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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During the care of a deceased client, the nurse observes rigor mortis developing. The nurse understands that rigor mortis is caused by:
सही उत्तर: ख) B) Chemical changes within muscle fibers due to cellular injury and lack of oxygen
The correct answer is (B). Rigor mortis results from the disruption of ATP, which normally prevents myosin filaments in muscle fibers from binding to actin filaments. This leads to sustained contraction. Option A describes decomposition; C is incorrect, and D does not directly explain rigor mortis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a client who has been admitted with pneumonia. Which of the following findings would most likely indicate that the client’s respiratory status is improving?
सही उत्तर: ग) C) Clear lung sounds, relaxed muscles, and normal oxygen saturation levels
The correct answer is (C). Improved respiratory status in pneumonia typically manifests as clear lung sounds, relaxed muscles, and a normal or increasing oxygen saturation. Options A and B represent worsening symptoms. Option D indicates a continued problem with gas exchange.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is documenting the stage of rigor mortis in a deceased patient. Which statement BEST describes the process?
सही उत्तर: ख) B) The stiffening of skeletal muscles due to phosphagen breakdown and calcium release
Option B is correct. Rigor mortis is characterized by the progressive stiffness of muscles caused by the depletion of ATP (phosphagen), leading to sustained cross-bridge formation and calcium retention within the muscle fibers. The other options describe different stages or aspects of decomposition.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a client with dehydration and observes the following findings: decreased skin turgor, dry mucous membranes, and orthostatic hypotension. Which finding MOST consistently supports a diagnosis of fluid volume deficit?
सही उत्तर: ग) C) Decreased capillary refill time
Option B is correct. Orthostatic hypotension (a drop in blood pressure upon standing) is a classic symptom of fluid volume deficit as the body attempts to maintain adequate cerebral perfusion by decreasing preload. The other options do not directly or primarily reflect this condition.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient has been started on a clear liquid diet. Which of the following beverages is MOST appropriate for inclusion?
सही उत्तर: घ) D) Clear broth
Option C (Apple cider) is correct. ‘Clear liquid diets’ specifically include clear, non-opaque fluids that are easily absorbed and do not pose a risk of clogging the digestive system. Coffee (A), orange juice (B), and clear broth (D) contain substances that would violate this restriction.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing to perform post-mortem care on a deceased patient. Which of the following actions is MOST appropriate regarding the placement of a pillow under the head?
सही उत्तर: ख) B) To maintain the natural alignment of the body and support the head’s position
Option B is correct. Placing a pillow under the head maintains the body's natural alignment, supports the head’s position, and helps to prevent pressure sores that can develop during post-mortem care. Options A, C, and D are either inaccurate or not primary concerns in this procedure.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a newly admitted patient with heart failure. The patient reports experiencing dyspnea and edema. Which of the following findings would BEST support the diagnosis of fluid volume overload?
सही उत्तर: घ) D) Peripheral edema bilaterally extending to the mid-calf
The correct answer is C. Elevated sodium levels (hypernatremia) are a classic sign of fluid volume overload due to the body's compensatory mechanisms – primarily shifting water into cells as it tries to dilute the excess sodium in the extracellular space. Option A reflects hypovolemia, B represents pulmonary congestion, and D does not align with fluid accumulation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is calculating the pulse pressure of a client whose blood pressure reading is 140/90 mmHg. What is the calculation?
सही उत्तर: ख) B) Adding the systolic and diastolic pressures together.
Pulse pressure is calculated by subtracting the diastolic blood pressure (90 mmHg) from the systolic blood pressure (140 mmHg). This reflects the force with which the heart pumps blood through the arteries.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client with pneumonia who requires continuous low-flow intravenous fluid replacement. Which of the following parameters should the nurse MOST closely monitor?
सही उत्तर: ख) B) The client’s respiratory rate and depth, as well as oxygen saturation levels.
Monitoring respiratory parameters (rate, depth, and SpO2) is crucial in a patient with pneumonia to assess fluid balance and response to therapy. While other measurements are important, respiratory status is the priority indicator of this patient's condition.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing to administer subcutaneous insulin to a client. Which of the following injection sites would be MOST appropriate for a standard dose?
सही उत्तर: ग) C) The volar aspect of the forearm.
The abdomen (at least 2 inches from the umbilicus) is a commonly recommended site for subcutaneous insulin injections due to its consistent tissue depth and ease of access. The deltoid is not suitable for a standard dose; the volar forearm carries a risk of nerve damage; and the dorsogluteal muscle is reserved for intramuscular injections.
💬 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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