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

11. A client following a total hip arthroplasty (THA) has developed pain rated as 8/10. The nurse assesses the surgical site and notes redness, warmth, and swelling. Which intervention should the nurse implement FIRST? (A) Administering an analgesic medication as prescribed. (B) Applying ice packs to the surgical dressing for 20 minutes at a time. (C) Elevating the affected leg above the level of the heart. (D) Encouraging the client to perform range-of-motion exercises.

    कAdministering an analgesic medication as prescribed. खApplying ice packs to the surgical dressing for 20 minutes at a time. गElevating the affected leg above the level of the heart. घEncouraging the client to perform range-of-motion exercises.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

12. A client is admitted with severe dehydration following vomiting. Vital signs include temperature 38°C (100.4°F), heart rate 120 bpm, blood pressure 90/60 mmHg, and mucous membranes are dry. Which of the following nursing interventions is MOST appropriate at this time? (A) Administering intravenous fluids rapidly to restore fluid volume. (B) Monitoring urine output closely and encouraging oral intake of clear liquids. (C) Assessing for signs of cerebral edema, such as altered mental status. (D) Applying a cool compress to the client’s forehead.

    कAdministering intravenous fluids rapidly to restore fluid volume. खMonitoring urine output closely and encouraging oral intake of clear liquids. गAssessing for signs of cerebral edema, such as altered mental status. घApplying a cool compress to the client’s forehead.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

13. Which laboratory finding would MOST strongly suggest the presence of disseminated intravascular coagulation (DIC)?

    कElevated platelet count खDecreased prothrombin time (PT) गElevated fibrinogen level घIncreased partial thromboplastin time (PTT)
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

14. A patient recovering from major abdominal surgery reports nausea, vomiting, and a decreased appetite. The nurse recognizes these symptoms as potentially related to which condition?

    कHypothermia खPostprandial Bradycardia गGastroparesis घAcute Renal Failure
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

15. A 68-year-old male patient has been diagnosed with a stage III pressure ulcer on his left heel. Which intervention should the nurse implement FIRST?

    कApply a dry gauze dressing खReposition the patient every two hours गElevate the affected limb घAdminister pain medication
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

16. A patient with a history of chronic heart failure is admitted to the hospital for worsening shortness of breath. The nurse assesses that the patient's edema is primarily in the sacral region. What is the MOST likely cause?

    कPulmonary Hypertension खRight Ventricular Failure गMitral Stenosis घAtrial Fibrillation
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

17. A patient presents to the clinic complaining of increasing pain radiating down their left leg following a recent injury. Examination reveals decreased sensation and motor strength in the foot. What is the MOST likely diagnosis?

    कOsteoarthritis खSciatica गDeep Vein Thrombosis घPeripheral Neuropathy
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

18. A nurse is caring for a client with severe burns. Which of the following nursing interventions is MOST important to prevent hypovolemic shock?

    कAdminister intravenous fluids rapidly to restore circulating volume. खApply cool compresses to the burned areas to reduce edema. गMonitor urine output closely and encourage fluid intake. घElevate the affected limbs to decrease venous return.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

19. A 72-year-old client who underwent a surgical resection of the colon develops severe diarrhea and dehydration following antibiotic administration. The nurse suspects Clostridium difficile infection (CDI). What is the MOST appropriate initial nursing intervention?

    कa) Administering intravenous antibiotics immediately खb) Initiating fluid replacement therapy and monitoring electrolyte balance गc) Applying a topical antiseptic to the affected area घd) Implementing strict isolation precautions to prevent further spread
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

20. A client with newly diagnosed heart failure presents with shortness of breath and peripheral edema. The nurse is educating the client about dietary modifications. Which of the following instructions is MOST important for the nurse to include?

    कa) Encourage a high-sodium diet to maintain blood volume खb) Limit fluid intake to 1-2 liters per day गc) Increase potassium intake to compensate for potential losses घd) Consume large amounts of protein to support muscle mass
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।