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 diabetes mellitus has a blood glucose level of 350 mg/dL. Which nursing intervention should be implemented FIRST?
सही उत्तर: घ) D) Educating the client about the importance of dietary modification
The correct answer is D. A severely elevated blood glucose level (hyperglycemia) requires immediate education to prevent further complications such as diabetic ketoacidosis or hyperosmolar hyperglycemic state. Option A is premature without initial assessment and stabilization, B is not a priority for hyperglycemia, and C addresses dehydration but doesn’t address the primary cause of the high glucose.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following is the MOST appropriate initial nursing intervention when a client experiences acute pain?
सही उत्तर: ख) B) Assessing the client's pain using a standardized pain scale and inquiring about the nature, location, and intensity of the pain
Option B is the best response as it prioritizes thorough pain assessment. A complete understanding of the patient's pain (characteristics, location, intensity) informs subsequent interventions. Options A is premature without an evaluation, C is not a primary intervention for acute pain management, and D doesn’t address the immediate need to assess and manage the pain.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a newly admitted patient who reports difficulty breathing and a persistent cough. Which finding would MOST likely indicate pneumonia?
सही उत्तर: क) A) Auscultation of breath sounds revealing crackles bilaterally
The correct answer is A. Crackles (rales) in the lungs are a hallmark sign of pneumonia, indicating fluid accumulation in the small airways. Option B describes normal respiratory compensation for distress. Options C and D represent alternative responses but don't directly relate to the assessment finding of difficulty breathing and cough.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is teaching a client about proper hand hygiene. Which of the following statements best explains why washing hands is important?
सही उत्तर: ख) It removes dirt and germs that can make you sick
Washing hands primarily removes dirt and germs (bacteria and viruses) that can cause illness. While it contributes to infection prevention generally, options 2, 3, and 4 represent secondary or less direct effects.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a patient who has been NPO (nothing by mouth) for 8 hours following abdominal surgery. Which finding would indicate that it is safe to advance the patient’s diet?
सही उत्तर: ग) Patient can tolerate clear liquids without adverse effects
It's safe to advance the diet when the patient tolerates clear liquids without nausea or vomiting. Audible bowel sounds alone don’t indicate readiness; nausea suggests continued digestive upset. Option 4 describes a normal response and doesn’t justify advancing the diet.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents to the clinic complaining of pain after a dental procedure. The patient rates their pain as an 8 out of 10. According to the numerical rating scale, what does this indicate?
सही उत्तर: घ) Uncontrolled pain
On a numerical rating scale (typically 0-10), a score of 8 represents severe pain. The higher the number, the more intense the pain experience. Options 1 and 2 are too low while option 4 is too extreme.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a newly admitted patient with heart failure. The patient reports shortness of breath and swelling in their ankles. What is the MOST important initial nursing intervention?
सही उत्तर: घ) Notify the physician immediately regarding the symptoms.
The MOST important initial intervention is assessing lung sounds. Crackles and wheezes are classic indicators of heart failure exacerbation. While oxygen and fluid restriction are important aspects of management, immediate assessment of respiratory status takes priority. Option 2 is premature without assessing the respiratory issue.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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You are caring for a client who has been admitted with severe pain after a surgical procedure. The nurse recognizes that to promote sleep in this client, which action would be MOST appropriate?
सही उत्तर: घ) Ensure the client’s room is quiet and dark.
Creating a calm and comfortable environment – a quiet and dark room – directly addresses the client's need for rest and reduces stimulation that might exacerbate their pain. While other interventions can be helpful, creating an optimal sleep environment is the most immediate action.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client with a newly formed stoma following a colectomy. Which observation would indicate a healthy stoma?
सही उत्तर: ग) A moist, pink appearance with minimal to no discharge.
A healthy stoma is characterized by a moist, pink appearance with minimal to no discharge. Redness and inflammation are common initially but should resolve; serous drainage or foul odor indicates a problem, and necrosis is a serious complication.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A healthcare provider orders a sterile dressing for a wound on a client’s arm. Which statement best describes the nurse’s responsibility regarding maintaining the sterility of the field?
सही उत्तर: ख) Discard any contaminated materials immediately.
Maintaining a consistent temperature of 70°F (21°C) is crucial for minimizing microbial growth and maintaining sterility. While other actions are important aspects of sterile technique, controlling the ambient temperature is paramount.
💬 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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