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 patient with chronic obstructive pulmonary disease (COPD) is experiencing shortness of breath. Which nursing intervention would be most appropriate to immediately reduce the work of breathing? a) Encouraging the patient to cough forcefully. b) Administering oxygen at 2 liters per minute via nasal cannula. c) Having the patient sit up and lean forward with their head elevated. d) Providing a cool mist humidifier near the patient’s bed.
सही उत्तर: घ) d
Option C is correct. Sitting upright and leaning forward with head elevation helps to open the chest, expanding lung volume, and making breathing easier. Options A, B and D do not directly address reducing the work of breathing as effectively. The patient's position is paramount in this situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is teaching a patient about proper hand hygiene. Which of the following instructions should the nurse include in the teaching? a) Wash hands with soap and water only after touching another person. b) Use an alcohol-based hand rub for at least 10 seconds when hands are visibly soiled. c) Rinse hands with cold water only, as warm water can harbor more germs. d) Only wash hands if you have been in contact with someone who is sick.
सही उत्तर: ख) b
Option B is correct because alcohol-based hand rubs are a standard and effective method for reducing microbial contamination. Options A, C, and D represent incorrect or less effective practices regarding hand hygiene. The current guidelines prioritize alcohol-based solutions for routine use.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with severe dehydration is being administered intravenous fluids. Which assessment finding would the nurse MOST closely monitor?
सही उत्तर: ख) Increased heart rate
With dehydration, maintaining adequate hydration levels requires careful monitoring of cardiovascular function. An increased heart rate (tachycardia) is a common response to hypovolemia as the body attempts to compensate for reduced blood volume and maintain perfusion. Decreased blood pressure can be present but isn't always the immediate first sign; clear urine output indicates hydration, while peripheral edema suggests fluid retention.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is educating a patient about diabetic foot care. Which instruction is MOST important for the nurse to include?
सही उत्तर: ग) Inspect feet daily for blisters and cuts
Regular inspection of the feet for blisters, cuts, or other abnormalities is paramount in preventing complications like ulcers in diabetic patients. Foot examination is a crucial component of managing foot health in people with diabetes. The other options are either incorrect or potentially harmful (lotions can increase risk of infection, open-toed shoes increase trauma, and cold water impairs sensation).
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following is the PRIMARY purpose of applying a dry gauze pad to a wound during healing?
सही उत्तर: घ) Stimulate collagen synthesis
Applying a dry gauze pad creates a protective barrier that minimizes moisture loss (fluid loss) from the wound bed. This is crucial for promoting granulation tissue formation and optimal wound healing. While increasing blood flow, bacterial growth, and stimulating collagen synthesis are secondary benefits of proper wound care, preventing fluid loss is the primary goal with dry dressings.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a newly admitted patient with pneumonia. Which vital sign would be MOST indicative of worsening respiratory distress?
सही उत्तर: क) Blood Pressure
The respiratory rate (RR) is the most immediate and critical indicator of changes in breathing effort, particularly in patients with pneumonia where airway obstruction and fluid accumulation are common. While other vital signs provide information, RR directly reflects the patient’s struggle to breathe. Blood pressure, temperature, and pain level can be affected by illness but aren't as immediately linked to respiratory distress.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is calculating the insensible water loss (sweat) for a client. The client has been admitted with fever and is experiencing profuse sweating. During an 8-hour period, the nurse measures 750 mL of drainage from the client’s skin. What is the nurse's calculation for this patient’s insensible water loss?
सही उत्तर: क) 750 ml/8 hours = 93.75 ml/hour
The formula to calculate insensible water loss is (total drainage / time) = insensible water loss. Therefore, 750 mL / 8 hours = 93.75 mL per hour. This represents the amount of fluid lost through evaporation from the skin. The other options are incorrect calculations.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with a history of heart failure has been admitted to the hospital with shortness of breath and edema. Which finding would MOST immediately indicate worsening of this condition?
सही उत्तर: घ) Peripheral edema up to the knees
Peripheral edema up to the knees is the most immediate indicator of worsening heart failure. While all options are related, severe peripheral edema signifies fluid overload and increased pressure within the circulatory system – a critical sign requiring immediate attention. The other measurements (BP, RR, and crackles) can also indicate distress but are typically secondary to fluid volume changes.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a patient post-operatively. The patient reports experiencing increased pain at the surgical site that is described as sharp and stabbing. Which intervention would be MOST appropriate for the nurse to implement first?
सही उत्तर: क) Administer an opioid analgesic medication according to the physician's order
The correct answer is 'Administer an opioid analgesic medication according to the physician’s order'. Post-operative pain management is the immediate priority. The other options – relaxation techniques, notifying the surgeon, and applying compresses – are secondary interventions that may be helpful but do not address the acute pain experienced by the patient.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client is experiencing severe pain after a surgical procedure. The patient reports a score of 8 out of 10 on the pain scale. Which nursing intervention would be MOST appropriate at this time? a) Encourage the patient to verbalize their feelings and concerns. b) Administer an over-the-counter analgesic (ibuprofen). c) Assess the patient’s vital signs and administer oxygen as needed. d) Provide a warm bath to relax the muscles.
सही उत्तर: क) a
Option A is correct. The priority when a patient reports severe pain is to assess the situation, provide comfort measures (like reassurance), and then address the underlying cause of the pain. Options B, C, and D are less appropriate initial interventions as they do not directly address the immediate need for pain relief and assessment.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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