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 client with pneumonia is coughing frequently and has a productive cough. Which nursing intervention is MOST appropriate to assist the client?
सही उत्तर: ख) Encouraging the client to take deep breaths only when they feel short of breath
Sitting upright facilitates easier coughing and drainage of secretions. Deep breaths only when needed prevents unnecessary effort and potential discomfort.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing to administer intravenous fluids to a client with heart failure. Which assessment finding should the nurse MOST closely monitor during fluid administration?
सही उत्तर: घ) Client’s urine output volume
Monitoring urine output is crucial in clients with heart failure, as it reflects fluid balance and renal function. Changes in this metric can quickly indicate excessive fluid administration or worsening of cardiac status.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a newly admitted patient who has been complaining of generalized weakness and fatigue. Which assessment finding would be MOST important for the nurse to report to the physician immediately?
सही उत्तर: क) Blood pressure 90/60 mmHg
Low blood pressure (hypotension) is a critical sign of potential shock or other serious underlying conditions, requiring immediate medical attention. The other options are less immediately concerning as they don’t represent a life-threatening physiological instability.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following nursing actions best demonstrates the principle of patient autonomy when obtaining consent for a procedure?
सही उत्तर: ख) Explaining the procedure in detail, including potential risks and benefits, and allowing the patient to ask questions and make an informed decision.
The correct answer is ‘Explaining the procedure in detail, including potential risks and benefits, and allowing the patient to ask questions and make an informed decision.’ This demonstrates respect for the patient’s right to make decisions about their own healthcare. It fulfills the requirements of informed consent.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with a new pressure ulcer on their sacrum is being educated about preventative measures. Which instruction should the nurse prioritize?
सही उत्तर: क) Change position every 4 hours.
The correct answer is ‘Change position every 4 hours.’ Frequent repositioning is the *most* critical intervention to prevent pressure ulcers by redistributing pressure. While all options are helpful, regular movement directly addresses the cause of the ulcer. Using a foam mattress is secondary and topical ointments are not primary preventative measures.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing to administer intravenous fluids. Which fluid volume should be used to administer 250 mL of 0.9% sodium chloride solution over one hour?
सही उत्तर: घ) 250 mL
The correct answer is ‘250 mL.’ This calculation uses the standard formula: Time (in hours) x Volume (in mL) = Total Volume. (1 hour) * (250 mL) = 250 mL. The other options are incorrect calculations of time, volume or concentration.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a patient recovering from major surgery. The patient reports feeling cold and shivering. What is the *most* appropriate initial nursing intervention?
सही उत्तर: क) Administer oxygen to the patient.
The correct answer is ‘Provide blankets and encourage the patient to increase their activity.’ Shivering is a physiological response to heat loss. Providing warmth (blankets) and encouraging movement help generate body heat. The other options are inappropriate interventions for shivering. “Administer oxygen” addresses potential respiratory distress but not the primary cause of shivering, “Increase activity level” can worsen the situation, and “Apply an ice pack” would further decrease core temperature.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing to administer an intramuscular injection. Which of the following techniques minimizes discomfort for the patient? a) Injecting rapidly into the muscle. b) Using a small needle gauge. c) Aspirating before injecting to ensure placement within the muscle tissue. d) Stretching the skin tautly before administering the injection.
सही उत्तर: ग) c
Option C is correct. Aspirating before injecting confirms that the needle has entered the muscle and minimizes the risk of injecting into a nerve or blood vessel, which would cause significant pain. Options A, B, and D are inappropriate techniques.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following nursing actions best demonstrates the principle of 'patient-centered care'? a) Following a strict adherence to physician orders without questioning. b) Assessing the patient’s pain using only objective scales. c) Involving the patient in the development of their discharge plan and providing education about medication management. d) Prioritizing tasks based solely on the nurse's assessment of urgency.
सही उत्तर: घ) d
Option C is correct, demonstrating patient involvement and shared decision-making. It aligns with modern nursing practice prioritizing the patient’s needs and preferences, promoting self-management skills, and respecting autonomy. The other options represent a more traditional approach lacking direct patient engagement.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a client recovering from surgery. Which vital sign reading warrants immediate intervention? a) Blood pressure 130/80 mmHg. b) Heart rate 72 bpm with regular rhythm. c) Respiratory rate 24 breaths per minute with shallow depth. d) Temperature 98.6°F (37°C).
सही उत्तर: ग) c
Option C is correct. A respiratory rate of 24 bpm, particularly if it’s shallow, indicates distress and requires immediate attention to potentially prevent further complications like hypoxemia. Options A, B, and D are within normal limits for a recovering patient.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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