नर्सिङ आधारभूत – Fundamentals of Nursing MCQ
नर्सिङ आधारभूत – अन्तर्राष्ट्रिय नर्सिङ
Fundamentals of Nursing · International Nursing (NCLEX-RN, DHA, HAAD) · ४११ प्रश्न
४११ प्रश्न उपलब्ध। मोड छान्नुहोस्:
नर्सिङ आधारभूत: 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 nurse is taking an adult client's apical pulse using a stethoscope. Where should the nurse place the bell of the stethoscope to obtain the most accurate reading?
सही उत्तर: घ) Radial artery
The apical pulse is taken at the radial artery, utilizing the bell of the stethoscope for optimal auscultation. The brachial, femoral and internal carotid arteries are not standard locations for obtaining the apical pulse.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a patient undergoing a central venous catheter insertion. According to established guidelines (referencing HAAD standards), which of the following actions should the nurse prioritize?
सही उत्तर: घ) Maintaining strict aseptic technique throughout the process
Strict aseptic technique is paramount when inserting central venous catheters to prevent infection. Options A and B focus on supplementary steps rather than the core principle of maintaining a sterile field. Option D is therefore correct.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client presents to the emergency department with a deep laceration on their forearm. Upon assessment, the nurse observes eviscerated tissue protruding from the wound. What is the *immediate* priority action for the nurse?
सही उत्तर: क) Apply direct pressure to the wound with a sterile gauze pad
Applying direct pressure is the immediate first step to control bleeding and minimize further contamination. Options B, C, and D address secondary concerns but are not the initial critical action in this situation. This option aligns directly with standard wound management protocols.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing to administer an intravenous (IV) infusion at a rate of 75 mL per hour. The order specifies the IV fluid should run for 8 hours. What is the total volume of fluid to be infused?
सही उत्तर: ख) 750 mL
The calculation is simple: (75 mL/hour) * 8 hours = 600 mL. Option A (625mL) is closest and therefore the most tempting answer if the calculations weren't precisely checked. The correct answer is 600ml.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following describes the optimal positioning for a client receiving enteral feeding via a nasogastric tube?
सही उत्तर: ग) Head of bed at a neutral position (60-90 degrees)
A neutral head position (60-90 degrees) is ideal for enteral tube feedings. This minimizes gastric distention, reduces aspiration risk and facilitates optimal flow through the tube. Elevation at 90 degrees can cause reflux and may increase the risk of aspiration.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing to administer an intramuscular injection. Which of the following anatomical sites would be MOST appropriate for an adult client?
सही उत्तर: ख) Vastus lateralis muscle
The vastus lateralis (lateral thigh) is generally considered the preferred site for IM injections in adults due to its consistent size, adequate muscle mass, and proximity to major nerves. The deltoid is generally avoided as it has a small muscle mass and can cause nerve damage.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a newly admitted client who is experiencing confusion and agitation. Which initial assessment finding would be MOST important for the nurse to document?
सही उत्तर: ग) Client's ability to follow simple commands
The most critical information at this stage is the client’s cognitive status. Documenting the inability to follow commands directly relates to the presenting symptoms (confusion and agitation). While other options are important, they aren't immediately prioritized as indicators of acute mental status changes. The high blood pressure or edema could be related but secondary to the confusion.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is educating a patient about the importance of proper hand hygiene. Which statement BEST describes how hand hygiene breaks link in the chain of infection?
सही उत्तर: ग) C) Hand hygiene breaks automatically sterilize open wounds.
Option 2 is correct because hand hygiene interrupts the chain of infection by reducing the number of microorganisms present on healthcare workers' hands, preventing their transfer to patients. Options A, C and D are inaccurate representations
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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When suctioning an adult’s airway with a manual suction catheter, the nurse should pass the catheter through which body cavity?
सही उत्तर: ग) Larynx
Suctioning the larynx (voice box) is a common practice when clearing secretions. The catheter must be passed through this space to effectively remove obstructions. The other options are incorrect locations for airway suctioning.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a client who is experiencing anxiety. The client reports feeling overwhelmed and having difficulty concentrating. According to Maslow’s hierarchy of needs, which need is MOST affected in this situation?
सही उत्तर: ख) Safety Needs
Maslow's hierarchy places ‘safety needs’ (security, order, protection) as the third level. Anxiety often stems from a perceived lack of safety and security, impacting the ability to focus on higher-level needs. The other options relate to different levels in the hierarchy – physiological needs are basic survival, esteem needs are self-respect, and love/belonging needs involve social connections.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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