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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Which of the following nursing interventions is essential when caring for a client with severe dehydration?
सही उत्तर: ख) Monitoring urine output closely and frequently.
Closely monitoring urine output is paramount in assessing fluid balance when a client is dehydrated. Rapid administration of hypotonic fluids could worsen the condition. The other options are either contraindicated or contribute minimally to correcting dehydration.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents to the emergency department with shortness of breath, chest pain, and a history of chronic obstructive pulmonary disease (COPD). Which initial nursing action is MOST appropriate?
सही उत्तर: क) Administer oxygen via nasal cannula at 2 liters per minute.
Administering oxygen is the most immediate and crucial step given the patient’s symptoms and COPD history. The other options address symptom management but don’t tackle the primary respiratory distress. Morphine could mask symptoms and delay further assessment.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with a history of heart failure requires hourly monitoring of urine output. What specific urine volume (in mL) would trigger immediate notification of the physician?
सही उत्तर: ख) 500-800 mL
A urine output range of 200-400 mL hourly is considered significantly reduced in a patient with heart failure and warrants immediate medical attention. Higher volumes are generally acceptable, while lower volumes can indicate serious problems.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing to administer an intramuscular injection. Which anatomical location is generally considered MOST appropriate for adults due to its relatively low risk of nerve damage?
सही उत्तर: ग) Gluteus medius muscle
The vastus lateralis muscle (Option 2) is the most commonly recommended site for intramuscular injections in adults because it's located away from major nerves and blood vessels, reducing the risk of complications. The other options are at higher risk.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is educating a client about the proper technique for administering subcutaneous insulin. Which learning domain does the nurse primarily focus on during this teaching?
सही उत्तर: ग) Psychomotor
The primary focus (Affective) is on the client's emotional response and willingness to learn and adhere to the self-injection technique – crucial for long-term success. Cognitive, Psychomotor, and Sensory domains are less relevant in this specific teaching moment.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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When teaching a patient with type 2 diabetes about foot care, which of the following statements is MOST important?
सही उत्तर: क) 'Check your feet daily for blisters or sores.'
The most crucial point for a diabetic patient regarding foot care is checking for blisters or sores daily (Option 1). This addresses the potential for ulceration, which is a serious complication of diabetes. Options 2, 3 and 4 are relevant but secondary to immediate wound detection.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with a BMI of 26.5 kg/m² presents to the clinic. According to World Health Organization (WHO) classification, what category does this client fall into?
सही उत्तर: ख) Category 2 - Overweight
A BMI of 26.5 falls within the overweight range (Category 2) according to WHO standards. Options 1 and 4 are incorrect as they represent normal and morbid obesity, respectively. Option 3 is incorrect because it describes obese.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a patient who is experiencing shortness of breath. The nurse observes that the patient’s accessory muscles are engaged. What should the nurse do NEXT?
सही उत्तर: ग) C) Encourage the patient to cough forcefully to clear secretions.
Option B is correct because a thorough assessment of the patient’s respiratory status (rate, depth, effort) is crucial *before* initiating any interventions. Options A, C and D may be appropriate later but not as immediate next steps.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following actions demonstrates the nurse’s understanding of sterile technique when preparing a wound dressing?
सही उत्तर: घ) D) Cleaning the wound with tap water before applying the sterile dressing.
Option C is correct because strict adherence to aseptic technique – including a sterile field, gloves, and instruments– minimizes the risk of infection. Options A, B, and D compromise sterility.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assisting a patient with dysphagia (difficulty swallowing) with oral feeding. Which of the following techniques should the nurse use?
सही उत्तर: ग) C) Using thickeners to modify the consistency of liquids and offering small, frequent bites of solid foods.
Option C is correct because thickening liquids reduces the risk of aspiration. Options A, B, and D are inappropriate practices that could increase the risk of aspiration.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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