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 patient post-operative following a total knee replacement. The patient reports experiencing significant pain when attempting to shift their weight slightly on the affected leg. Which intervention would be MOST appropriate for the nurse to implement first? a) Administer an opioid analgesic as prescribed. b) Encourage the patient to perform range of motion exercises slowly and carefully, monitoring for signs of distress. c) Apply a cold compress to the knee joint for 20 minutes. d) Instruct the patient to lie still and elevate their leg.
सही उत्तर: ख) b
Option B is correct because it addresses pain management by encouraging gradual movement with careful monitoring. This allows the nurse to assess the patient's tolerance while providing support. Options A, C, and D are less appropriate as immediate interventions; analgesics should be given as prescribed, cold compresses may provide temporary relief but don’t address the root cause, and instructing the patient to lie still could exacerbate stiffness.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing a client for a thoracentesis procedure. Which statement by the client should prompt the nurse to clarify further?
सही उत्तर: घ) ‘My doctor said it is necessary to relieve pressure in my chest.’
The correct answer is ‘I have been having difficulty breathing lately.’ This statement introduces an important detail – the *reason* for the thoracentesis. The nurse needs more information to understand the client’s condition and ensure appropriate preparation. While anxiety (option 2) and understanding of the procedure (option 1) are relevant, they don't require immediate clarification as much as the respiratory symptom does.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client with pneumonia and wants to assess their respiratory effort. Which subjective description would MOST strongly indicate increased work of breathing?
सही उत्तर: ख) ‘My chest feels tight and I’m struggling to get air into my lungs.’
The correct answer is ‘My chest feels tight and I’m struggling to get air into my lungs’. This description directly reflects the physiological signs of increased respiratory work – accessory muscle use (tightness), difficulty expanding the lungs, and labored breathing. The other options describe normal or decreased effort.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assisting a client out of bed after surgery. During a routine assessment, the nurse observes that the client's blood pressure reading appears elevated. What is the MOST appropriate initial action?
सही उत्तर: ख) Notify the physician and monitor vital signs closely for 15 minutes
The correct answer is ‘Notify the physician and monitor vital signs closely for 15 minutes’. Elevated blood pressure post-surgery can indicate various issues, including pain, anxiety, or potentially a serious complication. Immediate medication administration without assessment could be detrimental. The other options are secondary actions that don’t address the immediate concern of hypertension.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a patient who has recently undergone an ileal conduit surgery. Which of the following appearance best indicates a healthy stoma?
सही उत्तर: ख) Pink and moist with clear, odorless drainage
The correct answer is ‘Pink and moist with clear, odorless drainage’. This represents the ideal appearance of a newly formed ileal conduit stoma – pink due to vascularization, moist indicates healthy epithelial lining, and clear, odorless drainage signifies proper function. The other options describe abnormal or unhealthy conditions like inflammation, foul odor, or excessive/uncontrolled drainage.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a patient with severe dehydration. The patient's blood pressure is 90/60 mmHg and their mucous membranes are dry and tacky. Which nursing intervention would be MOST appropriate at this time? (a) Administering intravenous fluids rapidly. (b) Monitoring the patient’s heart rate closely for signs of distress. (c) Assessing the patient's level of consciousness and capillary refill. (d) Encouraging the patient to drink small amounts frequently.
सही उत्तर: घ) Encouraging the patient to drink small amounts frequently.
The correct answer is (c) as assessing the patient’s level of consciousness and capillary refill provides immediate information about the severity of dehydration and potential complications like shock. Option (a) is dangerous due to rapid fluid administration which can overwhelm the circulatory system. Options (b) and (d) are secondary interventions that should be considered but not the initial priority.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is teaching a client with heart failure about sodium restriction. Which of the following dietary recommendations should the nurse emphasize?
सही उत्तर: ख) B) Recommend using non-iodized salt for cooking and seasoning.
Option B is correct. Sodium restriction is a cornerstone of managing heart failure. Non-iodized salt avoids adding extra sodium. Options A, C, and D are incorrect as they contradict the necessary dietary modification.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following is the BEST explanation for why maintaining adequate hydration is crucial in clients with burns?
सही उत्तर: ख) B) Burned skin has a decreased ability to retain fluids and increased fluid loss through evaporation.
Option B is correct. Burns damage the skin's barrier function, leading to significant fluid loss through evaporation. Options A and C are related complications but do not explain the core need for increased hydration; Option D is incorrect.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which statement best describes the purpose of assessing a client’s capillary refill time?
सही उत्तर: ख) B) To assess peripheral arterial circulation and adequacy of tissue perfusion.
Option B is correct. Capillary refill time measures how quickly blood returns to the capillary bed after a pulse has been compressed, indicating adequate peripheral perfusion. Options A, C, and D are related assessments but not the function of assessing capillary refill.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with severe edema is being admitted for treatment. Which of the following actions is MOST important for the nurse to implement immediately?
सही उत्तर: ख) B) Elevate the client’s legs to reduce swelling.
Option B is correct because elevating the patient's legs is a fundamental and immediate intervention for reducing edema. Options A, C, and D are important aspects of care but not the MOST critical initial step. The primary goal is to reduce fluid accumulation.
💬 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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