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

101. A patient with chronic obstructive pulmonary disease (COPD) reports a feeling of tightness in their chest and shortness of breath. Which nursing intervention would be *most* appropriate to assist this patient?

     कEncourage the patient to use an incentive spirometer for 10 minutes खAdminister oxygen at 2L/min via nasal cannula गInstruct the patient to perform pursed-lip breathing घHave the patient lie flat in bed
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

102. A patient post-operative following an abdominal hysterectomy experiences significant pain. The physician orders morphine 2mg IV every 4 hours as needed. Which of the following actions should the nurse *most carefully* monitor?

     कThe client’s respiratory rate and depth खThe client's blood pressure within 10 mmHg of baseline values गThe client’s level of consciousness and ability to ambulate घThe client’s urine output every hour
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

103. A patient presents to the emergency department with sudden onset right-sided weakness, slurred speech, and facial droop. Based on these symptoms, what is the *initial* priority nursing intervention?

     कAdminister oxygen via nasal cannula at 2L/min खObtain a CT scan of the head to rule out hemorrhage गAdminister aspirin immediately for suspected myocardial infarction घEstablish intravenous access and initiate cardiac monitoring
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

104. A client is admitted with pneumonia. Which nursing intervention is MOST important at the initial assessment? a) Administering antibiotics immediately. b) Assessing breath sounds and respiratory rate. c) Obtaining a detailed history of the client’s symptoms. d) Initiating intravenous fluids.

     कa खb गc घd
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

105. A patient with severe asthma exacerbation requires nebulized albuterol. The nurse observes that the patient is experiencing a rapid heart rate (140 bpm), tremor, and anxiety. Which medication should the nurse administer NEXT?

     कIpratropium bromide. खMgSO4 injection. गMethylxanthine (theophylline). घNaloxone.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

106. A client with a diagnosis of heart failure is exhibiting dyspnea and edema. Which laboratory value would be MOST indicative of worsening fluid overload?

     कSerum sodium level of 142 mEq/L. खPotassium level of 3.8 mEq/L. गB-type natriuretic peptide (BNP) level of 800 pg/mL. घSerum creatinine level of 1.2 mg/dL.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

107. A client with chronic obstructive pulmonary disease (COPD) is prescribed supplemental oxygen at 2 liters per minute via nasal cannula. Which finding would MOST closely correlate with adequate oxygen therapy in this patient?

     कClient reports a decrease in shortness of breath. खPulse oximetry reading consistently shows 88% saturation. गClient experiences increased anxiety and restlessness. घHeart rate increases by 10 beats per minute.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

108. A client recovering from total hip arthroplasty (THA) reports increasing swelling, warmth, and redness in the surgical site. Which of the following actions should the nurse take FIRST?

     कAdminister an analgesic medication as prescribed. खApply ice packs to the affected area for 20 minutes at a time. गElevate the operated leg above heart level. घInstruct the client to perform passive range-of-motion exercises.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

109. A client with a recent myocardial infarction (MI) presents with chest pain, shortness of breath, and diaphoresis. Which of the following interventions is MOST important for the nurse to implement immediately?

     कAdminister morphine for pain relief only. खElevate the client's legs while monitoring vital signs. गInitiate cardiac monitoring and obtain a 12-lead ECG. घEncourage the client to perform deep breathing exercises.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।

110. A client is post-operative following an esophagogastrectomy. Which dietary instruction should the nurse prioritize to minimize the risk of dumping syndrome?

     कSmall, frequent meals throughout the day. खAvoid high-sugar foods and beverages. गConsume a diet rich in protein and fat. घDrink fluids slowly with meals.
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

     छलफल / प्रश्न उत्तरमा गल्ती छ

     पठाउनुहोस्

     टिप्पणी जाँचपछि मात्र देखिन्छ।