मेडिकल-सर्जिकल नर्सिङ – Medical-Surgical Nursing MCQ

मेडिकल-सर्जिकल नर्सिङ: प्रश्न र उत्तर

सही लागेको विकल्पमा थिच्नुहोस्। सही भए हरियो, गलत भए रातो देखिन्छ; ३ सेकेन्डपछि सही उत्तर र व्याख्या देखिन्छ।

सही: ० / ०

1. A nurse is assessing a client with severe burns. Which assessment finding would indicate successful fluid resuscitation? a) Hypotension and tachycardia b) Decreased urine output c) Warm, dry skin with good capillary refill d) Pale, cool skin with delayed capillary refill

   कa) Hypotension and tachycardia खb) Decreased urine output गc) Warm, dry skin with good capillary refill घd) Pale, cool skin with delayed capillary refill
   💬 टिप्पणी / गल्ती रिपोर्ट (०)

   छलफल / प्रश्न उत्तरमा गल्ती छ

   पठाउनुहोस्

   टिप्पणी जाँचपछि मात्र देखिन्छ।

2. A client is admitted with suspected deep vein thrombosis (DVT). Which diagnostic test is MOST commonly used to confirm a diagnosis of DVT? a) Chest X-ray b) Complete Blood Count (CBC) c) Venous Ultrasound d) Electrocardiogram (ECG)

   कa) Chest X-ray खb) Complete Blood Count (CBC) गc) Venous Ultrasound घd) Electrocardiogram (ECG)
   💬 टिप्पणी / गल्ती रिपोर्ट (०)

   छलफल / प्रश्न उत्तरमा गल्ती छ

   पठाउनुहोस्

   टिप्पणी जाँचपछि मात्र देखिन्छ।

3. A nurse is caring for a client diagnosed with heart failure. The client reports experiencing orthopnea and paroxysmal nocturnal dyspnea. Which of the following nursing interventions is MOST appropriate? a) Encourage frequent ambulation throughout the day. b) Elevate the head of the bed to 30-45 degrees. c) Administer a diuretic medication as prescribed. d) Restrict fluid intake to 1 liter per day.

   कa) Encourage frequent ambulation throughout the day खb) Elevate the head of the bed to 30-45 degrees गc) Administer a diuretic medication as prescribed घd) Restrict fluid intake to 1 liter per day
   💬 टिप्पणी / गल्ती रिपोर्ट (०)

   छलफल / प्रश्न उत्तरमा गल्ती छ

   पठाउनुहोस्

   टिप्पणी जाँचपछि मात्र देखिन्छ।

4. A client with chronic obstructive pulmonary disease (COPD) is prescribed supplemental oxygen at 2 liters per minute via nasal cannula. The nurse observes that the client's SpO2 remains consistently below 90%. Which intervention should the nurse implement FIRST? a) Increase the FiO2 to 40%. b) Assess for potential CO2 retention. c) Evaluate the client’s breathing pattern. d) Notify the physician regarding the persistent hypoxemia.

   कa) Increase the FiO2 to 40% खb) Assess for potential CO2 retention गc) Evaluate the client’s breathing pattern घd) Notify the physician regarding the persistent hypoxemia
   💬 टिप्पणी / गल्ती रिपोर्ट (०)

   छलफल / प्रश्न उत्तरमा गल्ती छ

   पठाउनुहोस्

   टिप्पणी जाँचपछि मात्र देखिन्छ।

5. A nurse is caring for a client recovering from abdominal surgery. The nurse assesses that the client’s surgical wound has increased capillary refill time and blanching of the skin around the incision site. What is the most likely cause of this finding? a) Infection b) Hypovolemia c) Shunting d) Edema

   कa) Infection खb) Hypovolemia गc) Shunting घd) Edema
   💬 टिप्पणी / गल्ती रिपोर्ट (०)

   छलफल / प्रश्न उत्तरमा गल्ती छ

   पठाउनुहोस्

   टिप्पणी जाँचपछि मात्र देखिन्छ।

6. A client is admitted to the hospital with suspected sepsis. The nurse recognizes that early recognition and intervention are critical. Which of the following nursing assessments would be MOST important in evaluating for signs of potential septic shock?

   कAssessing capillary refill time in all extremities. खMonitoring the patient’s temperature every 4 hours. गCalculating the patient's body surface area (BSA) for drug dosing. घPerforming a thorough neurological assessment to rule out stroke.
   💬 टिप्पणी / गल्ती रिपोर्ट (०)

   छलफल / प्रश्न उत्तरमा गल्ती छ

   पठाउनुहोस्

   टिप्पणी जाँचपछि मात्र देखिन्छ।

7. A client diagnosed with chronic obstructive pulmonary disease (COPD) is experiencing severe shortness of breath. The nurse observes that the client’s accessory muscles are visibly engaged during breathing. What nursing intervention would be MOST appropriate to immediately alleviate some of the client’s distress?

   कAdminister oxygen via nasal cannula at 2 liters per minute. खEncourage deep, diaphragmatic breathing exercises. गPosition the client in a prone position with head elevated. घAdminister bronchodilator medication as prescribed.
   💬 टिप्पणी / गल्ती रिपोर्ट (०)

   छलफल / प्रश्न उत्तरमा गल्ती छ

   पठाउनुहोस्

   टिप्पणी जाँचपछि मात्र देखिन्छ।

8. A client recovering from an open-heart surgery is being discharged home with instructions to monitor their potassium levels regularly. The nurse understands that potassium imbalances can significantly affect cardiac function. Which electrolyte level would require IMMEDIATE notification of the physician?

   कPotassium 3.8 mEq/L खPotassium 4.2 mEq/L गPotassium 5.0 mEq/L घPotassium 2.9 mEq/L
   💬 टिप्पणी / गल्ती रिपोर्ट (०)

   छलफल / प्रश्न उत्तरमा गल्ती छ

   पठाउनुहोस्

   टिप्पणी जाँचपछि मात्र देखिन्छ।

9. A client with heart failure is experiencing shortness of breath and peripheral edema. Their physician orders furosemide (Lasix) 40 mg intravenously daily. Which assessment finding would MOST closely indicate the medication is achieving its therapeutic effect?

   कDecreased urine output. खIncreased blood pressure. गCrackles in both lung fields. घReduced pitting edema.
   💬 टिप्पणी / गल्ती रिपोर्ट (०)

   छलफल / प्रश्न उत्तरमा गल्ती छ

   पठाउनुहोस्

   टिप्पणी जाँचपछि मात्र देखिन्छ।

10. A client with a diagnosis of chronic obstructive pulmonary disease (COPD) presents to the emergency department with shortness of breath and an oxygen saturation of 85% on room air. Which intervention is MOST important for the nurse to perform immediately? (A) Administering bronchodilators via nebulizer. (B) Positioning the client in a high-fowler’s position. (C) Assessing the client's respiratory rate and pattern. (D) Obtaining a sputum sample for culture.

    कAdministering bronchodilators via nebulizer. खPositioning the client in a high-fowler’s position. गAssessing the client’s respiratory rate and pattern. घObtaining a sputum sample for culture.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।