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 a client for a diagnostic peritoneal lavage (DPL). Which of the following actions is MOST important for the nurse to perform BEFORE initiating the procedure?
सही उत्तर: ख) Ensure the client's NPO status
The correct answer is 1. It is crucial to ensure the client’s stomach is empty before DPL, preventing aspiration of fluid or blood during the procedure. This prevents complications and ensures accurate results. The other options are important for overall patient care but not the immediate preparation step.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client with chronic obstructive pulmonary disease (COPD). Which assessment finding would MOST closely indicate that the client’s airway secretions are becoming excessively thick and difficult to clear?
सही उत्तर: ख) Increased sputum production, initially clear, then becoming colored
The correct answer is 1. Thick secretions are a hallmark sign of COPD progression. The initial clarity followed by color change signifies that the mucus glands have been overwhelmed and unable to effectively clear the airway. Increased breath sounds, air hunger, and accessory muscle use represent later stages or exacerbations of the condition.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a client who is recovering from total hip replacement surgery. The nurse notes that the patient’s foot appears swollen and there is some discoloration. Which intervention would be MOST appropriate for the nurse to implement at this time?
सही उत्तर: क) Administer an anticoagulant medication as prescribed by the physician
The correct answer is 0. The patient's swollen and discolored foot suggests potential circulatory compromise or deep vein thrombosis (DVT), a common complication after hip replacement surgery. Applying a cold compress provides localized comfort and reduces swelling, which is the priority intervention. The other options are less relevant to this immediate problem.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient is experiencing chest pain. Which nursing intervention should be the PRIORITY?
सही उत्तर: घ) Calling for assistance from other healthcare professionals.
Chest pain is often indicative of serious cardiac conditions. The priority intervention in this scenario is rapidly assessing the patient's condition to identify the cause of the pain, which will inform subsequent interventions (like administering nitroglycerin). While all options are relevant eventually, assessment takes precedence.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing to administer medication via subcutaneous injection. Which of the following techniques should the nurse utilize?
सही उत्तर: ग) Using a Z-track technique to minimize epipenetic effects.
The Z-track technique is crucial for minimizing irritation and discomfort caused by subcutaneous injections by preventing direct contact of the medication with surrounding tissues. Injecting directly into the skin at a low angle (approximately 90 degrees) minimizes tissue trauma. The other options are incorrect injection techniques.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a patient newly diagnosed with type 1 diabetes mellitus. Which of the following is the MOST important initial nursing intervention?
सही उत्तर: ख) Provide education on carbohydrate counting and meal planning.
The most critical initial step for a newly diagnosed type 1 diabetic is understanding their disease process and learning how to manage it. Carbohydrate counting and meal planning are fundamental to controlling blood glucose levels. The other options – immediate insulin administration (potentially dangerous without proper assessment), monitoring alone, and high-fat diets – are secondary or inappropriate in the initial phase.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a patient post-operatively who has had a thoracotomy. Which action demonstrates the MOST appropriate nursing intervention? a) Encouraging the patient to cough frequently. b) Applying gentle traction to the incision. c) Maintaining the operative side in the dependent position. d) Applying ice packs to the surgical site
सही उत्तर: ग) c
Option B is correct because gentle traction on the incision helps to reduce swelling, promotes drainage of fluids from the wound, and aids in comfort. The other options are incorrect or could potentially cause harm (e.g., frequent coughing can increase pain, dependent positioning increases risk of complications, ice packs don't address underlying issues).
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with severe diarrhea is experiencing dehydration. Which nursing assessment finding would indicate that the intravenous fluid replacement is effective? a) Decreased urine output. b) Elevated heart rate and blood pressure. c) Increased skin turgor (elasticity). d) Diminished bowel sounds
सही उत्तर: घ) d
Option C is correct. Improved skin turgor (elasticity) indicates that the client's tissues are rehydrated, a direct result of intravenous fluid replacement. The other options represent signs of continued dehydration.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following is the BEST location to auscultate the apical pulse in an adult client? a) Brachial artery. b) Femoral artery. c) Radial artery. d) Popliteal artery
सही उत्तर: ग) c
Option C is correct. The apex of the heart (apical pulse) is typically best heard over the radial artery in the wrist, as this position allows for optimal transmission of sound waves to the stethoscope. The other arteries are not ideal locations for apical pulse auscultation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a newly admitted patient who is experiencing shortness of breath. The patient’s respiratory rate is 32 breaths per minute, and they are using accessory muscles to assist with breathing. Which nursing intervention is MOST appropriate at this time? a) Encourage the patient to cough forcefully. b) Administer oxygen via nasal cannula at 2 liters per minute. c) Assess the patient's pain level and administer an analgesic. d) Elevate the head of the bed to promote lung expansion.
सही उत्तर: ख) b
Option B is correct because administering supplemental oxygen at a controlled flow rate (2 liters/minute) directly addresses the patient's respiratory distress. The other options are less immediately relevant: forceful coughing could exacerbate dyspnea, pain management might be needed later, and elevating the bed alone won’t address the rapid breathing.
💬 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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