नर्सिङ आधारभूत – Fundamentals of Nursing MCQ

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

161. When assessing a client who is post-operative following abdominal surgery, what is the PRIMARY nursing assessment that should be performed?

     कA) Assessing peripheral capillary refill in all extremities. खB) Evaluating for signs of respiratory distress and chest pain. गC) Assessing the surgical wound for redness, drainage, and pain levels. घD) Measuring the client’s blood glucose level.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

162. A nurse is preparing to administer intravenous fluids to a patient. Which of the following is the MOST important consideration regarding fluid administration?

     कA) Monitoring the patient's heart rate continuously throughout the infusion. खB) Calculating the infusion rate based solely on the prescribed dose of the medication. गC) Ensuring that the IV site is patent and there are no signs of infiltration before starting the infusion. घD) Documenting the patient’s temperature every four hours.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

163. A nurse is preparing to assist a client who has recently undergone a total hip replacement. Which action demonstrates the BEST approach?

     कImmediately apply ice packs to the surgical site. खEncourage the client to ambulate as soon as possible with minimal assistance. गPosition the client prone with their hips flexed and abducted for optimal healing. घElevate the affected leg above heart level to reduce swelling.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

164. When assessing a client with edema, the nurse observes pitting edema extending to the mid-calf. Which finding would MOST likely contribute to this condition?

     कThe client was recently diagnosed with hypertension. खThe client has been immobilized for 3 days following surgery. गThe client is receiving intravenous fluids at a rate of 150 mL/hour. घThe client reports taking a diuretic medication.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

165. A patient presents to the clinic complaining of fever (38.5°C), chills and muscle aches. Which nursing action is MOST appropriate as a first response?

     कAdminister an over-the-counter antipyretic medication (e.g., acetaminophen) without further assessment. खAssess the patient's airway, breathing, and circulation (ABCs). गEncourage the patient to drink warm beverages and rest comfortably. घNotify the physician immediately, as this could be a serious infection.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

166. A nurse is caring for a client who has recently undergone abdominal surgery. Which assessment finding would most immediately indicate a potential complication requiring intervention?

     कA) The client reports mild discomfort and nausea after meals. खB) Bowel sounds are normoactive in all four quadrants. गC) The client's surgical incision appears red, warm, and edematous with purulent drainage. घD) The client verbalizes understanding of post-operative dietary instructions.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

167. A nurse is assessing a client experiencing abdominal pain and is considering applying heat therapy. Which of the following conditions should the nurse MOST immediately contraindicate its use? a) Mild indigestion. b) Appendicitis with peritoneal inflammation. c) Muscle spasm due to menstrual cramps. d) Constipation.

     कa खb गc घd
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

168. A nurse is providing discharge teaching to a client recently diagnosed with stress urinary incontinence (SUI). Which of the following exercises would be MOST appropriate for the nurse to teach the client? a) Deep squats. b) Performing Kegel exercises (pelvic floor muscle contractions). c) High-impact aerobic activities, such as running. d) Prolonged holding of urine.

     कa खb गc घd
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

169. A healthcare provider is assessing a client with a newly created stoma. Which of the following descriptions best indicates a healthy stoma? a) An erythematous (red) area surrounding the stoma, with significant edema. b) A moist, pink, and well-vascularized area around the stoma with minimal surrounding tissue reaction. c) A blackened, scabbed appearance at the stoma site. d) A dry, cracked, and fissured stoma with signs of infection.

     कa खb गc घd
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

170. A nurse is educating a client about medication administration. Which of the following best describes the primary source of assessment data for a conscious, oriented adult client? a) Diagnostic test results (e.g., blood work). b) Physician's orders and documentation. c) The client’s verbal report of symptoms, physical examination findings, and observation of their behavior. d) Nursing interventions performed by other healthcare professionals.

     कa खb गc घd
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।