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 client with heart failure is prescribed furosemide (Lasix) intravenously. Which electrolyte level should the nurse monitor MOST closely?
सही उत्तर: क) A) Serum potassium.
Option A is correct. Furosemide, a loop diuretic, significantly increases potassium excretion, leading to hypokalemia (low potassium levels). This is the most critical electrolyte imbalance to monitor and manage in patients receiving this medication. Options B, C, and D are less directly affected by furosemide’s primary action.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing to administer an intramuscular injection of vitamin B12. Which technique should the nurse use to minimize discomfort and potential tissue damage?
सही उत्तर: ख) B) Using a Z-track method, inserting the needle at a 45-degree angle, and aspirating before injecting.
Option B is correct. The Z-track method minimizes drug leakage into surrounding tissues by directing the solution across the muscle fibers. This reduces pain and the risk of tissue damage. Option A is not recommended for IM injections, option C is inappropriate as it's a subcutaneous technique, and option D increases the risk of pain and bruising.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with a history of chronic obstructive pulmonary disease (COPD) is admitted with acute shortness of breath. The nurse auscultates wheezes and rhonchi in both lungs. Which nursing intervention would be MOST effective at immediately relieving the patient's distress?
सही उत्तर: ग) C) Elevating the head of the bed to 30 degrees and administering bronchodilator medication as prescribed.
Option C is correct. Elevating the head of the bed facilitates lung expansion by decreasing the work of breathing. Administering a bronchodilator as prescribed provides direct relief of airway constriction. Option A is less effective than immediate positioning and medication administration. Option B may not be tolerated due to distress, and option D can potentially worsen bronchospasm.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following nursing interventions is MOST important when educating a client newly diagnosed with Type 1 Diabetes regarding foot care?
सही उत्तर: ग) C) Inspecting feet daily, washing gently with lukewarm water and drying thoroughly, and applying a moisturizing lotion.
Option C is correct. Regular foot inspection, gentle cleaning with lukewarm water, thorough drying, and moisturizer application are crucial for diabetic patients due to impaired sensation and increased risk of infection. Option A is inappropriate as petroleum jelly can trap moisture and increase the risk of fungal infections. Option B is not recommended due to potential injury risks from open-toed shoes. Option D could damage delicate skin.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a newly admitted patient who has been complaining of shortness of breath and swelling in their ankles. The patient's blood pressure is 140/90 mmHg, and their heart rate is 92 bpm. Which of the following findings would be MOST concerning and require immediate intervention?
सही उत्तर: क) A) A crackles heard bilaterally during auscultation of the lungs.
Option A is correct. Crackles (rales) in the lungs are indicative of fluid accumulation, commonly associated with heart failure or pulmonary congestion which aligns with the patient’s symptoms and elevated blood pressure. Options B, C, and D represent normal or less immediately concerning findings compared to a respiratory distress state. “
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a client with heart failure who reports experiencing swelling in his ankles and feet. Which finding would BEST support the diagnosis of fluid retention?
सही उत्तर: क) Decreased urine output.
Decreased urine output (oliguria) is a key indicator of fluid retention in clients with heart failure. The other options reflect normal physiological responses or conditions unrelated to the primary diagnosis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing to administer subcutaneous insulin to a client with diabetes mellitus. Which of the following actions is MOST important for the nurse to perform prior to administration?
सही उत्तर: ख) Ensure the client’s blood glucose level is within the target range.
Confirming the expiration date is crucial to ensure medication safety. While all other options are important aspects of diabetes management, verifying blood glucose level is the MOST critical step before administering subcutaneous insulin.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client recovering from abdominal surgery. The nurse observes that the surgical wound has become red, warm, and tender to the touch. What is the MOST likely cause of this finding?
सही उत्तर: ग) Localized infection.
The described symptoms (redness, warmth, tenderness) are classic signs of a localized wound infection. While other options could potentially contribute to a client’s condition, they don't directly explain this specific finding at the wound site.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with chronic obstructive pulmonary disease (COPD) is experiencing increased dyspnea. Which nursing intervention is MOST appropriate to immediately reduce the client’s shortness of breath?
सही उत्तर: ग) Elevate the head of the bed to at least 30 degrees.
Pursed-lip breathing is a technique commonly used by COPD patients to help reduce shortness of breath. It helps to slow down the rate of expiration and increase positive airway pressure. The other options are supportive measures but not the immediate intervention for acute dyspnea.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents to the clinic complaining of persistent fatigue and shortness of breath. The nurse’s initial assessment reveals bilateral crackles in both lung fields. Based on this information, which action is MOST appropriate for the nurse to take FIRST?
सही उत्तर: ख) Notify the physician immediately regarding potential pneumonia.
The nurse’s first action should be notifying the physician. The bilateral crackles strongly suggest a possible diagnosis of pneumonia which requires medical evaluation and potential antibiotic treatment. The other options are secondary interventions that would be performed after the physician's assessment.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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