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 assessing a newly admitted client who has been experiencing nausea and vomiting for 24 hours. The client reports feeling weak and dizzy. Which finding would most closely indicate aspiration of gastric contents?
सही उत्तर: ग) Client’s complaint of a sour taste in their mouth.
The presence of bright red blood in the emesis (hematemesis) is a common sign of gastrointestinal bleeding. However, the most indicative finding of aspiration is the client's complaint of a sour taste in their mouth - this is due to gastric acid entering the pharynx.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a client with suspected dehydration. Which of the following findings would MOST strongly support this diagnosis?
सही उत्तर: ख) Decreased skin turgor
The correct answer is ‘Decreased skin turgor.’ This is a classic physical sign of dehydration. Increased capillary refill time and bounding pulses can indicate volume overload or other conditions. Clear, pale urine output is not necessarily indicative as it could be normal for some patients.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a newborn infant. Which of the following findings would indicate healthy gestational maturation?
सही उत्तर: ग) Pink skin color over the body
The correct answer is ‘Pink skin color over the body.’ This is a classic sign of healthy gestational development in newborns. The other options – bright red membranes, cyanosis, and yellow sclerae – indicate potential abnormalities requiring further investigation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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When obtaining an adult's apical pulse, where should the nurse typically place the stethoscope?
सही उत्तर: ग) C) On the brachial artery
Option B is correct. The carotid artery is commonly used to obtain the apical pulse as it’s easily accessible and close to the chest. Radial, brachial, and placing the stethoscope directly on the heart are not standard for apical pulse measurement.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is teaching a client how to administer insulin via subcutaneous injection. Which learning domain does this activity primarily address?
सही उत्तर: ग) C) Affective Domain – understanding the rationale for treatment
Option B is correct as teaching a client to inject insulin involves practicing a motor skill. Options A and C address knowledge, while option D focuses on perception which isn’t the primary focus of this instruction.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient has sustained a sprain to their right ankle. Which of the following interventions is MOST appropriate for the initial 24-48 hours?
सही उत्तर: घ) D) Applying ice packs for 20 minutes at a time
Option D is correct as applying ice packs is a standard initial treatment for acute ankle sprains due to its vasoconstrictive effect which reduces inflammation. Options A, B, and C are less appropriate – heat can worsen swelling, casts restrict movement unnecessarily initially, and massage can stimulate more inflammation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a patient recovering from surgery. Which of the following body mechanics principles should the nurse utilize when assisting the patient to stand from a lying position?
सही उत्तर: ख) B) Lifting with the knees and hips, keeping the back straight
Option B is correct as it aligns with the principle of body mechanics - bending at the knees and hips to protect the spine. Options A, C, and D are incorrect because they either put undue strain on the nurse’s back or do not properly distribute the patient's weight.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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When performing gastric irrigation following aspiration into the stomach, which of the following actions is MOST important?
सही उत्तर: ग) Side-lying with the affected area in alignment with the floor
Positioning the client prone with the hips and knees flexed minimizes pressure on the sacrum, which is a key element in preventing and managing pressure ulcers. The other positions would exacerbate the risk of tissue damage.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse observes a client exhibiting signs of dehydration – dry mucous membranes, poor skin turgor, and concentrated urine. Which fluid volume deficit finding would BEST support the diagnosis?
सही उत्तर: ग) Hypotension (blood pressure 90/60 mmHg)
Edema in the lower extremities is a classic and reliable sign of fluid volume deficit. The other options – crackles, hypotension, and bradycardia – can be associated with dehydration but are not as direct indicators as edema. These symptoms typically occur later in the process.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following nursing interventions is MOST important when caring for a client experiencing acute anxiety?
सही उत्तर: ख) Encouraging the client to recount their worries
Actively listening and helping the client process their anxieties (encouraging them to recount their worries) is the most important initial intervention. While medications may be needed, it's crucial to address the anxiety first. Warm baths can sometimes exacerbate anxiety, offering food does not help with anxiety, and sedation should be done cautiously based on assessment.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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