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 client with abdominal pain. Which of the following sequence best describes the appropriate order for abdominal assessment?
सही उत्तर: ग) Auscultation, percussion, inspection, palpation
The standard abdominal assessment sequence begins with inspection (looking for signs of distension or discoloration), followed by auscultation (listening to bowel sounds), then percussion, and finally palpation. Option A and D have an incorrect sequencing.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing to apply compression stockings for a patient. What measurement should be used to ensure the correct fit?
सही उत्तर: ख) Mid-calf circumference
Compression stockings are sized based on the mid-calf circumference (or sometimes thigh circumference for higher compression levels). Options A and D are irrelevant to the fit. Option B is incorrect - it's only relevant for bandaging.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with nausea has consumed 300 mL of clear liquid during the past hour. How should the nurse record this fluid intake?
सही उत्तर: ख) 300 mL
The nurse records fluid intake in milliliters (mL). Option B is correct – it reflects the accurate volume consumed within the specified timeframe. Options A, C and D are not appropriate for recording fluid consumption.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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To accurately determine an adult client's apical pulse, where should the nurse place the stethoscope?
सही उत्तर: ग) Apical point of the heart (left sternal border)
The apical pulse is traditionally taken at the apex of the heart, specifically on the left sternal border. This location provides the most accurate measurement. Options A and B are incorrect because they represent other arteries. Option D is a location where radial pulses would be assessed.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a patient who requires intravenous fluid replacement. The physician orders 1,500 mL of Lactated Ringer's solution to be infused over 24 hours using an infusion pump. What should the nurse set the pump rate to deliver?
सही उत्तर: ख) 56.25 mL/hour
The correct calculation is 1500mL / 24 hours = 62.5 mL/hour. Option B (56.25 mL/hour) is incorrect because it's a rounded result and doesn’t precisely match the hourly rate. Options C and D are significantly higher than the required infusion rate.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is teaching a new client about the proper care of a newly inserted nasogastric tube. Which statement made by the client demonstrates understanding?
सही उत्तर: ग) ‘I should monitor for aspiration into my stomach.’
Monitoring for aspiration demonstrates an understanding of the risk associated with NG tubes. Flushing, using the tube intermittently, and cleaning the tip are incorrect practices.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing to assist a client with mobility. Which principle of body mechanics should they primarily utilize when lifting a patient from side-lying to supine position?
सही उत्तर: ख) Proximal-to-distal movement
Utilizing leverage by bending the knees and keeping the back straight is the most effective body mechanics principle for safely transferring a patient. The other options are incorrect or less crucial for this specific maneuver.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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To accurately measure a patient's intake of oral fluids, at what time should the nurse instruct the patient to begin collecting urine for 24 hours?
सही उत्तर: क) 8:00 AM
Urine collection needs to be started at the beginning of the measurement period, typically 8:00 AM, to accurately reflect the patient’s fluid balance over a full 24-hour cycle. Starting at another time would skew the results.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with chronic heart failure presents to the clinic exhibiting signs of edema in their lower extremities. Which assessment finding would MOST likely confirm fluid volume overload?
सही उत्तर: ग) Positive postural hypotension
Crackles in the lungs are a classic sign of pulmonary congestion, indicating fluid buildup associated with heart failure. The other options represent compensatory mechanisms or alternative causes of edema.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a patient recovering from surgery. The patient reports experiencing pain rated as an 8 out of 10. Which intervention should the nurse implement FIRST?
सही उत्तर: ख) Provide reassurance and encourage relaxation techniques
Providing reassurance and encouraging relaxation is the initial step for managing mild-to-moderate pain. While medication might be needed, addressing the patient's immediate emotional response is paramount. The other options are secondary interventions to pain management.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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