontinence while using a bedpan. What is the nurse's initial response?
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Q35
A patient receiving jejunal feeding reports feeling increasingly anxious and depressed. The nurse's initial action should be:
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Q36
A patient's goal is to 'reduce pain to a level of 3 or less'. Which element demonstrates a measurable component of this goal?
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Q37
Which of the following is the MOST appropriate initial nursing intervention for a patient diagnosed with meningitis (viral)?
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Q38
Which of the following is a key component of a safety plan for a suicidal patient?
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Q39
A newborn infant has a positive Tonic Reflex. What does this indicate?
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Q40
Which of the following is a key component of assessing a patient undergoing an oral cholecystogram?
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Q41
What does the term 'teratogenic effect' refer to in the context of medication administration?
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Q42
A 9-year-old patient presents with a small, painless ulcer on the buccal mucosa. This is MOST likely indicative of:
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Q43
A patient experiencing hypoxic hypoxia is exhibiting signs of confusion. Which intervention is MOST appropriate initially?
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Q44
For a patient with osteoporosis, consuming cheese is recommended because it provides:
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Q45
What is the primary role of a nurse in relation to patient care?
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Q46
A school nurse is educating students about infectious diseases. Which statement accurately reflects current best practices?
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Q47
Which of the following is the primary goal of managing pyogenic osteomyelitis?
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Q48
A patient states they feel like they might cough something up after a bronchoscopy. The nurse's first response should be to:
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Q49
A patient reports experiencing pain and difficulty hearing. What is the first step a nurse should take?
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Q50
Which of the following is the MOST accurate description of a 'comfort' goal in nursing?
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Q51
Which of the following is a key psychological change often observed in pregnant women?
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Q52
Which type of suture is commonly used for skin closure due to its high tensile strength and minimal scarring potential?
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Q53
The first noticeable phase of labor is characterized by:
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Q54
A nurse is preparing to administer a medication via subcutaneous injection. What is the most important consideration regarding the injection site?
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Q55
During a home visit, a parent expresses concern about their child's screen time. What is the BEST nursing intervention?
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Q56
A patient with a spinal cord injury is at risk for developing pressure ulcers. Which intervention is MOST important to prevent this complication?
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Q57
What is the typical initial pharmacologic management for a symptomatic patent ductus arteriosus (PDA) in a preterm neonate?
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Q58
What is the primary purpose of conducting home visits in a school setting?
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Q59
A patient following an open reduction of a fractured femur is experiencing severe pain. Which intervention is MOST appropriate at this time?
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Q60
A patient presents with a localized, painful boil. What is the priority nursing action?
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Q61
Which of the following is the MOST important initial nursing action after inserting a nasogastric tube?
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Q62
A newborn's blood pressure is 70/40 mmHg. Which action is MOST appropriate?
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Q63
Which of the following interventions is MOST appropriate for managing a woman experiencing uterine contractions during the first stage of labor?
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Q64
What is the most important information to document regarding a pregnant woman's physical examination?
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Q65
A patient reports feeling dizzy upon standing for blood pressure measurement. What is the most likely cause?
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Q66
What is a key function of a government health services organizational structure?
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Q67
A child with cleft lip and palate requires initial nutritional support. Which of the following feeding methods is generally recommended for infants with this condition?
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Q68
A patient's urinary catheter is experiencing blockage. What is the recommended solution for irrigation?
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Q69
What is the core principle underpinning democratic leadership in nursing?
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Q70
What is the primary difference between entropion and ectropion?
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Q71
A nurse is conducting a health assessment of a 65-year-old patient. Which assessment finding would warrant immediate investigation?
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Q72
A nurse is assessing a pregnant woman in active labor. Which vital sign should be monitored MOST frequently?
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Q73
When removing a nasogastric tube, which of the following is the primary nursing action?
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Q74
A child with gigantism is exhibiting signs of increased intracranial pressure. What is the *initial* nursing action?
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Q75
A patient undergoing radiotherapy reports skin changes around the treatment area. The nurse's first action should be to:
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Q76
A patient's condition deteriorates rapidly after admission. What is the nurse's IMMEDIATE priority?
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Q77
A patient is receiving mechanical ventilation. What is the primary function of this intervention?
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Q78
Which dietary component is most directly linked to supporting bone health and aiding in calcium absorption?
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Q79
Which of the following vital signs is *most* indicative of a potential complication during the 3rd stage of labor?
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Q80
What is an antigen?
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Q81
Which of the following is a key factor in understanding a patient's intellectual abilities?
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Q82
What is the primary purpose of assessing a newborn infant's lanugo?
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Q83
Which of the following statements accurately describes the relationship between ethambutol and rifampicin in TB treatment?
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Q84
A patient is performing range of motion exercises. The nurse observes the patient experiencing pain. What is the MOST appropriate intervention?
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Q85
The autoclave cycle time of 30 minutes at 120ยฐC and 106 kPa is intended for what outcome?
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Q86
Which of the following is a recognized symptom of a mood disorder?
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Q87
What is the primary role of cerumen in the ear?
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Q88
The first nursing school in India was established at which institution?
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Q89
Which statement best describes the relationship among the phases of the nursing process?
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Q90
When teaching a client about smoking cessation, the nurse should use the 'teach-back' method. What is the purpose of this technique?
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Q91
Which of the following is NOT one of the five rights of medication administration?
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Q92
A nurse is measuring respiratory rate for a 4-year-old child. What is the normal respiratory rate for this age group?
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Q93
Which of the following is the correct volume of sterile water to inflate the balloon of a standard 16 Fr Foley catheter for an adult?
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Q94
When performing passive range of motion (ROM) exercises for an unconscious client, the nurse should:
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Q95
When obtaining a wound culture for aerobic and anaerobic organisms, the nurse should:
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Q96
Which of the following is NOT a principle of bed making?
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Q97
A client with liver cirrhosis presents with ascites. Which nursing intervention is appropriate to manage fluid accumulation?
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Q98
A patient with acute gastritis is ordered to be placed NPO. Which nursing action best promotes gastric mucosal protection?
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Q99
An elderly patient receiving IV morphine for cancer pain has a respiratory rate of 8 breaths/min. What is the nurse's priority action?
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Q100
According to the WHO analgesic ladder, which medication is recommended as first-line treatment for mild cancer pain?
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Q101
Which clinical sign suggests malnutrition in an elderly patient?
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Q102
An older adult with mild dementia becomes agitated during care. The nurse's first response should be to:
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Q103
Which of the following is the correct definition of prolonged latent phase?
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Q104
Which of the following is the most reliable method for confirming the age of gestation in the first trimester?
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Q105
A 32-year-old pregnant woman at 34 weeks gestation presents with a sudden onset of painless, bright red vaginal bleeding. What is the most likely diagnosis?
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Q106
Which counseling point is essential when providing emergency contraception (levonorgestrel) to a woman within 72 hours after unprotected intercourse?
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Q107
The most appropriate initial investigation to rule out pregnancy in a woman with secondary amenorrhea is:
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Q108
During a home visit, a nurse discovers that the household lacks a functional latrine, increasing risk of diarrheal diseases. Which intervention aligns with the principles of health promotion?
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Q109
A 35-year-old woman visits a reproductive and child health (RCH) clinic with a family history of cervical cancer. What is the most appropriate screening test available at the primary care level in Nepal?
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Q110
The most likely route of transmission of tuberculosis in a school setting is:
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Q111
Colostrum is important for the newborn because it:
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Q112
Which of the following is the correct sequence of steps for immediate newborn care according to Nepal's national guidelines?
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Q113
A mother reports that her 6-month-old infant has been exclusively breastfed but shows poor weight gain. On assessment, the infant's length-for-age is -2.5 SD and weight-for-length is -1.0 SD. The most likely diagnosis is:
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Q114
In the context of mental health nursing, 'Family Enabling' occurs when:
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Q115
During a group therapy session, a patient says, 'I just feel completely worthless and like no one cares about me.' What is the most appropriate therapeutic response by the nurse?
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Q116
The concept of "reverse triage" in disaster nursing primarily refers to:
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Q117
An older adult presents with a dry, itchy skin rash after exposure to a mild irritant. Which age-related skin change reduces the barrier function and predisposes to such reactions?
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Q118
A 2-year-old child can draw a circle, use a fork correctly and name five colors. Which developmental domain is primarily being assessed?
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Q119
Which positioning is most appropriate for a client with a nasogastric tube to prevent aspiration?
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Q120
Before performing a spirometry test, the nurse must verify that the patient has:
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Q121
A nurse is assigning patient care activities during shift change. Which patient assignment demonstrates safe workload distribution based on body mechanics principles?
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Q122
According to Nepal national antenatal care guidelines, how many scheduled antenatal visits are recommended for a low-risk pregnant woman?
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Q123
A client with chronic kidney disease stage 4 is prescribed erythropoiesis-stimulating agents (ESA). Which teaching point is essential for the client?
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Q124
During management of severe preeclampsia, which laboratory test is essential to assess for impending eclampsia?
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Q125
During the postnatal visit on day 7, the nurse notes that the mother's lochia has changed from serosanguinous to a purulent, foul-smelling discharge. What is the most appropriate nursing action?
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Q126
During a teaching session, a nurse uses a word-picture association to help a diabetic patient remember the steps of insulin administration. This strategy primarily enhances which type of memory?
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Q127
Which nursing diagnosis is most appropriate for a client who reports nightly difficulty falling asleep, excessive worry, and muscle tension for the past 3 months?
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Q128
A nurse observes that a colleague repeatedly fails to document vital signs on time. According to professional responsibility, what should the nurse do first?
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Q129
A patient needs an antibiotic every 8 hours and the nurse works a 12-hour shift. To maintain the "right time," the nurse should:
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Q130
Which drug class should be avoided in a patient with asthma because it may precipitate bronchospasm?
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Q131
A postoperative client has a wound drain outputting serosanguinous fluid. Which finding would indicate the drain should be assessed for possible infection?
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Q132
According to the Nepal National Mother and Child Health (MNCH) protocol, the first post-natal home visit for a normal delivery should be conducted within:
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Q133
A mother who is taking isotretinoin for severe acne asks if she can continue breastfeeding. What is the appropriate nursing response?
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Q134
A postoperative patient's urine output is recorded as 30 mL/hr. This finding should be entered under which component of the nursing process?
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Q135
A patient emerges from anesthesia with a respiratory rate of 6 breaths/min and SpOโ of 85% on room air. What is the nurse's priority action?
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Q136
A 28-year-old woman presents 4 days after a medical abortion with a temperature of 38.5ยฐC, foul-smelling vaginal discharge, and uterine tenderness. Which investigation is most appropriate to confirm retained products of conception?
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Q137
Which of the following is NOT a component of the WHO MPOWER strategy adopted by Nepal for tobacco control?
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Q138
What is the recommended prophylactic dose of Vitamin K1 (phytonadione) given to newborns to prevent hemorrhagic disease of the newborn?
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Q139
Which of the following best describes the purpose of a focused health assessment?
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D
Q140
In preparing a community hygiene campaign for a remote village with limited access to soap, which locally available substance is the most effective alternative for handwashing to reduce diarrheal transmission?
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Q141
During the first stage of labour, which maternal parameter is most essential for the nurse to monitor and plot regularly on the partograph to assess labour progress?
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Q142
An older adult recovering from stroke shows improved motor function but remains at high fall risk. Which nursing intervention best promotes safe mobility?
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D
Q143
A nurse is teaching a patient how to use a cane safely. Which instruction is most appropriate?
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Q144
The fibrous tissue that covers the bone is called...
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Q145
The normal pressure within the pleural cavity is...
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Q146
When the elevated temperature fluctuates widely but does not reach normal levels between fluctuations is called:
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Q147
After ovulation ovum remains alive for:
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Q148
In which disease should the parent be educated about proper diet planning?
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Q149
All of the following antitubercular drugs are bactericidal EXCEPT:
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Q150
Which of the following is considered a sign of substance dependence?
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PCL Nursing Licensure Exam preparation SET 2
150 multiple-choice questions ยท 150 questions ยท 2h 30m ยท Mid-level licensing
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