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 preparing to administer an intramuscular injection to a 6-month-old infant. Which site is MOST appropriate?
सही उत्तर: ग) Gluteus medius muscle.
The vastus lateralis is considered the safest IM injection site for infants due to its subcutaneous fat layer, which provides a buffer against nerve damage. The other sites are generally avoided in this age group.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a newly admitted patient with pneumonia. The patient reports shortness of breath and uses accessory muscles to breathe. Which nursing intervention is MOST appropriate at this time?
सही उत्तर: ख) Encourage the patient to cough forcefully every few minutes.
Coughing helps mobilize secretions. Elevating the head of the bed facilitates breathing by improving lung expansion. The other options offer temporary relief but don't address the underlying respiratory distress effectively.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client recovering from abdominal surgery. The nurse observes the client exhibiting signs of discomfort and guarding their abdomen. Which of the following interventions would be MOST appropriate?
सही उत्तर: ख) Encourage the client to perform diaphragmatic breathing exercises.
Deep breathing and diaphragmatic exercises are crucial for preventing pneumonia and promoting venous return after abdominal surgery, addressing the client's discomfort (Option 1). Opioids can suppress respiratory function. Applying heat could cause further tissue damage at the surgical site(Option 3) and a supine position without bent knees can increase pressure on the abdomen.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a client with heart failure who reports experiencing edema in their lower extremities. Which finding would MOST support this diagnosis?
सही उत्तर: ग) C) Weight gain of 5 pounds in 24 hours.
Option C is correct. Fluid retention is a hallmark symptom of heart failure, resulting in weight gain. Option A represents fluid loss, option B an elevated blood pressure and option D normal perfusion indicating no circulatory issues.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with a history of chronic obstructive pulmonary disease (COPD) is experiencing shortness of breath. Which intervention should the nurse implement FIRST?
सही उत्तर: घ) D) Elevating the head of the bed to promote lung expansion.
Option C is correct. Sitting upright optimizes chest excursion and facilitates breathing. Option A would be administered after assessing oxygen saturation. Options B and D are helpful adjuncts but not the initial priority.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a patient recovering from surgery who has an indwelling urinary catheter. Which action should the nurse take FIRST to prevent urinary tract infection?
सही उत्तर: ग) C) Maintaining meticulous perineal hygiene.
Option B is correct. Regular drainage reduces bacterial accumulation and prevents infection. Option A is preventative but not immediate. Options C and D are supportive measures.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a newly admitted client who is confused and agitated. Which assessment finding would be MOST indicative of delirium?
सही उत्तर: ख) B) The client exhibits fluctuating levels of attention and disorientation, often accompanied by restlessness and confusion.
Option B is correct as delirium is characterized by fluctuating mental state, disorientation and confusion. Option A describes dementia, Option C reflects cognitive function post medication or treatment, and Option D indicates the client has returned to baseline functioning.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a patient who is experiencing anxiety related to an impending hospital procedure. Which nursing action would be MOST effective in reducing the client’s anxiety?
सही उत्तर: क) Providing the client with detailed information about the procedure and its potential risks.
Providing clear and honest information about the procedure is often the most effective way to alleviate patient anxiety. While other interventions may be supportive, they do not directly address the root cause of the anxiety – lack of understanding.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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When assessing a client who is post-operative following abdominal surgery, which finding would require IMMEDIATE notification of the surgeon?
सही उत्तर: घ) Increased respiratory rate and shallow breathing.
An increased respiratory rate and shallow breathing are indicative of potential complications such as diaphragmatic irritation or hemothorax. While the other options may require monitoring, this specific finding mandates immediate surgical intervention.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing to administer subcutaneous heparin to a patient. Which of the following actions should the nurse take FIRST?
सही उत्तर: घ) Verify the correct dose and route with the physician.
Verifying the dose and route with the physician is the critical first step to prevent medication errors. All other actions are subsequent steps necessary for safe administration but not the initial priority.
💬 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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