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 teaching a client with diabetes about foot care. Which instruction is MOST important?
सही उत्तर: ख) Apply lotion liberally to the feet to keep them moisturized.
Inspecting the feet daily with a bright light allows for visualization of any cuts, blisters, or other abnormalities. This is the most critical preventative measure for diabetic foot care. While moisturizing helps prevent dryness, it doesn’t directly address risk factors like neuropathy.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with a history of heart failure is admitted to the hospital with dyspnea and edema. The nurse knows that administering furosemide (Lasix) may cause hypokalemia. Which assessment finding would indicate the need for intervention?
सही उत्तर: क) Potassium level of 4.0 mEq/L.
A potassium level of 4.0 mEq/L indicates hypokalemia, a common side effect of furosemide. This requires intervention to prevent cardiac arrhythmias. The other options are within normal ranges and do not indicate the need for immediate action.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client recovering from abdominal surgery who has an indwelling urinary catheter. Which action BEST prevents infection associated with this catheter?
सही उत्तर: ग) Keep the drainage bag lower than the level of the bladder.
Using sterile technique is crucial for preventing infection at the catheter insertion site. This minimizes the risk of bacterial contamination. While other actions are part of care, they don’t address the primary cause of infection - contamination. Maintaining proper drainage bag elevation helps prevent reflux.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with chronic obstructive pulmonary disease (COPD) is experiencing increasing shortness of breath. Which nursing action demonstrates the BEST understanding of the pathophysiology of COPD?
सही उत्तर: घ) Provide supplemental oxygen at 2 liters per minute.
The correct answer is positioning the client in a high-fowler’s position. This promotes optimal chest expansion and facilitates maximal lung function, directly addressing the reduced compliance characteristic of COPD. The other options treat symptoms but don't address the underlying physiological changes.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a client who has been immobilized in a cast for 7 days. Which intervention is MOST important to prevent deep vein thrombosis (DVT)?
सही उत्तर: ख) Encourage the client to perform ankle pumps regularly.
The most effective immediate measure to prevent DVT in a immobilized patient is encouraging regular ankle pumps, which promotes venous return. While other options may be beneficial long-term, they are not as critical in this acute situation. The tempting answer, administering medication, requires physician order and isn’t the primary nursing intervention.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a client who has been experiencing nausea and vomiting. Which finding would be MOST indicative of hypovolemia?
सही उत्तर: घ) Anxiety and restlessness
Hypovolemia (fluid loss) leads to decreased blood volume, resulting in reduced tissue perfusion. Anxiety and restlessness are common symptoms of hypoperfusion. The other options may be present in nausea/vomiting but don’t directly relate to fluid volume deficits.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with a history of heart failure is being discharged home. Which nursing intervention is HIGHEST priority?
सही उत्तर: क) Administering the prescribed diuretic medication
Clients with heart failure are at risk for fluid overload, making medication administration (diuretics) the immediate priority. While all options are important for long-term management, addressing fluid balance is critical in this acute situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with pneumonia is admitted to the hospital. Which of the following actions by the nurse is MOST important in maintaining adequate oxygenation?
सही उत्तर: ग) Ensuring the airway is patent and providing supplemental oxygen via nasal cannula
Maintaining an open airway with adequate oxygenation is paramount in pneumonia. Supplemental oxygen via nasal cannula provides direct support for gas exchange. The other options address hydration, positioning (which may not be suitable), or blood pressure monitoring – less critical in this immediate situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is teaching a new mother about newborn care. Which of the following demonstrates that the client understands the importance of frequent handwashing?
सही उत्तर: ख) “I will wash my hands before every diaper change.”
Frequent handwashing is crucial in preventing infection in newborns. The client's response shows a clear understanding of this key preventative measure. Options 1 and 2 are incorrect as they focus on gloves or wipes, which aren’t the primary method; option 3 suggests ineffective cleaning, and option 4 demonstrates a lack of understanding.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient is receiving morphine for pain management. Which finding would require immediate intervention?
सही उत्तर: ख) B) The patient experiences a decrease in respiratory rate
A decreased respiratory rate is a serious adverse effect of morphine. Options A, C and D are not life-threatening immediate concerns, although they require monitoring.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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